一份简短的在线手册足以减轻卵巢癌女性对癌症复发或进展的恐惧吗？
Is a Brief Online Booklet Sufficient to Reduce Fear of Cancer Recurrence or Progression in Women With Ovarian Cancer?
作者信息
Pradhan Poorva, Sharpe Louise, Butow Phyllis N, Smith Allan Ben, Russell Hayley
机构信息
School of Psychology, Faculty of Science, The University of Sydney, Sydney, NSW, Australia.
Centre for Oncology Education and Research Translation, Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, University of New South Wales, Kensington, NSW, Australia.
出版信息
Front Psychol. 2021 Feb 25;12:634136. doi: 10.3389/fpsyg.2021.634136. eCollection 2021.
Fear of cancer recurrence or progression (FCR/P) is a common challenge experienced by people living with and beyond cancer and is frequently endorsed as the highest unmet psychosocial need amongst survivors. This has prompted many cancer organizations to develop self-help resources for survivors to better manage these fears through psychoeducation, but little is known about whether they help reduce FCR/P. We recruited 62 women with ovarian cancer. Women reported on their medical history and demographic characteristics and completed the Fear of Progression Questionnaire-Short Form (FoP-Q-SF). They then read a booklet on FCR specifically created for Ovarian Cancer Australia by two of the authors (ABS and PB). One week after reading the booklet, 50/62 women (81%) completed the FoP-Q-SF and answered questions about their satisfaction with the booklet. More than half of the women (35/62; 56.5%) scored in the clinical range for FCR/P at baseline. Of the completers, 93% said that they would recommend the booklet to other women. Satisfaction with the booklet was relatively high (75.3/100) and more than two-thirds of women rated it as moderately helpful or better. However, FCR/P did not change significantly over the week following reading the booklet [ = 1.71, = 0.09]. There was also no difference in change in FCR/P between women in the clinical vs. non-clinical range on the FoP-Q. Women high in FCR/P rated the booklet as less helpful in managing FCR/P ( = -0.316, = 0.03), but overall satisfaction with the booklet was not associated with degree of FCR/P ( = -0.24, = 0.10). These results suggest that a simple online FCR booklet is acceptable to women with ovarian cancer and they are satisfied with the booklet, but, it was insufficient to change in FCR/P levels. These results suggest that such resources are valued by women with ovarian cancer, but more potent interventions are necessary to reduce FCR in this population.
对癌症复发或进展的恐惧（FCR/P）是癌症患者及其康复者普遍面临的挑战，并且经常被认为是幸存者中未得到满足的最高心理社会需求。这促使许多癌症组织为幸存者开发自助资源，以便通过心理教育更好地应对这些恐惧，但对于这些资源是否有助于减少FCR/P却知之甚少。我们招募了62名卵巢癌女性患者。这些女性报告了她们的病史和人口统计学特征，并完成了《恐惧进展问卷简表》（FoP-Q-SF）。然后，她们阅读了由两位作者（ABS和PB）专门为澳大利亚卵巢癌协会编写的一本关于FCR的小册子。阅读小册子一周后，62名女性中有50名（81%）完成了FoP-Q-SF，并回答了关于她们对小册子满意度的问题。超过一半的女性（62名中的35名；56.5%）在基线时FCR/P得分处于临床范围。在完成调查的人中，93%表示会向其他女性推荐这本小册子。对小册子的满意度相对较高（75.3/100），超过三分之二的女性将其评为有一定帮助或更有帮助。然而，在阅读小册子后的一周内，FCR/P没有显著变化[均值差异 = 1.71，P值 = 0.09]。在FoP-Q上处于临床范围与非临床范围的女性之间，FCR/P的变化也没有差异。FCR/P程度高的女性认为该小册子在应对FCR/P方面帮助较小（均值差异 = -0.316，P值 = 0.03），但对小册子的总体满意度与FCR/P程度无关（均值差异 = -0.24，P值 = 0.10）。这些结果表明，一本简单的在线FCR小册子对于卵巢癌女性患者是可以接受的，她们对该小册子感到满意，但它不足以改变FCR/P水平。这些结果表明，此类资源受到卵巢癌女性患者的重视，但需要更有效的干预措施来降低该人群的FCR。
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