Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran.
School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran.
Support Care Cancer. 2020 Feb;28(2):485-495. doi: 10.1007/s00520-019-04842-w. Epub 2019 May 7.
The present study aims to assess the effect of a nurse-led informational-emotional support program on illness perceptions and emotional coping of cancer patients undergoing chemotherapy.
We used a quasi-experimental design, pre- and post-test. A total of 80 cancer patients undergoing chemotherapy were selected by convenience sampling method and assigned to experimental (n = 40) and control groups (n = 40). The nurse-led informational-emotional support program included five face-to-face sessions, educational booklet, and five phone follow-ups, and was conducted for the experimental group over 10 weeks. The control group received routine cares. The outcomes were assessed at baseline and end of intervention and included illness perceptions, which were assessed using the Illness Perception Questionnaire-Revised (IPQ-R), and emotional coping as the secondary outcome using the Coping Through Emotional Approach Scale. Data were analyzed in SPSS using multivariate analysis of covariance (MANCOVA) models, t test, paired t test, and chi-square.
Between group analysis showed that the mean scores of global illness perceptions and subscales including timeline, consequences, controllability, and coherence significantly increased in the experimental group compared to the control (P < 0.001), but no significant change was observed in two groups in the subscale of emotional representation (P < 0.571) and in the secondary outcome including emotional coping (P < 0.08).
A 10-week nurse-led informational-emotional support program can lead to changed illness perceptions without changing emotional coping. The effect of this support program should be studied on the coping and illness perceptions over the trajectory of cancer, especially in end stages in the future.
本研究旨在评估护士主导的信息-情感支持计划对接受化疗的癌症患者疾病感知和情绪应对的影响。
我们采用了准实验设计，进行了前后测试。共采用便利抽样法选择了 80 名正在接受化疗的癌症患者，将其分为实验组（n=40）和对照组（n=40）。护士主导的信息-情感支持计划包括 5 次面对面的会议、教育手册和 5 次电话随访，在 10 周内对实验组进行了干预。对照组接受常规护理。在基线和干预结束时评估了结果，包括疾病感知，使用修订后的疾病感知问卷（IPQ-R）进行评估，以及作为次要结果的情绪应对，使用情绪趋近应对量表进行评估。使用 SPSS 进行多元协方差分析（MANCOVA）模型、t 检验、配对 t 检验和卡方检验进行数据分析。
组间分析显示，与对照组相比，实验组的总体疾病感知及其包括时间线、后果、可控性和连贯性的各分量表的平均分显著增加（P<0.001），但两个组的情绪表达分量表（P<0.571）和次要结果包括情绪应对（P<0.08）的平均分均没有显著变化。
为期 10 周的护士主导的信息-情感支持计划可以改变疾病感知，而不会改变情绪应对。未来应该研究该支持计划对癌症病程中应对和疾病感知的影响，特别是在晚期。
