胃肠恶性肿瘤化疗患者多学科合作心理社会干预方案的构建
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女,硕士在读,学生

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Development of multidisciplinary cooperative psychosocial intervention program for gastrointestinal cancer patients undergoing chemotherapy
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    目的 构建基于压力与应对模式的胃肠恶性肿瘤化疗患者多学科合作心理社会干预方案,为临床心理社会干预提供参考。方法 通过典型机构的现场观察,梳理焦点问题,系统检索文献后,综合、分析资料,以压力与应对模式为理论框架,构建干预方案初稿;采用现场论证法,邀请多学科团队成员和患者对干预方案进行论证,形成最终方案。结果 最终纳入文献51篇。形成的心理社会干预方案包括疾病知识及治疗,不良反应预防、识别及处理,癌症患者压力应对案例分享,压力识别与应对,认知改变,关系变化与维持,抗癌经验分享,患者需求评估、支持及转介8个方面。结论 构建的胃肠恶性肿瘤化疗患者多学科合作心理社会干预方案符合临床情景,可进一步进行临床实践验证研究。

    Abstract:

    Objective To develop a multidisciplinary cooperative psychosocial intervention program for gastrointestinal cancer patients undergoing chemotherapy and to provide references for clinical psychosocial support interventions. Methods After field observation made at typical instititutions, identification of focus problems, and literature reviewing, the researchers constructed an initial draft for an intervention program which was grounded on the stress and coping model then onsite consultation with a multidisciplinary team and patients was conducted to finalize the final intervention protocol. Results A total of 51 publications were included. The psychosocial intervention program included disease knowledge and treatment, prevention, identification and management of toxic effect, case sharing of stress coping by cancer patients, stress identification and coping, cognitive change, relationship change and maintenance, anticancer experience sharing, patient needs assessment, support, and referral of patient. Conclusion The psychosocial intervention program, which is based on multidisciplinary cooperation, fits clinical situation, and expects further field validation in the process of clinical practice.

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周同,胡雁,彭健,张晓菊,杨瑒,汪洋,顾文英.胃肠恶性肿瘤化疗患者多学科合作心理社会干预方案的构建[J].护理学杂志,2020,35(16):80-83

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  • 收稿日期:2020-02-16
  • 最后修改日期:2020-04-15
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  • 在线发布日期: 2022-09-06