Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu Province, China.
Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu Province, China.
Eur J Oncol Nurs. 2024 Dec;73:102723. doi: 10.1016/j.ejon.2024.102723. Epub 2024 Oct 28.
As a special psychological variable, illness perception significantly affects the cancer adaptions of colorectal cancer couples. No studies focus on facilitating cancer adaption by targeting the illness perception in colorectal cancer couples. This research attempted to explore the feasibility, acceptability, and potential effectiveness of an illness perception intervention program designed for couples with colorectal cancer, guided by a self-regulation common sense model.
A single-group pilot study including pre- and post-testing was carried out with Chinese couples having colorectal cancer. Six sessions were delivered consecutively by researchers via in-person or telephone for couples. By calculating the rates of recruitment and retention, the feasibility of the intervention was analyzed. Intervention acceptability was evaluated by analysis of the post-intervention quantitative and qualitative data. Outcomes were described as illness perception, cancer-related communication problems, dyadic coping, quality of life, anxiety and depression, and benefit finding. Effect sizes were computed to assess the preliminary program effects.
The feasibility was confirmed by the recruitment (67.6%) and retention (82.6%) rates. The acceptability was endorsed by the reported participant satisfaction. Validating the program's preliminary effectiveness, the intervention program has moderate effect sizes (Cohen's d: 0.33-0.79) that boost illness perception and major cancer adjustment results for patients and their spousal caregivers.
The research proved that the couple-based illness perception intervention among colorectal couples was feasible, acceptable, and initially effective. To investigate this intervention program more thoroughly and apply it to a wider range of disease backgrounds, an extensive randomized controlled experiment is necessary.
作为一种特殊的心理变量，疾病认知显著影响结直肠癌夫妇的癌症适应。目前尚无研究聚焦于通过针对结直肠癌夫妇的疾病认知来促进癌症适应。本研究尝试探索一种基于自我调节常识模型设计的针对结直肠癌夫妇的疾病认知干预方案的可行性、可接受性和潜在有效性。
采用单组前后测试设计，对中国结直肠癌夫妇进行研究。由研究人员通过面对面或电话为夫妇连续进行六次干预。通过计算招募率和保留率，分析干预的可行性。通过对干预后定量和定性数据的分析，评估干预的可接受性。结果描述为疾病认知、与癌症相关的沟通问题、夫妻应对方式、生活质量、焦虑和抑郁以及获益发现。效应量用于评估初步方案效果。
通过招募（67.6%）和保留（82.6%）率证实了可行性。参与者的满意度报告认可了可接受性。干预方案具有中度效应量（Cohen's d：0.33-0.79），验证了该方案的初步有效性，该方案可增强患者及其配偶照顾者的疾病认知和主要癌症适应结果。
研究证明了针对结直肠癌夫妇的基于夫妻的疾病认知干预是可行、可接受且初步有效的。为了更深入地研究这种干预方案，并将其应用于更广泛的疾病背景，需要进行广泛的随机对照试验。
