Younis Murad, Norsa'adah Bachok, Othman Azizah
Unit of Biostatistics & Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, 16150, Kelantan, Malaysia.
Assistant Medical Science Department, Community College, University of Tabuk, Tabuk, Kingdom of Saudi Arabia.
Breast Cancer (Dove Med Press). 2021 May 11;13:285-297. doi: 10.2147/BCTT.S299584. eCollection 2021.
This study aimed to assess the effectiveness of a psycho-education intervention programme in improving the coping strategies of Jordanian breast cancer patients.
A double-blinded randomised control trial involving 200 participants between the ages of 20 to 65 years old breast cancer patients was performed. Apart from those who refused participation, patients with chronic diseases and extreme baseline depression scores were also excluded. The control group received standard care twice a week from the social welfare services team facilitator compared to the intervention group that received additional psycho-education intervention programme (PEIP). The coping strategies were measured using the Brief-COPE inventory consisting of 28 items. It was administered on the second and 12th week of trial. The primary end point was compared between pre- and post-intervention. The effect of the intervention between groups, time, and covariates was measured using the generalised linear mixed model (GLMM) analysis.
The mean (SD) of adaptive coping score among the intervention group increased from 5.63 (1.3) at baseline to 6.42 (1.3) at post-intervention. The mean avoidant coping score was 3.87 (1.1) at baseline but reduced to 3.69 (0.8) post-intervention. GLMM showed that women who received the intervention reported significantly higher usage of the adaptive coping strategies after attending the programme (B=0.921, p <0.001).
PEIP significantly improved knowledge of breast cancer patients. Thus, this programme may be considered as a part of the healthcare services in Jordan towards improving the adaptive coping strategies among breast cancer patients, which may point towards the potential for these services to increase adaptive coping strategies among patients in Jordan.
PEIP may be considered as psychosocial intervention in public health and healthcare setting to address rising concerns on quality of care among breast cancer patients.
本研究旨在评估一项心理教育干预项目在改善约旦乳腺癌患者应对策略方面的有效性。
进行了一项双盲随机对照试验，纳入200名年龄在20至65岁之间的乳腺癌患者。除了拒绝参与的患者外，患有慢性病和基线抑郁评分极高的患者也被排除。对照组每周接受两次社会福利服务团队协调员提供的标准护理，而干预组则接受额外的心理教育干预项目（PEIP）。使用由28个项目组成的简易应对方式问卷（Brief-COPE）来测量应对策略。在试验的第2周和第12周进行测量。比较干预前后的主要终点。使用广义线性混合模型（GLMM）分析来测量组间、时间和协变量之间干预的效果。
干预组适应性应对得分的平均值（标准差）从基线时的5.63（1.3）增加到干预后的6.42（1.3）。回避性应对得分在基线时为3.87（1.1），但干预后降至3.69（0.8）。GLMM显示，接受干预的女性在参加该项目后报告的适应性应对策略使用显著增加（B = 0.921，p < 0.001）。
PEIP显著提高了乳腺癌患者的知识水平。因此，该项目可被视为约旦医疗服务的一部分，以改善乳腺癌患者的适应性应对策略，这可能表明这些服务在增加约旦患者适应性应对策略方面的潜力。
PEIP可被视为公共卫生和医疗环境中的心理社会干预措施，以应对对乳腺癌患者护理质量日益增长的关注。
