Mirhosseini Seyedmohammad, Imani Parsa Fateme, Moghadam-Roshtkhar Hasan, Basirinezhad Mohammad Hasan, Ameri Malihe, Ebrahimi Hossein
Department of Nursing, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
Front Psychol. 2025 Feb 27;16:1430371. doi: 10.3389/fpsyg.2025.1430371. eCollection 2025.
Cancer affects not only patients but also their family caregivers, causing increased caregiving burden and reduced quality of life. The aim of this study was to evaluate the impact of a psychoeducation intervention on improving the quality of life and reducing caregiving burden among caregivers of cancer patients.
This study employed a non-blinded randomized controlled trial design involving 66 family caregivers of cancer patients undergoing chemotherapy in Shahroud, Iran in 2024. Of the 69 caregivers initially approached, one declined to participate, and two were excluded due to lack of smartphone access, leaving a final sample of 66 caregivers. Participants were assigned to either the psychoeducation intervention program or the control group using the quadruple block randomization method. The intervention spanned 3 months and consisted of six online group sessions lasting 35-45 min each. The psychoeducation intervention was delivered by trained psychiatric nurse. Data were collected before and 1 month after the intervention using the SF-36 quality of life questionnaire and the Novak and Guest care burden inventory. Statistical analysis was conducted using chi squared, independent t-tests, and the linear regression analysis with a significance level set at 0.05.
The primary outcome of this study was the change in caregivers' quality of life and caregiver burden. Initially, both groups exhibited similar average scores for care burden and quality of life ( > 0.05). The intervention group showed a significant reduction in caregiving burden by 4.1 ± 13.7, whereas the control group experienced a slight increase of 2.5 ± 12.0. Similarly, quality of life scores improved by 4.7 ± 16.9 in the intervention group but declined by 8.6 ± 15.3 in the control group. Regression analysis indicated that the psychoeducation group demonstrated significantly lower caregiving burden scores and higher quality of life scores following the intervention compared to the control group.
Caregivers of cancer patients often face significant burdens that impact their quality of life. Psychoeducational interventions focusing on coping, problem-solving, and stress management should be integrated into cancer care plans to provide essential support.
https://irct.behdasht.gov.ir/trial/54613, identifier IRCT20180728040617N3.
癌症不仅影响患者，还会波及他们的家庭照顾者，导致照顾负担加重，生活质量下降。本研究旨在评估心理教育干预对提高癌症患者照顾者的生活质量以及减轻其照顾负担的影响。
本研究采用非盲随机对照试验设计，于2024年在伊朗沙赫鲁德招募了66名正在接受化疗的癌症患者的家庭照顾者。在最初接触的69名照顾者中，1人拒绝参与，2人因无法使用智能手机而被排除，最终样本为66名照顾者。采用四重区组随机化方法将参与者分为心理教育干预组或对照组。干预为期3个月，包括六次在线小组会议，每次会议持续35 - 45分钟。心理教育干预由经过培训的精神科护士实施。在干预前和干预后1个月，使用SF - 36生活质量问卷和诺瓦克与格斯特照顾负担量表收集数据。使用卡方检验、独立t检验以及显著性水平设定为0.05的线性回归分析进行统计分析。
本研究的主要结果是照顾者生活质量和照顾负担的变化。最初，两组在照顾负担和生活质量方面的平均得分相似（P>0.05）。干预组的照顾负担显著降低了4.1±13.7，而对照组略有增加，为2.5±12.0。同样，干预组的生活质量得分提高了4.7±16.9，而对照组下降了8.6±15.3。回归分析表明，与对照组相比，心理教育组在干预后照顾负担得分显著更低，生活质量得分更高。
癌症患者的照顾者常常面临重大负担，这会影响他们的生活质量。应将侧重于应对、解决问题和压力管理的心理教育干预纳入癌症护理计划，以提供必要的支持。
https://irct.behdasht.gov.ir/trial/54613，标识符IRCT20180728040617N3
