基于群组的在线同伴支持干预对青少年和青年癌症患者心理困扰的影响：一项随机对照试验。

Effect of group online-based peer support intervention on psychological distress of adolescent and young adult cancer patients: a randomized controlled trial.

机构信息

Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, China.

Xiangya Nursing School, Central South University, Changsha, China.

出版信息

Support Care Cancer. 2024 Aug 1;32(8):562. doi: 10.1007/s00520-024-08765-z.

DOI:10.1007/s00520-024-08765-z

PMID:39085495

Abstract

PURPOSE

Adolescent and young adult (AYA) cancer patients, aged between 15 to 39 years old, suffer from long-term psychological distress, confronting low self-efficacy and various psychological problems. This study constructs a group online-based peer support intervention combined with offline activities to explore its impact on the psychological distress of AYA cancer patients.

METHODS

A randomized, two-arm clinical trial was conducted in which 90 AYA cancer patients were recruited. The control group (N = 45) received conventional psychological care and treatment, and the experimental group (N = 45) received 8 weeks of an online peer support intervention. Outcome measures included psychological distress (Distress Thermometer, DT), anxiety and depression (Hospital Anxiety and Depression Scale, HADS), perceived peer support (Cancer Peer Support Scales, CaPSS), and readiness for return to work (Readiness to Return-To-Work Scale, RRTW).

RESULTS

Eight-week peer support intervention was effective in improving psychological distress, anxiety, and depressive symptoms in the experimental group with statistically significant differences (P < 0.05). Time affected psychological distress, anxiety, and depressive symptoms in AYA cancer patients (P < 0.05), and there was an interaction with intervention factors (P < 0.05). The intervention has a positive effect on relieving the psychological status of AYA cancer patients. For readiness for return to work, the experimental group was in the preparation for the action-behavioral stage immediately, 1 month and 3 months after the end of the intervention (P < 0.01), supporting AYA cancer patients who have not returned to work to maintain optimal return-to-work readiness.

CONCLUSIONS

The group online-based peer support intervention is popular and has good scientificity, effectiveness, and practical significance for AYA cancer patients.

TRIAL REGISTRATION

This study was registered at clinicaltrials.gov. (ChiCTR2100053091, registered on 10 November 2021).

摘要

目的

15 至 39 岁的青少年和青年癌症患者长期遭受心理困扰，自我效能感低，存在各种心理问题。本研究构建了一种团体在线同伴支持干预措施，并结合线下活动，探索其对青少年和青年癌症患者心理困扰的影响。

方法

采用随机、两臂临床试验，招募 90 名青少年和青年癌症患者。对照组（n=45）接受常规心理护理和治疗，实验组（n=45）接受 8 周的在线同伴支持干预。结果测量包括心理困扰（心理困扰温度计，DT）、焦虑和抑郁（医院焦虑和抑郁量表，HADS）、感知同伴支持（癌症同伴支持量表，CaPSS）和重返工作准备就绪（重返工作准备就绪量表，RRTW）。

结果

8 周的同伴支持干预有效改善了实验组的心理困扰、焦虑和抑郁症状，差异具有统计学意义（P<0.05）。时间影响青少年和青年癌症患者的心理困扰、焦虑和抑郁症状（P<0.05），且与干预因素存在交互作用（P<0.05）。干预对缓解青少年和青年癌症患者的心理状态有积极作用。对于重返工作的准备情况，实验组在干预结束后立即、1 个月和 3 个月处于行动准备阶段（P<0.01），支持尚未重返工作的青少年和青年癌症患者保持最佳的重返工作准备状态。