Davison B J, Degner L F
Faculty of Nursing, University of Manitoba, Winnipeg, Canada.
Cancer Nurs. 1997 Jun;20(3):187-96. doi: 10.1097/00002820-199706000-00004.
The purpose of this study was to explore the hypothesis that assisting men with prostate cancer to obtain information would enable them to assume a more active role in treatment decision making and decrease their levels of anxiety and depression. Respondents were recruited from one community urology clinic in Winnipeg, Manitoba. Sixty newly diagnosed men were randomly assigned to receive either a self-efficacy information intervention that consisted of a written information package with discussion, a list of questions they could ask their physician, and an audiotape of the medical consultation (n = 30), or a written information package alone (n = 30). Men completed measures of preferred decisional role as the pretest; anxiety and depression before the intervention, and at 6 weeks post-intervention; and assumed decisional role at 6 weeks post-intervention. Results demonstrated that men in the intervention group assumed a significantly more active role in treatment decision making, and had lower state anxiety levels at 6 weeks. Levels of depression were similar for both groups at 6 weeks. This group of older men do want to be informed and participate in medical decisions. Further efforts are required to evaluate the efficacy of such an intervention in other community urology clinics.
帮助前列腺癌患者获取信息将使他们在治疗决策中发挥更积极的作用，并降低其焦虑和抑郁水平。研究对象从加拿大曼尼托巴省温尼伯市的一家社区泌尿科诊所招募。60名新确诊的男性被随机分为两组，一组接受自我效能信息干预，该干预包括一个配有讨论的书面信息包、一份可向医生提问的问题清单以及一段医疗咨询录音带（n = 30），另一组仅接受书面信息包（n = 30）。男性在干预前完成了关于偏好决策角色的测量；在干预前以及干预后6周测量焦虑和抑郁水平；并在干预后6周测量其承担的决策角色。结果表明，干预组男性在治疗决策中发挥了显著更积极的作用，且在6周时状态焦虑水平较低。两组在6周时的抑郁水平相似。这群老年男性确实希望了解信息并参与医疗决策。需要进一步努力评估这种干预在其他社区泌尿科诊所的效果。
