Department of Nursing, Hunan Provincial People's Hospital, The First-Affiliated Hospital of Hunan Normal University, Changsha, Hunan, China.
Department of Hepatobiliary Surgery, Hunan Provincial People's Hospital, The First-Affiliated Hospital of Hunan Normal University, Changsha, Hunan, China.
Support Care Cancer. 2023 Nov 10;31(12):685. doi: 10.1007/s00520-023-08154-y.
Liver cancer is a serious global health problem and is associated with poor spiritual health. Bibliotherapy is beneficial in improving health outcomes in cancer patients, yet there is a lack of empirical evidence of its effect on the spiritual health of liver cancer patients in China. The study aimed to investigate the effects of bibliotherapy based on Chinese traditional culture on the spiritual health of patients with liver cancer in China. This study was approved by the Ethics Committee of Hunan Normal University School of Medicine and registered with the Chinese Clinical Trial Registry with the registration (No: 2021260), which registration in June 30th 2021.
A total of 60 patients with liver cancer were divided into the intervention group (n = 30) and the control group (n = 30) through WeChat. The intervention group received bibliotherapy therapy based on traditional Chinese culture, while the control group received routine care. Spiritual health was assessed using the Spiritual Attitude and Involvement List (SAIL) and compared before and after the intervention between the two groups. The chi-square test and t-test were used to analyze the intervention effects.
The two groups were comparable in all baseline characteristics including the SAIL score. After 5 weeks of intervention, the score of SAIL increased significantly from 96.76 ± 15.08 to 106.93 ± 13.82 in the intervention group (t = - 29.380, p < 0.001), while no significant difference in SAIL score was observed in the control group (from 95.27 ± 16.40 to 95.31 ± 16.24, t = - 0.189, p = 0.852). Similar patterns were also observed in its three dimensions of connecting with oneself, connecting with the environment, and connecting with transcendence.
Our study showed that bibliotherapy based on traditional Chinese culture using the WeChat platform can greatly improve the spiritual health of patients with liver cancer and has the potential to be widely applied to cancer patients to improve their well-being.
肝癌是一个严重的全球健康问题，与较差的精神健康状况相关。阅读疗法有益于改善癌症患者的健康结局，但在中国，关于其对肝癌患者精神健康影响的实证证据还很缺乏。本研究旨在探讨基于中国传统文化的阅读疗法对中国肝癌患者精神健康的影响。本研究已获得湖南师范大学医学院伦理委员会的批准，并在中国临床试验注册中心进行了注册（注册号：2021260），于 2021 年 6 月 30 日注册。
通过微信将 60 例肝癌患者分为干预组（n=30）和对照组（n=30）。干预组接受基于中国传统文化的阅读疗法治疗，对照组接受常规护理。采用精神态度与参与量表（Spiritual Attitude and Involvement List，SAIL）评估精神健康状况，并比较两组干预前后的变化。采用卡方检验和 t 检验分析干预效果。
两组在 SAIL 评分等所有基线特征方面均具有可比性。干预 5 周后，干预组 SAIL 评分从 96.76±15.08 分显著升高至 106.93±13.82 分（t=-29.380，p<0.001），而对照组 SAIL 评分无显著变化（从 95.27±16.40 分升高至 95.31±16.24 分，t=-0.189，p=0.852）。同样的变化模式也出现在自我连接、环境连接和超越连接的三个维度上。
本研究表明，基于中国传统文化的微信阅读疗法可显著改善肝癌患者的精神健康，具有广泛应用于癌症患者以提高其幸福感的潜力。
