Zhou Junrui, Chen Xuan, Wang Zhiming, Li Qiuping
Wuxi School of Medicine, Jiangnan University, Wuxi 214122, China.
Healthcare (Basel). 2023 Jan 12;11(2):236. doi: 10.3390/healthcare11020236.
(1) Background: Effective communication among couples in which one has been diagnosed with cancer is critical to improve their psychosocial adaptation to cancer. The objective of this review was to explore the characteristics and measurement outcomes of existing couple-based communication interventions in the cancer context. (2) Methods: Eight electronic databases were searched from database initiation to August 2022 to identify eligible articles. Hand searching was also performed on the included articles' reference lists and authors. (3) Results: A total of 14 intervention studies were eligible to be included in this review. Cancer couples with distress or communication problems before intervention were more likely to benefit from the couple-based communication interventions. Positive outcomes were reported, including an improvement in relationship functioning (including mutual communication, intimacy, and relationship satisfaction) and individual functioning (including a decline of anxiety, depression and cancer-related concerns, and an increase in psychological adjustment and quality of life). (4) Conclusions: These findings supported the importance of improving mutual communication behaviors to promote cancer patient-spousal caregiver dyads' psychosocial adaptation to cancer. While most included studies were conducted in western countries and the sample size was relatively small, more research is warranted to develop more efficacious couple-based communication interventions.
(1) 背景：夫妻双方中有一方被诊断患有癌症时，有效的沟通对于改善他们对癌症的心理社会适应能力至关重要。本综述的目的是探讨在癌症背景下现有的基于夫妻的沟通干预措施的特点和测量结果。(2) 方法：检索了8个电子数据库，从数据库建立到2022年8月，以确定符合条件的文章。还对纳入文章的参考文献列表和作者进行了手工检索。(3) 结果：共有14项干预研究符合纳入本综述的条件。干预前有困扰或沟通问题的癌症夫妻更有可能从基于夫妻的沟通干预中受益。报告了积极的结果，包括关系功能的改善（包括相互沟通、亲密感和关系满意度）和个体功能的改善（包括焦虑、抑郁和癌症相关担忧的减少，以及心理调适和生活质量的提高）。(4) 结论：这些发现支持了改善相互沟通行为对促进癌症患者-配偶照顾者二元组对癌症的心理社会适应的重要性。虽然大多数纳入研究是在西方国家进行的，且样本量相对较小，但仍需要更多研究来开发更有效的基于夫妻的沟通干预措施。
