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台湾乳腺癌患者术前心理教育项目的效果:一项为期三个月的随访研究。

The effect of the preoperational psychoeducation program for Taiwanese breast cancer patients: A three-month follow-up study.

作者信息

Hung Jui-Ko, Kuo Wen-Hung, Tseng Chang-Chang, Cheng Yih-Ru, Wu Chih-Hsun

机构信息

Clinical Psychology Center, National Taiwan University Hospital, Taiwan.

Department of Surgery, National Taiwan University Hospital, Taiwan.

出版信息

PEC Innov. 2021 Oct 27;1:100001. doi: 10.1016/j.pecinn.2021.100001. eCollection 2022 Dec.

Abstract

OBJECTIVE

Studies suggest that psychosocial interventions might be more effective during highly stressful periods, such as before surgery. This study aimed to explore the effectiveness of the Preoperational Health Psychology Education program among Taiwanese breast cancer patients.

METHODS

A total of 137 adult women (1) diagnosed with breast cancer; and (2) admitted to the ward for surgery were recruited to join the program one day before surgery. Emotional distress, worries, and cancer self-efficacy were evaluated at admission, post-program, and 3-month post-surgery. Patients were grouped into high/low distress groups, and mixed-design ANOVA was used to examine the program's effectiveness.

RESULTS

The results showed significant interactions of Group × Time in emotional distress ( = 16.15,  = .000) and worry ( = 5.81,  = .005), but not in self-efficacy ( = 2.97,  = .068). The post-hoc tests revealed significant decreases in emotional distress and worry in the high distress group.

CONCLUSION

The program was found helpful in reducing emotional distress and worries. The effect lasting for three-month for those with higher preoperational emotional distresses.

INNOVATION

This psycho-education program with a relatively rare one-session design, targeted at a less-studied pre-surgery period, is helpful to a less-studied population, Asian cancer patients.

摘要

目的

研究表明,心理社会干预在高压力时期可能更有效,比如手术前。本研究旨在探讨术前健康心理学教育项目对台湾乳腺癌患者的有效性。

方法

共有137名成年女性(1)被诊断患有乳腺癌;(2)被收治入院准备手术,在手术前一天被招募参加该项目。在入院时、项目结束后以及术后3个月对情绪困扰、担忧和癌症自我效能感进行评估。患者被分为高/低困扰组,采用混合设计方差分析来检验该项目的有效性。

结果

结果显示,在情绪困扰(F = 16.15,p = .000)和担忧(F = 5.81,p = .005)方面,组×时间存在显著交互作用,但在自我效能感方面不存在(F = 2.97,p = .068)。事后检验显示,高困扰组的情绪困扰和担忧显著降低。

结论

该项目被发现有助于减轻情绪困扰和担忧。对于术前情绪困扰较高的患者,这种效果持续三个月。

创新点

这个心理教育项目采用相对少见的单次设计,针对研究较少的术前阶段,对研究较少的人群——亚洲癌症患者有帮助。

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