医学
电话咨询
家庭医学
癌症
梅德林
老年学
护理部
内科学
政治学
法学
干预(咨询)
作者
Barbara Downe‐Wamboldt,Lorna Butler,Patricia M. Melanson,Lynn Coulter,Jerome F. Singleton,Janice Keefe,David Bell
出处
期刊:Cancer Nursing
[Ovid Technologies (Wolters Kluwer)]
日期:2007-11-01
卷期号:30 (6): 441-453
被引量:24
标识
DOI:10.1097/01.ncc.0000300164.90768.ec
摘要
This study was done to assess the effectiveness and efficiency of individualized, problem-solving counseling provided by baccalaureate nurses over the telephone to prevent the onset of depression in persons with breast, lung, or prostate cancer. Of 175 persons randomized, 149 completed the 8-month follow-up. The primary outcome measures were changes in the Jalowiec Coping Scale, the Centre for Epidemiologic Studies in Depression Scale, and the Derogotis Psychosocial Adjustment to Illness Scale. In addition, expenditures for people's use of all health and social services were computed at baseline and follow-up. Telephone counseling improved the use of more favorable coping behaviors, prevented a clinically important but not statistically significant decline into depression, and poor psychosocial adjustment in a group of people with mixed cancer. These results were associated with a greater total per person per annum expenditure for use of all other health and social services in the community compared with the control group. In a situation of limited resources and a service producing more effect for more costs, one needs either to examine what services to forgo to offer this service or to carefully target the new service to those most likely to benefit.
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