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脊髓损伤患者及其配偶的二元应对干预的可行性和潜在效果:一项试点随机对照试验研究方案。

Feasibility and potential effects of a dyadic coping intervention for patients with spinal cord injury and their spouses: a study protocol for a pilot randomised controlled trial.

机构信息

Department of Spine Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.

School of Nursing, Anhui Medical University, Hefei, Anhui, China.

出版信息

BMJ Open. 2024 Aug 25;14(8):e079429. doi: 10.1136/bmjopen-2023-079429.

Abstract

INTRODUCTION

It remains difficult for patients with spinal cord injury (SCI) to fully recover their sensory and motor functions; thus, they must rely on the assistance of caregivers to complete activities of daily living. This leads to psychological distress and decreased quality of life in patients and caregivers. Interventions for dyadic coping are a promising option. However, no studies have examined the effects of dyadic coping interventions on patients with SCI and their spouses. Therefore, our team constructed a dyadic coping intervention programme for couples with SCI.

METHOD AND ANALYSIS

This two-arm, parallel-design, pilot randomised controlled trial will recruit 72 couples with SCI from two tertiary hospitals in Hefei, China. Couples will be randomly allocated to two arms. Couples randomly assigned to the intervention group will receive the usual care and the dyadic coping intervention. Couples randomly assigned to the control group will receive usual care only. The primary outcomes will be the feasibility and acceptability of the dyadic coping intervention for couples with SCI. Secondary outcomes will be quality of life, psychological distress, caregiver burden, marital satisfaction and dyadic coping. Outcomes will be collected at three time points: baseline (T0), post-intervention (T1) and after a follow-up period of 8 weeks (T2).

ETHICS AND DISSEMINATION

This study has been approved by the Research Ethics Committee of Anhui Medical University (84240008). The results will be published in a peer-reviewed journal.

TRIAL REGISTRATION NUMBER

ChiCTR2300074556.

摘要

简介

脊髓损伤(SCI)患者很难完全恢复其感觉和运动功能;因此,他们必须依靠护理人员的帮助来完成日常生活活动。这会导致患者和护理人员的心理困扰和生活质量下降。双元应对干预措施是一种很有前途的选择。然而,目前还没有研究评估双元应对干预措施对 SCI 患者及其配偶的影响。因此,我们的团队为 SCI 患者夫妇构建了一种双元应对干预方案。

方法和分析

这是一项两臂、平行设计、试点随机对照试验,将招募来自中国合肥的两家三级医院的 72 对 SCI 夫妇。夫妇将被随机分配到两个臂。随机分配到干预组的夫妇将接受常规护理和双元应对干预。随机分配到对照组的夫妇将仅接受常规护理。主要结局将是双元应对干预对 SCI 夫妇的可行性和可接受性。次要结局将是生活质量、心理困扰、照顾者负担、婚姻满意度和双元应对。结果将在三个时间点收集:基线(T0)、干预后(T1)和 8 周随访后(T2)。

伦理和传播

这项研究已经得到安徽医科大学伦理委员会的批准(84240008)。研究结果将发表在同行评议的期刊上。

试验注册号

ChiCTR2300074556。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0014/11404228/eb2925a757f4/bmjopen-14-8-g001.jpg

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