Coward D D
University of Texas at Austin School of Nursing, USA.
Oncol Nurs Forum. 1998 Jan-Feb;25(1):75-84.
PURPOSE/OBJECTIVES: To examine the feasibility and patterns of effectiveness of a breast cancer support group intervention specifically designed to facilitate self-transcendence views and perspectives that would enhance emotional and physical well-being.
Pre-experimental design pilot intervention study with a quantitative approach to data analysis.
Survivor-established breast cancer resource center in Austin, TX.
Women with recently diagnosed breast cancer (N = 16) participating in 90-minute support group sessions that met weekly for eight weeks.
Theory-driven support group intervention facilitated by an oncology clinical nurse specialist, a psychotherapist, and a breast cancer survivor. Activities planned for individual sessions were based on self-transcendence theory, cancer support group literature, and the facilitators' extensive previous support group experience.
Self-transcendence, emotional well-being, physical well-being.
Good networking, coordination, and follow-up were essential for participant recruitment and retention throughout the intervention period. Although specific theory-driven activities were planned for group sessions, facilitators maintained flexibility in meeting immediate concerns of the participants. Relationships among participants' scores on study variables indicated an association between self-transcendence and emotional well-being. Scores on self-transcendence and well-being variables at the end of the intervention increased from baseline, but only functional performance status, mood state, and satisfaction with life reached statistical significance.
The pilot study was invaluable in providing direction for the conduct of future experimental studies.
Provides preliminary support for the use of theory-driven activities for promotion of self-transcendence views and behaviors within a cancer support group setting.
目的/目标：考察专门设计用于促进自我超越观念和视角以增强情绪和身体健康的乳腺癌支持小组干预措施的可行性和有效性模式。
采用定量数据分析方法的实验前设计试点干预研究。
德克萨斯州奥斯汀市由幸存者建立的乳腺癌资源中心。
近期被诊断为乳腺癌的女性（N = 16），她们参加为期八周、每周一次、每次90分钟的支持小组会议。
由肿瘤临床护理专家、心理治疗师和乳腺癌幸存者推动的理论驱动型支持小组干预。为每次会议计划的活动基于自我超越理论、癌症支持小组文献以及推动者以往丰富的支持小组经验。
自我超越、情绪健康、身体健康。
良好的人际网络、协调和跟进对于在整个干预期招募和留住参与者至关重要。尽管为小组会议计划了特定的理论驱动活动，但推动者在满足参与者的即时需求方面保持灵活性。参与者在研究变量上的得分之间的关系表明自我超越与情绪健康之间存在关联。干预结束时自我超越和健康变量的得分较基线有所增加，但只有功能表现状态、情绪状态和生活满意度达到统计学意义。
该试点研究为未来实验研究的开展提供了宝贵的指导方向。
为在癌症支持小组环境中使用理论驱动活动促进自我超越观念和行为提供了初步支持。
