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沙特乳腺癌幸存者心理教育支持小组的疗效。

The Efficacy of Psychoeducational Support Group for Saudi Breast Cancer Survivors.

机构信息

Psych Care Clinic, Riyadh, Saudi Arabia.

Department of Infectiouse Genome, Public Health Authority, Riyadh, Saudi Arabia.

出版信息

Asian Pac J Cancer Prev. 2023 Feb 1;24(2):569-574. doi: 10.31557/APJCP.2023.24.2.569.

DOI:10.31557/APJCP.2023.24.2.569
PMID:36853306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10162634/
Abstract

BACKGROUND

The adverse effects of psychological distress and quality of life are common outcomes in breast cancer survivors. Psychoeducational interventions have been widely used to reduce these adverse outcomes among those patients. This study aims to assess the impact of the Blossom support group on psychological distress and quality of life in breast cancer patients in Saudi Arabia.

METHODS

This study is a retrospective cohort study for the Blossom program, which was held yearly for eight weeks from 2014 until 2018. Data was collected from the survivors' records at the Zahra Breast Cancer Association in Riyadh, Saudi Arabia.

OUTCOME MEASUREMENTS

include the quality of life scale (SF-36) and Hospital Anxiety Depression Scale (HADS) with both were available in the Arabic translated version. Both tools were used as the screening measurement for the assessment of the quality of life, depression, and anxiety before and after the program. The data were analyzed using the Statistical Analytical Software (SAS), version 9.4. Statistical differences in median scores of SF-36 and HADS before and after the program was tested using Wilcoxon signed-rank test.

RESULT

A total of 54 breast cancer survivors were enrolled in the Blossom support program over the period 2014 to 2018. Of these participants, only 25 participants completed the full eight weeks program.  There were statistically significant differences in the overall quality of life (SF-36) before and after the 8 weeks from baseline of the experiment (W = 60, P-value =0.0125). Moreover, the overall anxiety and depression scores were tested separately and the results reveal statistically significant differences in both dimensions before and after the program (Anxiety: W=132, P-value = 0.0059; depression: W=157, P-value = 0.0002).

CONCLUSION

The Blossom support program showed a positive impact on the quality of life and the psychological well-being of breast cancer survivors. It is recommended to utilize this support program across a wide range of health organizations with breast cancer survivors as a baseline of psychological care to improve the quality of life.

摘要

背景

心理困扰和生活质量的不良影响是乳腺癌幸存者的常见后果。心理教育干预已广泛用于降低这些患者的不良后果。本研究旨在评估 Blossom 支持小组对沙特阿拉伯乳腺癌患者心理困扰和生活质量的影响。

方法

这是一项针对 Blossom 计划的回顾性队列研究,该计划于 2014 年至 2018 年期间每年举行八周。数据来自沙特阿拉伯利雅得 Zahra 乳腺癌协会的幸存者记录。

结果测量

包括生活质量量表 (SF-36) 和医院焦虑抑郁量表 (HADS),两者均有阿拉伯语翻译版本。这两种工具都被用作评估生活质量、抑郁和焦虑的筛查测量工具,在计划前后都有使用。数据使用统计分析软件 (SAS) 版本 9.4 进行分析。使用 Wilcoxon 符号秩检验测试计划前后 SF-36 和 HADS 中位数评分的统计学差异。

结果

2014 年至 2018 年期间,共有 54 名乳腺癌幸存者参加了 Blossom 支持计划。在这些参与者中,只有 25 名参与者完成了整整八周的计划。从实验基线开始的 8 周后,整体生活质量 (SF-36) 有统计学显著差异 (W=60,P 值=0.0125)。此外,单独测试整体焦虑和抑郁评分,结果表明计划前后这两个维度均有统计学显著差异(焦虑:W=132,P 值=0.0059;抑郁:W=157,P 值=0.0002)。

结论

Blossom 支持计划对乳腺癌幸存者的生活质量和心理健康产生了积极影响。建议在广泛的乳腺癌幸存者健康组织中利用这一支持计划,作为心理护理的基线,以提高生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eee/10162634/2624b70b375c/APJCP-24-569-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eee/10162634/1f35b0c75194/APJCP-24-569-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eee/10162634/133a3e505253/APJCP-24-569-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eee/10162634/2624b70b375c/APJCP-24-569-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eee/10162634/1f35b0c75194/APJCP-24-569-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eee/10162634/133a3e505253/APJCP-24-569-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2eee/10162634/2624b70b375c/APJCP-24-569-g003.jpg

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