摘要
目的:探讨家庭为中心的心理支持对晚期前列腺癌(PCa)患者疾病认知和生活质量的作用。方法:招募曾在徐州医科大学附属医院泌尿外科确诊的84例晚期PCa患者,按照随机对照研究设计原则分成干预组和对照组,实施干预方案。在干预前、干预后即刻、干预后1、3个月采用疾病认知问卷、PCa患者生活质量问卷对患者进行测评以验证干预方案效果。结果:共78例患者完成整个干预项目。干预组干预后即刻疾病认知的接纳维度得分(17.89±3.86)分,无助感维度得分(13.37±3.00)分,感知益处得分(18.68±3.02)分;对照组干预后即刻疾病认知的接纳维度得分(15.20±2.83)分,无助感维度得分(15.63±3.11)分,感知益处得分(17.08±2.74)分,组间对比差异有统计学意义(t=3.528、-3.259、2.465,P<0.05)。在干预后1、3个月时,干预组的接纳、感知益处得分均高于对照组,无助感得分低于对照组(P<0.05)。干预组干预后即刻、干预后1、3个月PCa患者生活质量得分分别为(100.59±11.66)、(93.03±13.33)、(85.66±17.39)分;对照组干预后即刻、干预后1、3个月PCa患者生活质量得分分别为(92.20±9.54)、(83.55±14.29)、(75.95±16.66)分,组间对比差异有统计学意义(t=7.943、3.481、3.025,P<0.05)。协方差分析发现,排除时间效应后,干预方案能够显著提高患者的积极疾病认知(P<0.05)。结论:家庭为中心的心理支持能够提高晚期PCa患者积极的疾病认知,对患者的生活质量有积极的作用,可以在临床推广。
Objective:To explore the effect of family-centered psychological support(FCPS)on illness cognition and quality of life in patients with advanced prostate cancer(PCa).Methods:Using a randomized controlled study design,we divided 84 advanced PCa patients into an intervention group and a control group,all provided with PCa-related knowledge and answers to their questions,while the former group with FCPS in addition.Before,immediately after and at 1 and 3 months after intervention,we evaluated the effectiveness using the Illness Cognition Questionnaire(ICQ)and Functional Assessment of Cancer Therapy-Prostate(FACT-P).Results:Totally,78 of the patients completed the whole intervention procedure,38 in the intervention and 40 in the control group.There were statistically significant differences between the intervention and control groups in the scores on the three factors of ICQ acceptance(17.89±3.86 vs 15.20±2.83,t=3.528,P<0.05),perceived benefits(18.68±3.02 vs 17.08±2.74,t=2.465,P<0.05)and helplessness(13.37±3.00 vs 15.63±3.11,t=-3.259,P<0.05)immediately after intervention,and so were there at 1 and 3 months after intervention(P<0.05).The patients in the intervention group showed remarkably higher quality of life scores than the controls immediately after(100.59±11.66 vs 92.20±9.54,t=7.943,P<0.05)and at 1 month(93.03±13.33 vs83.55±14.29,t=3.481,P<0.05)and 3 months after intervention(85.66±17.39 vs 75.95±16.66,t=3.025,P<0.05).The covariance analysis found that,excluding the time effect,FCPS significantly improved the positive illness cognition of the patients(P<0.05).Conclusion:Family-centered psychological support contributes to the positive illness cognition of the patients with advanced PCa and helps improve their quality of life,and therefore deserves to be popularized in clinical practice.
作者
韩静
杨栋梁
刘继海
李炳恒
阚懿
马赛
毛立军
HAN Jing;YANG Dong-liang;LIU Ji-hai;LI Bing-heng;KAN Yi;MA Sai;MAO Li-jun(School of Nursing,Xuzhou Medical University,Xuzhou,Jiangsu 221004,China;Department of Urology,The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu 221000,China)
出处
《中华男科学杂志》
CAS
CSCD
北大核心
2020年第6期505-512,共8页
National Journal of Andrology
基金
江苏省“科教兴卫”青年医学人才项目(QNRC2016794)
徐州医科大学优秀人才科研基金项目(D2019037)。
关键词
前列腺癌
晚期
疾病认知
生活质量
心理支持
advanced prostate cancer
illness cognition
quality of life
psychological support
