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护理学报 ›› 2024, Vol. 31 ›› Issue (5): 7-11.doi: 10.16460/j.issn1008-9969.2024.05.007

• 研究生园地 • 上一篇    下一篇

基于二元应对的宫颈癌患者夫妻参与式绘画疗法干预方案构建研究

段乃娟1,2, 孙丽2, 李凤侠2, 张会1,3,4   

  1. 1.安徽医科大学 护理学院,安徽 合肥 230601;
    2.安徽省肿瘤医院,安徽 合肥 230000;
    3.安徽医科大学第一附属医院,安徽 合肥 2300323;
    4.安徽省公共卫生临床中心,安徽 合肥 230032
  • 收稿日期:2024-01-05 出版日期:2024-03-10 发布日期:2024-04-08
  • 通讯作者: 张会（1973-）,女,安徽合肥人,硕士,硕士研究生导师。E-mail：zhanghui310@126.com
  • 作者简介:段乃娟（1993-）,女,安徽宣城人,本科学历,硕士研究生在读。
  • 基金资助:
    中华护理学会2021年度立项科研课题（ZHKYQ202103）; 2021年安徽省护理学会科研课题立 项重点项目（AHHLa202105）

Construction of participatory art therapy intervention scheme for cervical cancer patients and their spouses based on Dyadic Coping Theory

DUAN Nai-juan1,2, SUN Li2, LI Feng-xia2, ZHANG Hui1,3,4   

  1. 1. School of Nursing, Anhui Medical University, Hefei 230601, China;
    2. Anhui Provincial Cancer Hospital, Hefei 230000, China;
    3. The First Affiliated Hospital of Anhui Medical University, Hefei 2300323, China;
    4. Anhui Public Health Clinical Center, Hefei 230032, China
  • Received:2024-01-05 Online:2024-03-10 Published:2024-04-08

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摘要： 目的 基于二元应对理论构建宫颈癌患者夫妻参与式绘画疗法干预方案,旨在缓解宫颈癌患者夫妻的心理压力并改善亲密关系。方法 通过文献回顾、小组讨论拟定方案草案,选取20名专家开展2轮函询对草案进行修订形成初稿,开展预试验进一步完善形成终稿,在82对宫颈癌患者夫妻中进行验证。结果 专家函询权威系数为0.91、第2轮函询肯德尔协调系数W为0.316（P<0.001）,每个条目适用性评分>4.6分,变异系数<0.14。该方案最终形成以自我了解、彼此表达、感动的事、回首岁月、夫妻同心、携手同行为主题的6场干预,2组宫颈癌患者夫妻在干预前、干预3场后、干预结束后的心理压力、二元应对、婚姻调适得分时间效应、交互效应、组间效应均有统计学意义（P<0.001）。结论 基于二元应对理论构建的宫颈癌患者夫妻参与式绘画疗法干预方案,充分考虑了宫颈癌患者夫妻的心理状态及专家意见,具有较好的科学性、实用性和临床意义,能够为宫颈癌患者夫妻缓解心理压力、改善亲密关系提供临床参考。

关键词: 绘画疗法, 艺术疗愈, 二元应对, 宫颈癌, 亲密关系, 心理护理

Abstract: Objective To construct a participatory art therapy intervention scheme based on dyadic coping theory to alleviate the psychological pressure of cervical cancer patients and their spouses and improve the relationship. Methods The draft plan was developed through literature review and group discussion, and 20 experts were invited to conduct two rounds of letter consultation to revise the draft scheme, and pre-experiments were carried out to form the final scheme, which was verified in 82 cervical cancer patients and their spouses. Results The authority coefficient of expert correspondence was 0.91, and the Kendall coordination coefficient W of the second round of correspondence 0.316 (P<0.001). The applicability score of each item was >4.6, and the coefficient of variation <0.14. The final scheme comprised six structured sessions, each centered around the following core themes: self-awareness, open dialogue and mutual understanding, reminiscence involving sentimental artifacts, retrospection on their shared life experiences, and continued solidarity and support. The time effect, interaction effect, and intergroup effect of psychological stress, dyadic coping, marital adjustment score of the two groups were found statistically significant before the intervention, after three intervention sessions, and at the end of the intervention (P<0.001). Conclusion The intervention scheme of participatory art therapy for cervical cancer patients and their spouses based on dyadic coping theory fully considers the psychological status of cervical cancer patients and their spouses and expert opinions. It is scientific and practical, and provides clinical reference to relieve psychological pressure and improve intimate relationship between cervical cancer patients and their spouses.

