Qiu Xiaoke, Wang Can, Zhang Yi, Mao Jiayu, Yang Xueli, Zhao Jie, Lin Yi, Li Qiuping
Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu Province, China.
Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu Province, China.
Eur J Oncol Nurs. 2025 Apr;75:102821. doi: 10.1016/j.ejon.2025.102821. Epub 2025 Feb 1.
Colorectal cancer patients and their spousal caregivers possess the potential to build family resilience and navigate the challenges of the cancer journey. However, few intervention studies have focused on enhancing family resilience among colorectal cancer couples. This study aimed to evaluate the feasibility, acceptability, and preliminary effects of a coping-focused, couple-based family resilience intervention guided by the Walsh Family Resilience Model.
A one-group, six-week pre- and post-intervention study was conducted. Six intervention sessions were delivered either face-to-face or by telephone. Quantitative data were collected using self-report questionnaires assessing family resilience, hope, family sense of coherence, spiritual well-being, perceived social support, and couple communication quality. Qualitative data were gathered through semi-structured interviews with open-ended questions and note-taking.
A total of 24 colorectal cancer patient-spousal caregiver dyads were initially recruited for the intervention, but only 19 couples completed all six intervention sessions. Feasibility outcomes indicated a couple recruitment rate of 68.6% and a retention rate of 79.2%. Small to moderate improvements were identified in family resilience, hope, family sense of coherence, perceived social support, and couple communication quality, though spiritual well-being showed limited change. The majority of participants were satisfied with the intervention and provided valuable suggestions for future improvements.
This study showed that the coping-focused, couple-based family resilience intervention may effectively support colorectal cancer couples, improving adaptation and coping. Future research with larger samples is needed to confirm long-term effects and further refine intervention components.
结直肠癌患者及其配偶照顾者有潜力建立家庭复原力并应对癌症病程中的挑战。然而，很少有干预研究关注增强结直肠癌夫妇的家庭复原力。本研究旨在评估以应对为重点、基于夫妻的家庭复原力干预措施（以沃尔什家庭复原力模型为指导）的可行性、可接受性和初步效果。
开展了一项单组、为期六周的干预前后研究。通过面对面或电话方式进行六次干预课程。使用自我报告问卷收集定量数据，以评估家庭复原力、希望、家庭连贯感、精神幸福感、感知到的社会支持和夫妻沟通质量。通过半结构化访谈（采用开放式问题并做笔记）收集定性数据。
最初招募了24对结直肠癌患者-配偶照顾者参与干预，但只有19对夫妇完成了所有六次干预课程。可行性结果显示，夫妇招募率为68.6%，保留率为79.2%。在家庭复原力、希望、家庭连贯感、感知到的社会支持和夫妻沟通质量方面发现了小到中度的改善，不过精神幸福感变化有限。大多数参与者对干预感到满意，并为未来改进提供了有价值的建议。
本研究表明，以应对为重点、基于夫妻的家庭复原力干预措施可能有效支持结直肠癌夫妇，改善适应能力和应对能力。需要开展更大样本的未来研究以确认长期效果并进一步完善干预内容。
