Decker Carol L, Pais Shobha, Miller Kathy D, Goulet Robert, Fifea Betsy L
School of Nursing, Indiana University in Indianapolis, USA.
Oncol Nurs Forum. 2012 Mar;39(2):176-85. doi: 10.1188/12.ONF.176-185.
PURPOSE/OBJECTIVES: To develop and evaluate the feasibility of a brief intervention to attenuate the incidence of psychosexual morbidity within the dyad secondary to the diagnosis and treatment of breast cancer.
Quasiexperimental, including intervention and treatment-as-usual comparison groups.
Breast clinic of a comprehensive cancer center in the Midwest United States.
65 recently diagnosed breast cancer survivors who were pre- or perimenopausal and aged 20-55 years, and their partners.
Three intervention sessions were delivered based on a manual developed for the study. Twenty-five dyads received treatment as usual, 26 dyads received a face-to-face intervention, and 14 dyads received the same intervention by telephone. Questionnaires were completed at baseline, following completion of the intervention, six months postintervention, and from the comparison group at equivalent data points.
Intimacy, sexual functioning, and dyadic adjustment.
About 98% of dyads completed all intervention sessions, with an equal level of satisfaction among those in the telephone and face-to-face groups. Interesting trends in differences between the intervention and comparison groups on the relationship variables of intimacy, sexual functioning, and dyadic adjustment were obtained; however, given the sample size, power was not sufficient to reach statistical significance.
The intervention is feasible and acceptable for dyads comfortable discussing their relationship. Intervention by telephone was demonstrated to be as effective as the face-to-face mode of delivery.
Nurses need to provide an opportunity for women to discuss problems they are experiencing relative to sexuality, intimacy, and body image.
目的/目标：开发并评估一种简短干预措施的可行性，以降低因乳腺癌诊断和治疗导致的伴侣间心理性发病率。
准实验性研究，包括干预组和常规治疗对照组。
美国中西部一家综合癌症中心的乳腺科。
65名最近被诊断为乳腺癌的绝经前或围绝经期幸存者，年龄在20至55岁之间，以及她们的伴侣。
根据为该研究编写的手册进行了三次干预课程。25对伴侣接受常规治疗，26对伴侣接受面对面干预，14对伴侣通过电话接受相同干预。在基线、干预完成后、干预后六个月以及对照组的等效数据点完成问卷调查。
亲密关系、性功能和伴侣关系调适。
约98%的伴侣完成了所有干预课程，电话组和面对面组的满意度相当。在亲密关系、性功能和伴侣关系调适等关系变量方面，干预组和对照组之间出现了有趣的差异趋势；然而，鉴于样本量，检验效能不足以达到统计学显著性。
对于愿意讨论其关系的伴侣来说，该干预措施是可行且可接受的。事实证明，电话干预与面对面干预方式同样有效。
护士需要为女性提供机会，让她们讨论在性、亲密关系和身体形象方面遇到的问题。
