基于建设性夫妻沟通的团体辅导对子宫颈癌幸存者感知配偶支持的影响：一项随机对照试验。

The Effect of Group Counselling based on Constructive Couple Communication on Perceived Spousal Support in Uterine and Cervical Cancer Survivors: A Randomized Control Trial.

机构信息

Department of Consultation on Midwifery, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.

Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran.

出版信息

Int J Community Based Nurs Midwifery. 2024 Jul 1;12(3):162-174. doi: 10.30476/IJCBNM.2024.101425.2420. eCollection 2024 Jul.

DOI:10.30476/IJCBNM.2024.101425.2420

PMID:39161859

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11330556/

Abstract

BACKGROUND

Uterine and Cervical cancer survivors face challenges like the disruption of emotional and sexual relationships, struggle to maintain sexual life and intimacy, and the possibility of divorce. The study aimed to determine the effect of group counseling based on couples' constructive communication on perceived spousal support in uterine and cervical cancer survivors.

METHODS

A randomized controlled trial on 40 women who survived uterine and cervical cancer were recruited using convenience sampling and then randomly allocated to a couple-based constructive communication intervention group and a routine cancer center care control group from June 2019 to March 2020 in Motahhari and Imam Khomeini hospitals in Urmia. The intervention group was involved in a group counseling session weekly for 5 weeks, regarding constructive couple communication skills. Perceived spouse support was assessed using the sources of social support scale which has 4 subscales informational, instrumental, emotional, and negative support before and one week after the end of the intervention in both groups. Data analysis was performed using SPSS version 24 through Independent and paired t-tests, Mann-Whitney U test, Wilcoxon, chi-square, and ANCOVA. P value<0.05 was considered statistically significant.

RESULTS

The effect of the intervention was statistically significant in reducing negative support in the intervention group (2.70±0.80) in comparison with the control group (3.40±1.04) (P=0.03). It was also statistically significant in increasing informational support (3.45±0.71 vs. 2.15±0.80, P<0.001), instrumental support (3.15±0.58 vs. 2.85±0.74, P<0.001), and emotional support (19.40±1.60 vs. 16.10±2.10, P<0.001).

CONCLUSION

Group counseling based on couple constructive communication increased perceived spousal support in uterine and cervical cancer survivors. IRCT20150125020778N22.

摘要

背景

子宫颈癌和子宫癌幸存者面临着许多挑战，例如情感和性关系的破裂、难以维持性生活和亲密关系，以及离婚的可能性。本研究旨在确定基于夫妻建设性沟通的小组咨询对子宫颈癌和子宫癌幸存者感知配偶支持的影响。

方法

采用便利抽样法招募了 40 名子宫颈癌和子宫癌幸存者参加一项随机对照试验，然后将他们随机分配到基于夫妻建设性沟通的干预组和常规癌症中心护理对照组。干预组每周参加一次小组咨询，为期 5 周，内容为建设性夫妻沟通技巧。在干预前后一周，使用社会支持来源量表评估感知配偶支持，该量表有 4 个分量表：信息、工具、情感和负面支持。数据分析采用 SPSS 24 版，采用独立样本 t 检验、配对 t 检验、Mann-Whitney U 检验、Wilcoxon 检验、卡方检验和协方差分析。P 值<0.05 为统计学显著。

结果

干预组的干预效果在降低负面支持方面具有统计学意义（2.70±0.80），与对照组（3.40±1.04）相比（P=0.03）。在增加信息支持（3.45±0.71 vs. 2.15±0.80，P<0.001）、工具支持（3.15±0.58 vs. 2.85±0.74，P<0.001）和情感支持（19.40±1.60 vs. 16.10±2.10，P<0.001）方面也具有统计学意义。