基于伴侣的干预对正在接受癌症治疗的女性的性生活和亲密关系的影响：一项准实验研究。

Effectiveness of a couple-based intervention on sexuality and intimacy among women in active cancer treatment: A quasi-experimental study.

机构信息

Landspitali-The National University Hospital of Iceland, Hringbraut, 101, Reykjavik, Iceland; School of Health Sciences, Faculty of Nursing, University of Iceland, Eirberg, Eiríksgata 34, 101, Reykjavík, Iceland.

School of Health Sciences, Faculty of Nursing, University of Iceland, Eirberg, Eiríksgata 34, 101, Reykjavík, Iceland.

出版信息

Eur J Oncol Nurs. 2021 Jun;52:101975. doi: 10.1016/j.ejon.2021.101975. Epub 2021 May 11.

DOI:10.1016/j.ejon.2021.101975

PMID:34020136

Abstract

PURPOSE

To evaluate the effectiveness of a strenghts-oriented therapeutic conversation intervention on confidence about how illness beliefs affect sexuality and intimacy and on perceived relationship quality among women in active cancer treatment and their partners.

METHODS

A quasi-experimental single-group pre-post-follow-up design was used. Women in active cancer treatment and their intimate partners were randomly assigned to a nurse-managed couple-based intervention (experimental group, n = 30 couples) or wait-list (delayed intervention) control group (n = 27 couples) plus 4 additional couples who pilot tested feasibility of the intervention, prior to the RCT. However, baseline differences in demographic and clinical variables prevented comparisons between groups. Therefore, a repeated-one-group pre-post test setup was used, comparing women with cancer and their partners over three time points. The intervention consisted of three Couple-Strengths-Oriented Therapeutic Conversations (CO-SOTC) sessions. The participants also had access to web-based evidence-based educational information. Data were collected before intervention (T1, baseline), one to two weeks post-intervention (T2), and after a follow-up session at three months (T3). Data from 60 couples (N = 120) were analyzed.

RESULTS

Significant differences were observed, for both women and intimate partners, over time in more confidence about how illness beliefs affected sexuality and intimacy (T1 versus T2, and T1 versus T3), and increased overall quality of the relationship (T1 versus T2, and T1 versus T3). No differences were found between dyad members' scores on illness beliefs or relationship quality at any time point.

CONCLUSIONS

The CO-SOTC intervention was effective in supporting sexual adjustment among women in cancer treatment and their intimate partners.

TRIAL REGISTRATION NUMBER

NCT03936400 at clinicaltrials.gov.

摘要

目的

评估以优势为导向的治疗性对话干预对女性癌症患者及其伴侣对疾病信念如何影响性行为和亲密关系的信心以及对关系质量的感知的有效性。

方法

采用准实验性单组前后测随访设计。正在接受癌症治疗的女性及其亲密伴侣被随机分配到护士管理的夫妻为基础的干预组（实验组，n=30 对）或等待名单（延迟干预）对照组（n=27 对），另外还有 4 对夫妇进行了干预的可行性试点测试，但在 RCT 之前，人口统计学和临床变量的基线差异阻止了组间比较。因此，采用重复的一组前后测试设置，比较癌症女性及其伴侣在三个时间点的情况。干预包括三次夫妻优势导向治疗性对话（CO-SOTC）。参与者还可以访问基于网络的循证教育信息。数据在干预前（T1，基线）、干预后一到两周（T2）以及三个月后的随访（T3）时收集。共分析了 60 对夫妇（N=120）的数据。