心理教育干预对改善护理者对姑息性癌症护理的知识和态度的影响

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-06-06 DOI:10.1016/j.pec.2025.109222

Brenna Mossman , Lisa Molix , Damian R. Murray , Laura M. Perry , Seowoo Kim , Michael Hoerger

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引用次数: 0

摘要

目的评价心理教育干预在改善护理人员、患者亲友对姑息治疗知识和态度方面的效果。方法在2021年12月至2022年3月期间，共有150名成年癌症护理人员参加了一项美国在线随机临床试验（RCT）。参与者自我报告了他们对姑息治疗的基本知识，然后观看了关于姑息治疗（干预组）或营养（对照组）的心理教育视频。然后，参与者完成了姑息治疗知识的结果测量(目的1；姑息治疗知识量表（工具包）和态度(目标2；姑息治疗态度量表（PCAS-9C）。回归分析检验了分组分配是否显著预测姑息治疗知识和态度，同时控制了自我报告的基线知识和关键人口统计学和临床特征。结果在该护理人员样本中，packas和PCAS-9C具有良好的信度、因素结构和效度证据。RCT在增加护理人员姑息治疗知识方面取得了成功（p <； .001）。态度是有利的，而且各组之间没有差异。结论：本研究表明，一次心理教育视频可以提高癌症患者的亲密朋友和家人对姑息治疗的理解。实践意义：这项工作为帮助家庭做出启动姑息治疗的明智决定提供了未来的途径。

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Impact of a psychoeducational intervention to improve caregiver knowledge and attitudes toward palliative cancer care

Objectives

To evaluate the efficacy of a psychoeducational intervention in improving palliative care knowledge and attitudes among caregivers, patients’ close friends and families.

Methods

A total of 150 adult cancer caregivers participated in an online U.S.-based randomized clinical trial (RCT) between December 2021 and March 2022. Participants self-reported their baseline knowledge of palliative care, then viewed a psychoeducational video on palliative care (intervention condition) or nutrition (control condition). Participants then completed outcome measures of palliative care knowledge (aim 1; Palliative Care Knowledge Scale, PaCKS) and attitudes (aim 2; Palliative Care Attitudes Scale-9-Caregiver, PCAS-9C). Regression analyses examined whether group assignment significantly predicted palliative care knowledge and attitudes while controlling for self-reported baseline knowledge and key demographic and clinical characteristics.

Results

The PaCKS and PCAS-9C demonstrated excellent evidence of reliability, factor structure, and validity in this caregiver sample. The RCT succeeded on the primary outcome of increasing caregivers’ palliative care knowledge (p < .001). Attitudes were favorable and did not differ between groups.

Conclusions

This study demonstrates that a single-session, psychoeducational video can improve understanding of palliative care among close friends and families of those with cancer.

Practice implications

This work suggests future pathways for helping families make informed decisions about initiating palliative care.

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.