对癌症服务不足患者需求敏感的协作性抑郁症护理：可行性、可接受性和结果。

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL

Journal of Psychosocial Oncology Pub Date : 2024-01-01 Epub Date: 2023-06-22 DOI:10.1080/07347332.2023.2224314

Sarah Price, Heidi A Hamann, Laila Halaby, Juanita Trejo, Fernanda Corella Rogers, Karen Weihs

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引用次数: 0

摘要

目的：一项单臂试验评估了COPE-D的可行性、可接受性和结果，COPE-D是一种针对服务不足的癌症抑郁症患者的合作护理干预措施。方法：双语（西班牙语和英语）护理经理与医生协商，提供咨询和/或药物管理。结果是治疗改善（PHQ-9降低≥5分）、治疗反应（PHQ-9降低≥50%）、自杀意念解决以及抑郁（PHQ-九）、焦虑（GAD-2）、睡眠障碍（PSQI）、整体身心健康（PROMIS）、社会隔离（PROMIS）和定性反馈的变化。结果：193名患者同意参与。165人开始治疗，141人完成治疗，分别有65%和56%的人获得治疗改善和缓解。结果没有因种族（31%的西班牙裔）、癌症分期（71%的III-IV期）、收入或教育而不同。自杀意念、抑郁、焦虑、睡眠障碍和社交孤立也有所改善。定性反馈基本上是积极的。结论：COPE-D改善了服务不足患者的抑郁和生活质量，保留率可接受。

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Collaborative depression care sensitive to the needs of underserved patients with cancer: Feasibility, acceptability and outcomes.

Purpose: A single-arm trial evaluated the feasibility, acceptability, and outcomes of COPE-D, a collaborative care intervention for underserved cancer patients with depression.

Methods: Bilingual (Spanish and English) care managers provided counseling and/or medication management in consultation with physicians. Outcomes were treatment improvement (≥ 5-point reduction in PHQ-9), treatment response (≥ 50% reduction in PHQ-9), suicidal ideation resolution, and changes in depression (PHQ-9), anxiety (GAD-2), sleep disturbance (PSQI), global mental and physical health (PROMIS), social isolation (PROMIS), and qualitative feedback.

Results: 193 patients consented to participate. 165 initiated and 141 completed treatment, with 65% and 56% achieving treatment improvement and response, respectively. Outcomes did not differ by ethnicity (31% Hispanic), cancer stage (71% stages III-IV), income, or education. Suicidal ideation, depression, anxiety, sleep disturbance, and social isolation also improved. Qualitative feedback was largely positive.

Conclusion: COPE-D improved depression and quality of life among underserved patients, with acceptable retention rates.

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来源期刊

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.