Wu Li-Min, Chiou Shyh-Shin, Sheen Jiunn-Ming, Lin Pei-Chin, Liao Yu Mei, Chen Hsing-Mei, Hsiao Chih-Cheng
School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
J Adv Nurs. 2014 Jul;70(7):1653-62. doi: 10.1111/jan.12328. Epub 2013 Dec 23.
To evaluate the acceptability and efficacy of a psycho-educational intervention designed to improve effective coping and reduce symptom severity in children with cancer.
Cancer treatments increase survival rates and also cause physical and psychological effects on children with cancer. A psycho-educational intervention is used to assist children and adolescents with these effects and its efficacy has been described in several studies.
A randomized controlled trial.
Participants being treated were recruited and randomly assigned to two groups from September 2011-February 2013 in Taiwan. The intervention group received a psycho-educational intervention in addition to standard care, while the control group received only standard care. Each participant was assessed using a paediatric cancer coping scale and perceived symptom severity was evaluated at three time points (baseline, 1 month and 3 months). A repeated-measures analysis of variance was used to estimate the effects of intervention. Qualitative findings were analysed using content analysis.
No significant difference in coping scores was found between groups, but the experimental group reported significantly lower scores in gastrointestinal problems and pain. Most symptoms decreased significantly over time in both groups, except for gastrointestinal problems. The scores in pain, bone marrow suppression and body image showed significant interaction effects between groups on changes over time. Qualitative results reported that participants evaluated the intervention positively, especially about receipt of psychological support and learnt coping skills.
The psycho-educational intervention administered was acceptable for children with cancer and was found to reduce gastrointestinal problems and pain.
评估一项旨在改善癌症患儿有效应对能力并减轻症状严重程度的心理教育干预措施的可接受性和有效性。
癌症治疗提高了生存率，但也给癌症患儿带来了生理和心理影响。心理教育干预措施被用于帮助儿童和青少年应对这些影响，并且多项研究描述了其有效性。
一项随机对照试验。
2011年9月至2013年2月期间在台湾招募正在接受治疗的参与者，并将其随机分为两组。干预组除接受标准护理外，还接受心理教育干预，而对照组仅接受标准护理。使用儿童癌症应对量表对每位参与者进行评估，并在三个时间点（基线、1个月和3个月）评估感知到的症状严重程度。采用重复测量方差分析来估计干预效果。使用内容分析法对定性结果进行分析。
两组之间在应对得分上未发现显著差异，但实验组报告在胃肠道问题和疼痛方面得分显著较低。除胃肠道问题外，两组中大多数症状随时间显著减轻。疼痛、骨髓抑制和身体形象方面的得分在两组之间随时间变化显示出显著的交互作用。定性结果报告称，参与者对干预给予了积极评价，特别是在获得心理支持和学到应对技能方面。
所实施的心理教育干预措施对癌症患儿是可接受的，并且被发现可减轻胃肠道问题和疼痛。
