Farhadi Mehran, Reisi-Dehkordi Negar, Kalantari Mehrdad, Zargham-Boroujeni Ali
Department of Psychology, Bu-Ali University, Hamedan, Iran.
Islamic Azad University, Hamedan Branch, Hamedan, Iran.
Iran J Nurs Midwifery Res. 2014 May;19(3):290-4.
Quality of life (QOL) is a multidimensional concept which has nowadays turned to a supportive interventional goal in chronic diseases like cancer. Numerous interventions have been carried out to improve the QOL in patients with cancer, but the effect of indirect interventions on the patients' QOL has not been investigated yet. This study aimed to compare the efficacy of group meaning centered hope therapy of cancer patients and their families on the patients' QOL.
This is a clinical trial conducted in three groups with a pre-test post-test design in which the effect of independent variable of meaning centered hope therapy on the dependent variable of QOL was investigated. The subjects were selected from the cancer patients who were aware of their diagnosis, were in primary stages of the disease, and had passed one period of chemotherapy. In this study, 42 patients (16 in control group, 14 in patients' group therapy, and 12 in patients' families' group therapy) were studied, and WHOQOL was adopted to investigate their QOL. Data were analyzed in two forms of descriptive and inferential statistical tests.
The results obtained showed that group meaning centered hope therapy of cancer patients and their families had a positive effect on patients' QOL compared to the control group. The notable finding of the present study was that holding group sessions either for the patients or for their families equally improved patients' QOL.
QOL of the cancer patients can be improved by either group meaning centered hope therapy for patients or group meaning centered hope therapy for their families. This finding is important for therapists, as when the patients cannot attend group therapy sessions due to complications of chemotherapy, these sessions can be held for their families to improve patients' QOL. This conclusion is very helpful in nurses' interaction with the patients and their families.
生活质量（QOL）是一个多维度概念，如今已成为癌症等慢性病的支持性干预目标。为改善癌症患者的生活质量已开展了多项干预措施，但间接干预对患者生活质量的影响尚未得到研究。本研究旨在比较以意义为中心的癌症患者及其家属团体希望疗法对患者生活质量的疗效。
这是一项采用前测后测设计的三组临床试验，研究以意义为中心的希望疗法自变量对生活质量因变量的影响。研究对象选自知晓自己诊断结果、处于疾病初期且已完成一个化疗周期的癌症患者。本研究共纳入42例患者（对照组16例，患者团体治疗组14例，患者家属团体治疗组12例），采用世界卫生组织生活质量量表（WHOQOL）对其生活质量进行调查。数据采用描述性和推断性统计检验两种形式进行分析。
结果显示，与对照组相比，以意义为中心的癌症患者及其家属团体希望疗法对患者生活质量有积极影响。本研究的显著发现是，为患者或其家属举办团体治疗课程均能同样改善患者的生活质量。
以意义为中心的患者团体希望疗法或其家属团体希望疗法均可改善癌症患者的生活质量。这一发现对治疗师很重要，因为当患者因化疗并发症无法参加团体治疗课程时，可以为其家属举办这些课程以改善患者的生活质量。这一结论对护士与患者及其家属的互动非常有帮助。
