Moghaddam Tabrizi Fatemeh, Alizadeh Saeedeh
Nursing and Midwifery Department, Reproductive Health Research Center, Urmia University of Medical Sciences, Urmia, Iran. Email:
Asian Pac J Cancer Prev. 2018 Jun 25;19(6):1523-1528. doi: 10.22034/APJCP.2018.19.6.1523.
Background: Breast cancer affects patients’ lives. Many breast cancer patients have problems with coping and they need support from their families. Family involvement based on the FOCUS program is designed to support breast cancer survivors within their families. The aim of this study was to investigate the effect of family involvement based on the FOCUS program on coping in breast cancer patients undergoing chemotherapy in academic centers in Urmia in 2016. Methods: In this randomized controlled trial study, sixty breast cancer survivors were randomly assigned into intervention (N=30) and control (N=30) groups. The FOCUS program family-based intervention featured six sessions covering subject areas of family involvement, optimism, cancer coping, uncertainty reduction and symptom management. The instruments used were demographic and cancer coping questionnaires. Data were analyzed with SPSS 20 software. Result: The findings revealed a significant improvement in total cancer coping scores (t= -12/39, p<0.001), in all subscales including individual (t= -11/52, p<0.001), positive focus (t= -7/03, p<0.001), coping (t= -7/28, p<0.001), diversion (t= -11/76, p<0.001), planning (t=-4/91, p<0.001) and in interpersonal (t=-11/14, p<0.001). No significant changes were observed for the control group. Conclusion: The results showed that family involvement based on the FOCUS program increases the ability to cope in breast cancer survivors.
乳腺癌会影响患者的生活。许多乳腺癌患者在应对方面存在问题，他们需要家人的支持。基于FOCUS项目的家庭参与旨在为乳腺癌幸存者及其家庭提供支持。本研究的目的是调查2016年在乌尔米学术中心接受化疗的乳腺癌患者中，基于FOCUS项目的家庭参与对其应对能力的影响。方法：在这项随机对照试验研究中，60名乳腺癌幸存者被随机分为干预组（N = 30）和对照组（N = 30）。基于FOCUS项目的家庭干预包括六个环节，涵盖家庭参与、乐观主义、癌症应对、减少不确定性和症状管理等主题领域。使用的工具是人口统计学和癌症应对问卷。数据用SPSS 20软件进行分析。结果：研究结果显示，在总癌症应对得分（t = -12.39，p < 0.001）以及所有子量表得分上均有显著改善，包括个人（t = -11.52，p < 0.001）、积极关注（t = -7.03，p < 0.001）、应对（t = -7.28，p < 0.001）、转移注意力（t = -11.76，p < 0.001）、计划（t = -4.91，p < 0.001）和人际方面（t = -11.14，p < 0.001）。对照组未观察到显著变化。结论：结果表明，基于FOCUS项目的家庭参与提高了乳腺癌幸存者的应对能力。
