关键词: Breast unit Empowerment Intervention Metastatic breast cancer Mixed-methods Needs Patients Psycho-oncology

来  源:   DOI:10.1007/s13187-024-02449-2

Abstract:
\"Ariadne\'s thread\" is a psycho-educational intervention designed by the Breast Unit and the Clinical Psychology Unit of an Italian Comprehensive Cancer Center and aims to promote empowerment in patients with metastatic breast cancer. It consists of 8 online meetings led by a psycho-oncologist in which informative sessions by patients\' referring physicians alternate with moments of stress management techniques. This study aims to investigate (1) the feasibility of the \"Ariadne\'s thread\" pilot intervention and (2) the satisfaction and perceived benefits of the pilot intervention. We used a mixed method approach in which (1) it was detected: the number of acceptance to the single session of the intervention by both patients and professionals, the number of help requests by patients, and the number of change of date requests by professionals; (2) semi-structured interviews were conducted with the professionals who participated in the intervention; (3) 2 focus groups were conducted with patients, and (4) a questionnaire was submitted to each of them. The intervention is sustainable from the perspective of the organization, professionals, and patients. In particular, the patients declared perceiving benefits in many aspects: improved relationships with doctors, acceptance of their illness, learning of a relaxation technique, possibility to look at the world with trust and hope, etc. The questionnaires show an improvement in empowerment and satisfaction as a result of the intervention. \"Ariadne\'s thread\" is a psycho-educational intervention that effectively addresses the needs of patients with MBC. It can be applied to other contexts (1) if it has been confirmed that similar needs exist or (2) if it can be modified to accommodate other needs.
摘要:
“Ariadne的线程”是由意大利综合癌症中心的乳腺部门和临床心理学部门设计的心理教育干预措施,旨在促进转移性乳腺癌患者的赋权。它由8个由心理肿瘤学家领导的在线会议组成,其中患者转诊医生的信息会议与压力管理技术交替出现。本研究旨在调查(1)“Ariadne”主题飞行员干预的可行性,以及(2)飞行员干预的满意度和感知收益。我们使用了一种混合方法方法,其中(1)检测到:患者和专业人员接受干预的单个会话的数量,患者请求帮助的数量,和专业人员更改日期请求的次数;(2)对参与干预的专业人员进行半结构化访谈;(3)对患者进行2个焦点小组,(4)向他们每个人提交了一份问卷。从组织的角度来看,干预是可持续的,专业人士,和病人。特别是,患者宣称在许多方面都有好处:改善了与医生的关系,接受他们的疾病,学习放松技巧,用信任和希望看待世界的可能性,等。调查问卷显示,干预措施在赋权和满意度方面有所改善。“Ariadne'sthread”是一种心理教育干预措施,可有效满足MBC患者的需求。如果已经确认存在类似的需求,则可以将其应用于其他上下文(1),或者(2)可以对其进行修改以适应其他需求。
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