Key words: art therapy, art healing, dyadic coping, cervical cancer, intimate relationship, mental nursing

中图分类号: 

  • R473.73
[1] 敖永平. 基于二元应对理论的配偶同步赋能教育对2型糖尿病患者家庭幸福感的影响[D].苏州:江苏大学,2021.
[2] 彭青,王慧慧,李雪,等. 宫颈癌术后化疗期老年患者创伤后应激障碍与创伤后成长相关性分析[J]. 新疆医科大学学报,2019,42(2):262-265.
[3] Hsu MF, Wang C, Tzou SJ, et al.Effects of Zentangle art workplace health promotion activities on rural healthcare workers[J]. Public Health, 2021,196:217-222.DOI:10.1016/j.puhe.2021.05.033.
[4] Czamanski-Cohen J, Wiley J, Weihs KL.Protocol for the REPAT study: role of emotional processing in art therapy for breast cancer palliative care patients[J]. BMJ Open, 2020,10(11):e037521.DOI:10.1136/bmjopen-2020-037521.
[5] 孙丽,胡成文,刘群慧,等.1例急性白血病患儿的安宁疗护实践[J].中华护理杂志,2022,57(8):992-996.
[6] 刘群慧,方敏,黄洁,等.家长参与的绘画疗法在白血病患儿中的应用研究[J].中华护理杂志,2023, 58(8):907-914.
[7] 孙丽,黄家丽,胡成文,等. 基于文化敏感性框架肿瘤患儿安宁疗护方案的构建[J]. 护理学报,2023,30(15):6-10.
[8] 岳姣姣. 绘画疗法对弥漫大B细胞淋巴瘤患者化疗相关性恶心呕吐及生活质量的影响[D]. 郑州:郑州大学,2022.
[9] 宋伟姿. 团体绘画疗法在原发性肝癌患者围手术期神经情感症状群中的构建与应用[D]. 新乡:新乡医学院,2021.
[10] 买小苹. 120例POI患者发病与睡眠障碍和知觉压力相关性及中医证型分析[D]. 成都:成都中医药大学,2023.
[11] 裴梦月. 不孕症夫妇二元应对与焦虑、抑郁的关系研究[D]. 兰州:兰州大学,2023.
[12] 杨佳. 中青年乳腺癌患者配偶夫妻疾病沟通现状及影响因素研究[D]. 太原:山西医科大学,2023.
[13] Koom WS, Choi MY, Lee J, et al.Art therapy using famous painting appreciation maintains fatigue levels during radiotherapy in cancer patients[J]. Radiat Oncol J, 2016,34(2):135-144.DOI:10.3857/roj.2016.01760.
[14] 尹婉园. 绘画疗法在社区老年人自我价值感提升中的作用研究[D]. 长春:长春理工大学,2021.
[15] Yang G, Zhao L, Sheng L.Association of Synthetic House-Tree-Person Drawing Test and Depression in Cancer Patients[J]. Biomed Res Int,2019:1478634. DOI: 10.1155/2019/1478634.
[16] Lee J, Choi MY, Kim YB, et al.Art therapy based on appreciation of famous paintings and its effect on distress among cancer patients[J]. Qual Life Res, 2017,26(3):707-715. DOI: 10.1007/s11136-016-1473-5.
[17] Yuan Z, Li B, Ye X, et al.Systematic review and meta-analysis of the effects of group painting therapy on the negative emotions of depressed adolescent patients[J]. Ann Palliat Med,2021,10(10):10744-10755.DOI:10.21037/apm-21-2474.
[18] 邱慧敏,焦婧妍,万木春. 心流理论视域下游戏“羊了个羊”爆红辨析[J]. 青年记者,2023(8):62-64.
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