Breast cancer(BC)is the most common malignant tumor in women,and the treatment process not only results in physical pain but also significant psychological distress in patients.Psychological intervention(PI)has been r...Breast cancer(BC)is the most common malignant tumor in women,and the treatment process not only results in physical pain but also significant psychological distress in patients.Psychological intervention(PI)has been recognized as an important approach in treating postoperative psychological disorders in BC patients.It has been proven that PI has a significant therapeutic effect on postoperative psychological disorders,improving patients'negative emotions,enhancing their psychological resilience,and effectively enhancing their quality of life and treatment compliance.展开更多
Objective:The purpose of this study was to evaluate the effectiveness of post-traumatic growth(PTG)model-based intervention to improve positive psychological traits in Chinese breast cancer patients.Design:A randomize...Objective:The purpose of this study was to evaluate the effectiveness of post-traumatic growth(PTG)model-based intervention to improve positive psychological traits in Chinese breast cancer patients.Design:A randomized control trial of a psychological group intervention based on PTG model.Methods:The Clinical Trial was registered on 17 August 2019 at Chinese Clinical Trials.gov with Registration number ChiCTR1900025264.A total of 92 patients with breast cancer were recruited.The participants were randomly assigned to the experimental group(n=46)and the control group(n=46).A six-session psychological group intervention based on PTG model was implemented in the experimental group,and a six-session health education was implemented in the control group.The outcomes weremeasured at baseline(pre-intervention),3 weeks,6 weeks after the intervention.The primary outcome was posttraumatic growth assessed by the Chinese version of the Post-Traumatic Growth Inventory(PTGI);Secondary outcomes included psychological resilience,family resilience,rumination,and self-disclosure.Results:A total of 87 patients with breast cancer completed this study,including 44 patients in the experimental group and 43 patients in the control group.There was no significant difference in baseline data of breast cancer patients between the two groups except for the treatment regimen(p>0.05).The two groups were compared after the intervention;the interaction effects between the total scores of posttraumatic growth,family resilience,and self-disclosure and the time term were statistically significant(p<0.05),indicating that the trend of change in total scores of post-traumatic growth,family resilience,and self-disclosure differed between the experimental and control groups over time,and the scores improved in the experimental group were significantly higher than those in the control group.The comparison of psychological resilience and total score of rumination at each time point was statistically significant(p<0.05),indicating that group intervention based on the PTG model could improve the psychological recovery ability and rumination level of the experimental group.Conclusion:The psychological group intervention based on the PTG model significantly improved post-traumatic growth,family resilience,and self-disclosure in patients with breast cancer.However,the impact on psychological resilience and rumination was relatively small.Long-term intervention is needed to further test the effect of the PTG model on psychological resilience and rumination.展开更多
Many studies pointed out that psychological pain is not limited to the cancer patients themselves,but their caregivers also experience different levels of psychological problems such as depression,anxiety,and stress.T...Many studies pointed out that psychological pain is not limited to the cancer patients themselves,but their caregivers also experience different levels of psychological problems such as depression,anxiety,and stress.This article attempts to review the mental health status,assessment tools,and psychological interventions of the caregivers of cancer patients,and calls on social and medical workers to pay attention to the mental and physical health status of the caregivers of cancer patients.展开更多
Background:In order to provide some references and direction for further research on psychological intervention for breast cancer patients,we analyzed the breast cancer patients,learned its research status,and found o...Background:In order to provide some references and direction for further research on psychological intervention for breast cancer patients,we analyzed the breast cancer patients,learned its research status,and found out the existing problems.Methods:We retrieved relevant literatures on psychological intervention for breast cancer patients from databases such as CNKI,Wanfang data,VIP and CBM.Note Express 3.2 was used for bibliometric analysis.Results:A total of 60 articles were included.We found that the research institutions were mainly hospitals.There was a lack of attention to special breast cancer patients,efficacy comparison trials of different intervention and cooperation during institutions.Research design was not rigorous enough:lack of pertinence of populations,unclear and short intervention interval,low repeatability of research trials,low transparency of intervention,and defects in intervention quality control.Conclusion:Clinical trials on psychological intervention for breast cancer patients should pay more attention to special breast cancer populations.Researchers should correctly grasp related research trends,seek cooperation opportunities with other institutions,and improve the quality of their own research and ensure the innovation and scientificity of trial design.Meanwhile,researchers can further explore the psychological intervention methods for special breast cancer populations,and conduct comparative studies on the efficacy of different intervention measures.展开更多
目的筛选、提取并归纳乳腺癌幸存者睡眠障碍非药物预防及管理的相关最佳证据,为乳腺癌幸存者进行睡眠管理提供相关实践依据。方法采用PIPOST模式构建循证问题。根据循证检索资源的“6S”模型,使用计算机对PubMed、BMJ Best Practice、JB...目的筛选、提取并归纳乳腺癌幸存者睡眠障碍非药物预防及管理的相关最佳证据,为乳腺癌幸存者进行睡眠管理提供相关实践依据。方法采用PIPOST模式构建循证问题。根据循证检索资源的“6S”模型,使用计算机对PubMed、BMJ Best Practice、JBI循证卫生保健中心、NICE、Web of Science、美国临床肿瘤学会(ASCO)、中国知网、万方等数据库进行文献检索,检索内容包括临床指南、专家共识、系统评价、随机对照试验、临床决策以及证据总结等。结果共计纳入文献13篇,其中包含临床指南2篇,专家共识2篇,系统评价3篇,随机对照试验6篇。最终从睡眠障碍筛查与评估、体育活动建议、正念训练治疗、认知行为干预、中医治疗以及睡眠卫生健康教育等6个维度总结了27条最佳证据。结论本研究总结的27条最佳证据能为乳腺癌幸存者进行睡眠管理提供实践依据,将证据与临床实际相结合有助于制定系统化、全面化、个体化的睡眠管理方案。展开更多
文摘Breast cancer(BC)is the most common malignant tumor in women,and the treatment process not only results in physical pain but also significant psychological distress in patients.Psychological intervention(PI)has been recognized as an important approach in treating postoperative psychological disorders in BC patients.It has been proven that PI has a significant therapeutic effect on postoperative psychological disorders,improving patients'negative emotions,enhancing their psychological resilience,and effectively enhancing their quality of life and treatment compliance.
