乳腺癌治疗后，许多妇女经历了改变生活的潮热和夜间出汗症状。进行了一项随机对照试验（RCT），以探索乳腺保健护士（BCN）领导的群体认知行为疗法（CBT）的有效性。本文报道了一项定性过程评估的结果，以优化CBT干预措施并探究将其纳入常规实践的决定因素。定性过程评估与RCT并行进行，利用半结构化访谈探索患者和医疗人员的经验和观点，包括干预前后。正常化过程理论（NPT）指导了数据收集、分析和结果报告。分析涉及归纳主题分析、NPT编码手册和随后映射到NPT构造。BCNs（n=10）、管理人员（n=2）、外科医生（n=3）和试验参与者（n=8）在六个招募点参与了本研究。所有利益相关方都认为群体CBT满足了非医疗潮热/夜间出汗治疗的需求，但是在MENOS4之前很少接触或了解CBT。BCNs认为这项工作与他们的身份相符，并且对提供疗程感到自信。尽管对CBT了解甚少，但患者入选群体CBT是因为信任BCNs具有支持他们需求的知识和理解，并且尽管最初存在怀疑，但他们报告参与群体项目后获益良多。管理人员和外科医生都希望BCNs负责CBT交付的所有方面，但是现有的临床承诺和组织优先事项存在一些紧张关系。医疗人员和患者参与者都认为BCN领导的群体CBT是一项有益的服务，但是长期纳入常规护理的障碍表明需要多层次的组织支持。NCT02623374 - 于ClinicalTrials.gov PRS上于07/12/2015最后更新。© 2023 BioMed Central Ltd., part of Springer Nature.

Hot flushes and night sweats are life-altering symptoms experienced by many women after breast cancer treatment. A randomised controlled trial (RCT) was conducted to explore the effectiveness of breast care nurse (BCN)-led group cognitive behavioural therapy (CBT). This paper reported findings from a qualitative process evaluation to optimise the CBT intervention and explore the determinants of implementation into routine practice.Qualitative process evaluation occurred in parallel with the RCT to explore patient and healthcare staff experiences and perspectives using semi-structured interviews pre-and post-intervention. Normalisation Process Theory (NPT) informed data collection, analysis, and reporting of findings. The analysis involved inductive thematic analysis, NPT coding manual and subsequent mapping onto NPT constructs.BCNs (n = 10), managers (n = 2), surgeons (n = 3) and trial participants (n = 8) across six recruiting sites took part. All stakeholders believed group CBT met a need for non-medical hot flushes/night sweats treatment, however, had little exposure or understanding of CBT before MENOS4. BCNs believed the work fitted with their identity and felt confident in delivering the sessions. Despite little understanding, patients enrolled onto group CBT because the BCNs were trusted to have the knowledge and understanding to support their needs and despite initial scepticism, reported great benefit from group-based participation. Both managers and surgeons were keen for BCNs to take responsibility for all aspects of CBT delivery, but there were some tensions with existing clinical commitments and organisational priorities.Both healthcare staff and patient participants believe BCN-led group CBT is a beneficial service but barriers to long-term implementation into routine care suggest there needs to be multi-level organisational support.NCT02623374 - Last updated 07/12/2015 on ClinicalTrials.gov PRS.© 2023. BioMed Central Ltd., part of Springer Nature.