Development of a nursing-led psychotherapeutic programme to promote coping in adults living with cancer: a qualitative programme development study.

IF 2.1 Q2 NURSING
Ana Pereira, Tânia Lourenço, Bruno Santos, Núria Albacar-Riobóo, Carlos Sequeira
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引用次数: 0

Abstract

Background: Emotional distress is highly prevalent among adults living with cancer and may compromise psychological adaptation. Although psychosocial interventions are widely implemented, there is limited evidence regarding the structured development of nursing-led psychotherapeutic programmes grounded in nursing theory.

Aims: To develop a structured, theory-informed, nursing-led psychotherapeutic programme aimed at promoting coping and psychological adaptation in adults living with cancer.

Methods: This qualitative study reports the final stages of a multi-phase programme development process informed by a scoping review and grounded in Meleis' Theory of Transitions and the Psychotherapeutic Intervention Model in Nursing. Conducted in Portugal, it comprised focus groups with adults with cancer (n = 8) and expert nurses in mental health and/or oncology care (n = 16). Data were audio-recorded, transcribed verbatim and analysed using directed qualitative content analysis.

Results: Participants highlighted the importance of early psychosocial intervention at diagnosis and identified key emotional, informational and relational needs. These insights informed the development of a structured programme comprising 10 mixed-format sessions integrating psychoeducation, emotional regulation, communication and cognitive-behavioural strategies.

Conclusion: This study reinforces psychotherapeutic nursing interventions in supporting adaptive coping and offers a preliminary model to inform future development and evaluation of nurse-led psychosocial care interventions in oncology.

发展以护理为主导的心理治疗方案,以促进成人癌症患者的应对:一项定性方案发展研究。
背景:情绪困扰在成年癌症患者中非常普遍,并可能影响心理适应。虽然社会心理干预被广泛实施,但关于以护理理论为基础的以护理为主导的心理治疗方案的结构化发展的证据有限。目的:发展一个结构化的,有理论依据的,以护理为主导的心理治疗方案,旨在促进成人癌症患者的应对和心理适应。方法:本定性研究报告了一个多阶段计划发展过程的最后阶段,该过程由范围审查告知,并以Meleis的过渡理论和护理心理治疗干预模型为基础。该研究在葡萄牙进行,由癌症成人(n = 8)和心理健康和/或肿瘤护理专家护士(n = 16)组成焦点小组。数据录音,逐字转录,并使用直接定性内容分析进行分析。结果:参与者强调了早期心理社会干预在诊断中的重要性,并确定了关键的情感、信息和关系需求。这些见解为一个结构化课程的发展提供了信息,该课程包括10个混合形式的课程,整合了心理教育、情绪调节、沟通和认知行为策略。结论:本研究强化了心理治疗护理干预在支持适应性应对方面的作用,并为肿瘤学护士主导的心理社会护理干预的未来发展和评估提供了初步模型。
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来源期刊
CiteScore
5.30
自引率
3.20%
发文量
82
期刊介绍: The Journal of Research in Nursing is a leading peer reviewed journal that blends good research with contemporary debates about policy and practice. The Journal of Research in Nursing contributes knowledge to nursing practice, research and local, national and international health and social care policy. Each issue contains a variety of papers and review commentaries within a specific theme. The editors are advised and supported by a board of key academics, practitioners and policy makers of international standing. The Journal of Research in Nursing will: • Ensure an evidence base to your practice and policy development • Inform your research work at an advanced level • Challenge you to critically reflect on the interface between practice, policy and research
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