Belleau F P, Hagan L, Mâsse B
Breast Cancer Screening Program, Quebec City Region, Hôpital du Saint-Sacrement du Centre Hospitalier Affilié, l'Université Laval de Québec (CHAUQ).
Can Oncol Nurs J. 2001 Fall;11(4):172-80.
The purpose of this experimental study was to assess the effects of an individualized psychocognitive educational intervention on preoperative anxiety in women awaiting mastectomies. A total of 60 women aged between 27 and 65 years were randomly distributed to two groups of 30 participants. Using the Situational Anxiety Inventory (IAS) along with repeated-measures variance analysis, it was noted that, immediately following the educational interventions (both experimental and control) there was a significant reduction (p < 0.01) of anxiety with the experimental group having an additional reduction of 4.83 (p = 0.05). The day before surgery, only the experimental educational intervention resulted in a significant reduction (p = 0.03) of anxiety, but the difference between the two educational interventions was not significant. These results appear to support Lazarus and Folkman's stress, appraisal and coping theory which states that direct action on cognitive perception can influence a feeling of threat as assessed through the level of anxiety.
本实验研究的目的是评估个性化心理认知教育干预对等待乳房切除术的女性术前焦虑的影响。共有60名年龄在27至65岁之间的女性被随机分为两组,每组30名参与者。使用情境焦虑量表(IAS)并结合重复测量方差分析,结果显示,在教育干预后(包括实验组和对照组),焦虑水平均有显著降低(p < 0.01),其中实验组的焦虑水平额外降低了4.83(p = 0.05)。在手术前一天,只有实验组的教育干预导致焦虑水平显著降低(p = 0.03),但两种教育干预之间的差异并不显著。这些结果似乎支持拉扎勒斯和福克曼的压力、评估和应对理论,该理论认为对认知感知的直接作用可以影响通过焦虑水平评估的威胁感。