Thí nghiệm ngẫu nhiên có kiểm soát với phiên bản thí điểm về tính khả thi của can thiệp kỹ năng đối phó tự định hướng cho các cặp đôi đối mặt với ung thư tiền liệt tuyến: Lý do và thiết kế

Health and Quality of Life Outcomes - Tập 10 - Trang 1-11 - 2012
Sylvie D Lambert1, Afaf Girgis1, Jane Turner2, Patrick McElduff3, Karen Kayser4, Paula Vallentine5
1Translational Cancer Research Unit, Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, UNSW Medicine, The University of New South Wales, Liverpool, Australia
2The University of Queensland, Herston, Australia
3School of Medicine and Public Health, The University of Newcastle, New Lambton, Australia
4Kent School of Social Work, University of Louisville, Louisville, USA
5Cancer Council NSW, Woolloomooloo, Australia

Tóm tắt

Mặc dù được biết rằng phản ứng của bệnh nhân cũng như của bạn đời trước chẩn đoán ung thư tiền liệt tuyến bao gồm sự sợ hãi, không chắc chắn, lo âu và trầm cảm, cũng như phản ứng của họ tác động qua lại tới cách họ đối phó và điều chỉnh với bệnh tật, nhưng rất ít can thiệp tâm lý xã hội nhắm đến các cặp đôi. Những can thiệp hiện có thường do các chuyên gia được đào tạo bài bản dẫn dắt, hạn chế khả năng tiếp cận và tính bền vững về lâu dài của chúng. Hơn nữa, cũng cần nhận ra rằng những bệnh nhân có thể hưởng lợi từ các can thiệp tâm lý xã hội trực tiếp không thường xuyên tiếp cận được, hoặc do sự lựa chọn cá nhân hoặc bởi các rào cản về địa lý hoặc khả năng di chuyển. Các can thiệp tự định hướng có thể khắc phục một số hạn chế này và đã được chứng minh là góp phần vào sức khỏe của bệnh nhân. Nghiên cứu này sẽ xem xét tính khả thi của một can thiệp kỹ năng đối phó tự định hướng dành cho các cặp đôi bị ảnh hưởng bởi ung thư, được gọi là Coping-Together, và bắt đầu khám phá tác động tiềm năng của nó đến việc điều chỉnh bệnh tật của các cặp đôi. Phiên bản thử nghiệm của Coping-Together bao gồm một chuỗi bốn cuốn sách nhỏ, một đĩa DVD và một đĩa audio thư giãn. Trong thử nghiệm ngẫu nhiên có kiểm soát mù đôi này, 70 cặp đôi sẽ được tuyển chọn trong vòng 4 tháng kể từ khi chẩn đoán ung thư tiền liệt tuyến thông qua các phòng khám chuyên khoa tiết niệu và được phân ngẫu nhiên vào: 1) Coping-Together hoặc 2) điều kiện chăm sóc đạo đức tối thiểu. Các cặp đôi trong điều kiện chăm sóc đạo đức tối thiểu sẽ nhận được tài liệu thông tin qua đường bưu điện từ Ủy ban Ung thư New South Wales và một tờ rơi dành cho Đường dây trợ giúp của Ủy ban Ung thư. Kết quả chính (lo âu) và các kết quả phụ bổ sung (khó chịu, trầm cảm, điều chỉnh phối hợp, chất lượng cuộc sống, cách đánh giá bệnh tật hoặc việc chăm sóc, sự tự tin, và cách đối phó cá nhân và nhóm) sẽ được đánh giá tại thời điểm cơ bản (trước khi nhận tài liệu nghiên cứu) và 2 tháng sau thời điểm cơ bản. Phân tích theo ý định điều trị và theo giao thức sẽ được thực hiện. Do tỷ lệ khó chịu của các bạn đời vượt quá không chỉ các tiêu chuẩn dân số mà cũng cả những tỷ lệ mà bệnh nhân tự báo cáo, do đó, điều bắt buộc là các can thiệp kỹ năng đối phó phải nhằm vào cặp đôi như một đơn vị và nâng cao khả năng của cả hai bạn đời trong việc vượt qua các thách thức do ung thư. Nghiên cứu thí điểm này sẽ xem xét tính khả thi và tiềm năng hiệu quả của Coping-Together trong việc tối ưu hóa việc điều chỉnh bệnh tật của các cặp đôi. Đây là một trong những nghiên cứu khả thi đầu tiên nhằm thử nghiệm can thiệp đối phó đổi mới này, từ đó sẽ góp phần vào tài liệu lớn hơn kêu gọi chăm sóc tâm lý xã hội cho các cặp đôi bị ảnh hưởng bởi ung thư tiền liệt tuyến.

Từ khóa

#ung thư tiền liệt tuyến #can thiệp tâm lý xã hội #cặp đôi #kỹ năng đối phó #nghiên cứu khả thi

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