基于自我表露的乳腺癌患者益处发现干预方案的构建及初步验证
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女,硕士,教授,硕士生导师

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安徽省高校自然科学研究重点项目(KJ2017A165)中国临床试验注册中心(ChiCTR1800014840)


Formulation and preliminary validation of a self-disclosure oriented benefit finding intervention protocol for breast cancer patients
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    目的 构建基于自我表露的乳腺癌患者益处发现干预方案,为患者心理康复提供解决方案。 方法 通过文献分析法形成干预方案草案;通过结构式访谈法和专家会议法咨询乳腺癌患者、护理人员及专家,修订干预方案;采取对照预实验(两组各15例)初步验证干预方案。 结果 形成的干预方案包括6次自我表露干预(含主题、引导性表露提纲及辅助干预措施等);专家权威系数Cr为0.812;两组完成6次干预均为10例;干预组满意度显著高于对照组,益处发现及认知评价改善程度显著优于对照组(P<0.05,P<0.01)。 结论 本乳腺癌患者益处发现干预方案可行、有效,但干预方案还需进一步完善和大样本验证。

    Abstract:

    Objective To formulate a self-disclosure oriented benefit finding intervention protocol for breast cancer patients, and to provide a guidance for psychological rehabilitation. Methods The draft of intervention protocol was developed after literature reviewing, then it was revised through structured interviews and expert meetings with breast cancer patients, nurses and experts. Finally, a pilot randomized controlled study was conducted on 30 breast cancer patients. Results The intervention protocol included six-section self-disclosure intervention, in which main objective, instructive disclosure outlines and auxiliary interventions were listed. The expert authority coefficient was 0.812. Ten patients completed the six-section interventions. The intervention group had higher satisfaction and greater improvement in benefit finding and cognitive evaluation compared with the controls (P<0.05,P<0.01). Conclusion The benefit finding intervention protocol for breast cancer patients is practical and effective, but it needs further improvement and large-sample validation.

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李惠萍,章毛毛,张婷,江笑笑.基于自我表露的乳腺癌患者益处发现干预方案的构建及初步验证[J].护理学杂志,2020,35(11):75-79

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  • 收稿日期:2020-01-02
  • 最后修改日期:2020-03-05
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  • 在线发布日期: 2022-09-06