夫妻自我表露在青年乳腺癌患者癌症复发恐惧干预中的应用研究

doi:10.3761/j.issn.0254-1769.2019.11.002

摘要/Abstract

摘要：

目的探讨夫妻自我表露在青年乳腺癌患者癌症复发恐惧干预中的应用效果。方法便利选取2018年3月—2019年1月在郑州市某三级甲等医院肿瘤科住院治疗的62例青年乳腺癌患者,按入院顺序分为试验组和对照组各31例。对试验组实施夫妻自我表露干预,对对照组实施常规护理,干预前及干预12周后采用一般资料调查表、癌症患者恐惧疾病进展简化量表、中文版痛苦自我表露指数量表进行评价。结果试验组中途退出1例,最终试验组30例,对照组31例。干预前两组一般资料、自我表露及复发恐惧水平差异均无统计学意义（P>0.05）;干预12周后,试验组自我表露得分高于对照组（P<0.05）,复发恐惧总分及维度得分均低于对照组（P<0.05）。结论夫妻自我表露干预可有效提高青年乳腺癌患者的自我表露水平,降低患者癌症复发恐惧。

关键词: 乳腺肿瘤, 青年人, 配偶, 自我表露, 复发, 恐惧, 肿瘤护理

Abstract:

Objective To explore the effect of marital self-disclosure intervention on the fear of cancer recurrence in young breast cancer patients.Methods From March 2018 to January 2019,totally 62 young breast cancer patients were assigned into the experimental group and the control group with 31 cases in each group from a tertiary hospital in Zhengzhou. The experimental group was given self-disclosure intervention,and the control group was applied with conventional nursing. Before and 12 weeks after intervention,general information questionnaire,Fear of Progression Questionnaire-Short Form and Distress Disclosure Index Scale were used for evaluation.Results Ultimately,one patient in the experimental group withdrew,there were 30 patients in the experimental group and 31 patients in the control group. Before intervention,there was no significant difference in general data,self-disclosure and fear of cancer recurrence between the two groups（P>0.05）. After 12 weeks of intervention,the self-disclosure score of the experimental group was higher than that of the control group（P<0.05）,and the score of fear of cancer recurrence were lower than that of the control group（P<0.05）.Conclusion Marital self-disclosure intervention can effectively improve the self-disclosure level of young breast cancer patients and reduce their fear of cancer recurrence.

Key words: Breast Neoplasms, Young Adult, Spouses, Self-disclosure, Recurrence, Fear, Oncologic Nursing

张贤贤, 张利霞, 贾智慧, 程远尊. 夫妻自我表露在青年乳腺癌患者癌症复发恐惧干预中的应用研究[J]. 中华护理杂志, 2019, 54(11): 1610-1614.

ZHANG Xianxian, ZHANG Lixia, JIA Zhihui, CHENG Yuanzun. Application and effect evaluation of marital self-disclosure intervention on the fear of cancer recurrence in young breast cancer patients[J]. Chinese Journal of Nursing, 2019, 54(11): 1610-1614.

图/表 5

表1 夫妻自我表露干预各阶段目标及内容

表2 两组一般资料及自我表露水平比较[例（百分比,%）]

表3 两组干预前后复发恐惧得分比较（分,$\bar{x}$±s）

表4 两组干预前后自我表露得分比较（分,$\bar{x}$±s）

表5 两组干预后自我表露水平比较[例（百分比,%）]

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