积极健康干预对减轻前列腺癌幸存者症状、增强自我效能感和自我管理能力的有效性：一项随机对照试验。
Effectiveness of proactive health interventions in reducing symptoms and enhancing self-efficacy and self-management in prostate cancer survivors: a randomized controlled trial.
作者信息
Hou Sijia, Qiao Wenbo, Li Yaqin, He Huangying, Wu Bingbing, Dai Yun, Wang Wei
机构信息
Department of Nursing, The First Affiliated Hospital, Zhejiang University School of Medicine, 79 Qingchun Road, Shangcheng District, Hangzhou, 310003, Zhejiang, China.
Zhejiang University School of Medicine, Shangcheng District, Hangzhou, China.
出版信息
J Cancer Surviv. 2024 Nov 15. doi: 10.1007/s11764-024-01706-z.
PURPOSE
To evaluate the effectiveness of a proactive health intervention in reducing symptoms, enhancing self-efficacy, and improving self-management capabilities in prostate cancer survivors.
METHODS
A single-blind randomized controlled trial was conducted with 200 prostate cancer survivors at a tertiary hospital in Zhejiang Province. Participants were randomly assigned to either the intervention group (n = 95), which received a 3-month proactive health management program based on five health modules with online and telephone follow-up, or the control group (n = 97), which received routine telephone follow-up care. Outcomes were assessed at baseline, 1 month, and 3 months post-discharge, focusing on prostate cancer symptoms, self-care ability, self-efficacy, and psychological well-being.
RESULTS
Compared to the control group, the intervention group showed significant improvements in prostate cancer symptoms (95% CI = [- 5.898, - 1.756], p < 0.001), self-care ability (95% CI = [14.427, 20.878], p < 0.001), and self-efficacy (95% CI = [0.078, 0.408], p = 0.004) after the intervention. Anxiety and depression (95% CI = [- 2.408, - 1.404], p < 0.001) were significantly reduced at the 3-month follow-up compared to baseline, although no significant difference was observed between the groups.
CONCLUSIONS
The 3-month proactive health management intervention significantly reduced symptoms, anxiety, and depression in prostate cancer survivors, while improving self-care ability and self-efficacy. Further studies with larger samples and longer follow-up periods are needed to confirm these findings.
IMPLICATIONS FOR CANCER SURVIVORS
Rehabilitation for prostate cancer survivors should integrate both physical and psychological recovery to address comprehensive health needs. Enhancing survivors' proactive health management skills supports sustained recovery.
CLINICAL TRIALS REGISTRATION
ClinicalTrial.gov Identifier: ChiCTR2300076594.
目的
评估一项积极健康干预措施在减轻前列腺癌幸存者症状、增强自我效能感以及提高自我管理能力方面的有效性。
方法
在浙江省一家三级医院对200名前列腺癌幸存者进行了一项单盲随机对照试验。参与者被随机分配到干预组（n = 95），该组接受了基于五个健康模块的为期3个月的积极健康管理计划，并进行在线和电话随访；或对照组（n = 97），该组接受常规电话随访护理。在基线、出院后1个月和3个月时评估结果，重点关注前列腺癌症状、自我护理能力、自我效能感和心理健康。
结果
与对照组相比，干预组在干预后前列腺癌症状（95%CI = [-5.898, -1.756]，p < 0.001）、自我护理能力（95%CI = [14.427, 20.878]，p < 0.001）和自我效能感（95%CI = [0.078, 0.408]，p = 0.004）方面有显著改善。与基线相比，在3个月随访时焦虑和抑郁（95%CI = [-2.408, -1.404]，p < 0.001）显著降低，尽管两组之间未观察到显著差异。
结论
为期3个月的积极健康管理干预显著减轻了前列腺癌幸存者的症状、焦虑和抑郁，同时提高了自我护理能力和自我效能感。需要进行更大样本量和更长随访期的进一步研究来证实这些发现。
对癌症幸存者的启示
前列腺癌幸存者的康复应将身体和心理恢复相结合，以满足全面的健康需求。增强幸存者的积极健康管理技能有助于持续康复。
临床试验注册
ClinicalTrial.gov标识符：ChiCTR2300076594。
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