Family-involved psycho-cognitive care for patients taking breast cancer mastectomy
Objective To explore the impact of family-involved psycho-cognitive care on the distress level and positive coping strategies of patients with breast cancer after mastectomy.Methods Eighty-one patients with breast cancer taking mastectomy at Xi'an Central Hospital from February 2022 to February 2023 were selected for the randomized controlled trial,and were divided into a control group(40 cases)and an observation group(41 cases)by the random number table method.The control group were(53.28±4.51)years old;there were 22 cases of stage Ⅰ,16 cases of stage Ⅱ,and 2 cases of stage Ⅲ.The observation group were(53.34±4.47)years old;there were 23 cases of stage Ⅰ,14 cases of stage Ⅱ,and 4 cases of stage Ⅲ.The control group received conventional care,and the observation group family-involved psycho-cognitive care.The distress levels,positive coping strategies[using the Coping Strategies Questionnaire(CSQ)],cancer-related fatigue[using the Cancer Fatigue Scale(CFS)],and self-care ability[using the Self-Care Ability Scale(ESCA)]were compared between the two groups before and three months after the intervention by t and x2 test.Results Three months after the intervention,the scores of physical strength,religion,emotions,family,and practice of psychological distress in the observation group were lower than those in the control group[(3.51±0.66)vs.(4.92±0.89),(3.14±0.71)vs.(4.22±0.90),(3.97±0.65)vs.(5.38±0.95),(3.52±0.88)vs.(5.07±1.23),and(4.33±1.00)vs.(5.62±0.93)],with statistical differences between the two groups(all P＜0.05).The score of DT in the observation group was lower than that in the control group[(3.54±0.57)vs.(4.60±0.75)],with a statistical difference between the two groups(P＜0.05).The scores of in self-blame,fantasy,and avoidance of CSQ in the observation group were lower than those in the control group[(0.41±0.06)vs.(0.62±0.09),(0.52±0.08)vs.(0.69±0.03),and(0.43±0.04)vs.(0.62±0.06)],with statistical differences between the two groups(all P＜0.05);the scores of seeking help,problem-solving,and rationalization in the observation group were higher than those in the control group[(0.69±0.06)vs.(0.48±0.05),(0.63±0.06)vs.(0.49±0.05),and(0.69±0.07)vs.(0.56±0.05)],with statistical differences between the two groups(all P＜0.05).The scores of physical fatigue,cognitive fatigue,and emotional fatigue of CFS in the observation group were lower than those in the control group[(15.37±1.84)vs.(22.61±2.41),(9.66±1.43)vs.(13.10±1.51),and(8.02±1.23)vs.(12.97±1.64)],with statistical differences between the two groups(P＜0.05).The scores of health knowledge,self-care skills,self-concept,and self-responsibility of ESCA in the observation group were higher than those in the control group[(49.58±4.40)vs.(42.35±4.83),(41.85±3.80)vs.(37.06±3.11),(30.29±3.38)vs.(27.16±3.88),and(27.30±2.29)vs.(24.11±2.04)],with statistical differences between the two groups(all P＜0.05).Conclusion Family-involved psycho-cognitive care for patients taking breast cancer mastectomy can effectively reduce their pain levels,cancer-related fatigue,active coping strategies,and self-care ability.
Breast cancerFamily-involved psycho-cognitive careBreast cancer mastectomyPain levelActive coping strategiesCancer-related fatigue
万方数据
维普