基金Funding from the 2018 Postgraduate Research&Practice Innovation Program of Jiangsu Province is gratefully acknowledged(SJCX18_0082).
文摘Objective:The purpose of this study was to evaluate the effectiveness of post-traumatic growth(PTG)model-based intervention to improve positive psychological traits in Chinese breast cancer patients.Design:A randomized control trial of a psychological group intervention based on PTG model.Methods:The Clinical Trial was registered on 17 August 2019 at Chinese Clinical Trials.gov with Registration number ChiCTR1900025264.A total of 92 patients with breast cancer were recruited.The participants were randomly assigned to the experimental group(n=46)and the control group(n=46).A six-session psychological group intervention based on PTG model was implemented in the experimental group,and a six-session health education was implemented in the control group.The outcomes weremeasured at baseline(pre-intervention),3 weeks,6 weeks after the intervention.The primary outcome was posttraumatic growth assessed by the Chinese version of the Post-Traumatic Growth Inventory(PTGI);Secondary outcomes included psychological resilience,family resilience,rumination,and self-disclosure.Results:A total of 87 patients with breast cancer completed this study,including 44 patients in the experimental group and 43 patients in the control group.There was no significant difference in baseline data of breast cancer patients between the two groups except for the treatment regimen(p>0.05).The two groups were compared after the intervention;the interaction effects between the total scores of posttraumatic growth,family resilience,and self-disclosure and the time term were statistically significant(p<0.05),indicating that the trend of change in total scores of post-traumatic growth,family resilience,and self-disclosure differed between the experimental and control groups over time,and the scores improved in the experimental group were significantly higher than those in the control group.The comparison of psychological resilience and total score of rumination at each time point was statistically significant(p<0.05),indicating that group intervention based on the PTG model could improve the psychological recovery ability and rumination level of the experimental group.Conclusion:The psychological group intervention based on the PTG model significantly improved post-traumatic growth,family resilience,and self-disclosure in patients with breast cancer.However,the impact on psychological resilience and rumination was relatively small.Long-term intervention is needed to further test the effect of the PTG model on psychological resilience and rumination.
基金Supported by a grant from The National Key Research and Development Program:The Key Technology of Palliative Care and Nursing for Cancer Patients(No.2017YFC1309200).
文摘Many studies pointed out that psychological pain is not limited to the cancer patients themselves,but their caregivers also experience different levels of psychological problems such as depression,anxiety,and stress.This article attempts to review the mental health status,assessment tools,and psychological interventions of the caregivers of cancer patients,and calls on social and medical workers to pay attention to the mental and physical health status of the caregivers of cancer patients.
文摘Background:In order to provide some references and direction for further research on psychological intervention for breast cancer patients,we analyzed the breast cancer patients,learned its research status,and found out the existing problems.Methods:We retrieved relevant literatures on psychological intervention for breast cancer patients from databases such as CNKI,Wanfang data,VIP and CBM.Note Express 3.2 was used for bibliometric analysis.Results:A total of 60 articles were included.We found that the research institutions were mainly hospitals.There was a lack of attention to special breast cancer patients,efficacy comparison trials of different intervention and cooperation during institutions.Research design was not rigorous enough:lack of pertinence of populations,unclear and short intervention interval,low repeatability of research trials,low transparency of intervention,and defects in intervention quality control.Conclusion:Clinical trials on psychological intervention for breast cancer patients should pay more attention to special breast cancer populations.Researchers should correctly grasp related research trends,seek cooperation opportunities with other institutions,and improve the quality of their own research and ensure the innovation and scientificity of trial design.Meanwhile,researchers can further explore the psychological intervention methods for special breast cancer populations,and conduct comparative studies on the efficacy of different intervention measures.
文摘目的筛选、提取并归纳乳腺癌幸存者睡眠障碍非药物预防及管理的相关最佳证据,为乳腺癌幸存者进行睡眠管理提供相关实践依据。方法采用PIPOST模式构建循证问题。根据循证检索资源的“6S”模型,使用计算机对PubMed、BMJ Best Practice、JBI循证卫生保健中心、NICE、Web of Science、美国临床肿瘤学会(ASCO)、中国知网、万方等数据库进行文献检索,检索内容包括临床指南、专家共识、系统评价、随机对照试验、临床决策以及证据总结等。结果共计纳入文献13篇,其中包含临床指南2篇,专家共识2篇,系统评价3篇,随机对照试验6篇。最终从睡眠障碍筛查与评估、体育活动建议、正念训练治疗、认知行为干预、中医治疗以及睡眠卫生健康教育等6个维度总结了27条最佳证据。结论本研究总结的27条最佳证据能为乳腺癌幸存者进行睡眠管理提供实践依据,将证据与临床实际相结合有助于制定系统化、全面化、个体化的睡眠管理方案。
