以质量求发展,以服务铸品牌

护理学报 ›› 2020, Vol. 27 ›› Issue (1): 19-22.doi: 10.16460/j.issn1008-9969.2020.01.019

• 文献研究 • 上一篇    下一篇

癌症患者创伤后成长心理干预的研究进展

秦如梦1, 周利华1, 陆彩云2, 黄秀华3   

  1. 1.安徽医科大学 护理学院,安徽 合肥 230601;
    2.安徽医科大学第一附属医院高新分院 妇科,安徽 合肥230088;
    3.安徽医科大学第一附属医院 妇科,安徽 合肥 230022
  • 收稿日期:2019-09-10 出版日期:2020-01-10 发布日期:2020-07-20
  • 通讯作者: 周利华(1977-),女,安徽阜南人,硕士,博士研究生在读,副教授,硕士研究生导师。E-mail: aydzlh2000@126.com。
  • 作者简介:秦如梦(1995-),女,安徽宿州人,本科学历,硕士研究生在读。
  • 基金资助:
    安徽省高校自然科学研究项目(KJ2017A828)

  • Received:2019-09-10 Online:2020-01-10 Published:2020-07-20

摘要: 目的 了解国内外癌症患者的创伤后成长干预研究进展,为干预实践提供参考依据。方法 回顾国内外文献,对个体、夫妻/家庭及团体3种形式的心理干预方法进行综述。结果 不同形式的干预方法能够促进癌症患者创伤后成长的发生发展,但干预对象多集中在乳腺癌患者,干预方法多缺乏理论框架,干预措施在短期内能够促进成长,长期效果不明显,且评价工具多采用自我报告的量表。结论 癌症患者的创伤后成长干预方法具有各自的显著特性,未来应借鉴国内外相关研究的优势和相关理论,进一步拓展癌症患者的干预领域,以明确不同形式的干预方式在不同类型的癌症患者中的干预效果,探索出适合我国国情和满足患者需求的创伤后成长干预模式,以提高患者生活质量,促进身心康复。

关键词: 癌症, 创伤后成长, 心理干预

中图分类号: 

  • R473.73
[1] Bray F, Ferlay J, Soerjomataram I, et al.Global Cancer Statistics 2018: Globocan Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries[J]. CA Cancer J Clin,2018,68(6):394-424.DOI:10.3322/caac.21492.
[2] Polanski J, Chabowski M, Chudiak A, et al.Intensity of Anxiety and Depression in Patients with Lung Cancer in Relation to Quality of Life[J]. Adv Exp Med Biol,2018,1023(1):29-36.DOI:10.1007/5584_2017_50.
[3] Jung JY, Lee JM, Kim MS, et al.Comparison of Fatigue, Depression, and Anxiety as Factors Affecting Posttreatment Health-Related Quality of Life in Lung Cancer Survivors[J]. Psychooncology,2017,27(2):465-470.DOI:10.1002/pon.4513.
[4] Heidarzadeh M, Rassouli M, Brant JM, et al.Dimensions of Posttraumatic Growth in Patients with Cancer: A Mixed Method Study[J]. Cancer Nurs,2018,41(6):441-449. DOI:10.1097/NCC.0000000000000537.
[5] Tedeschi RG, Calhoun LG.The Posttraumatic Growth Inventory: Measuring the Positive Legacy of Trauma[J]. J Trauma Stress, 1996, 9(3):455-471. DOI:10.1002/jts.2490090305.
[6] 魏林波,卢惠娟,胡雁.癌症患者创伤后成长的概念分析[J]. 齐鲁护理杂志, 2015(14):50-54.DOI: 10.1016/j.cpr.2010.02.004.DOI10.3969/j.issn.1006-7256.2015.14.024.
[7] Husson O, Zebrack B, Block R, et al.Posttraumatic Growth and Well-Being among Adolescents and Young Adults (Ayas) with Cancer: A Longitudinal Study[J]. Supportive Care Cancer,2017,25(9):2881-2890.DOI:10.1007/s00520-017-3707-7.
[8] 唐棠. 癌症患者创伤后成长状况及影响因素研究[D]. 重庆:第三军医大学, 2013.
[9] Antoni MH, Lechner S, Diaz A, et al.Cognitive Behavioral Stress Management Effects on Psychosocial and Physiological Adaptation in Women Undergoing Treatment for Breast Cancer[J]. Brain Behav Immun, 2009, 23(5):1-591.DOI:10.1016/j.bbi.2008.09.005.
[10] Groarke A, Curtis R, Kerin M.Cognitive-behavioural Stress Management Enhances Adjustment in Women with Breast Cancer[J]. Br J Health Psychol,2013,18(3):623-641. DOI: 10.1111/bjhp.12009.
[11] Kenne ES, Mårtensson LB, Andersson BA, et al.Mindfulness and Its Efficacy for Psychological and Biological Responses in Women with Breast Cancer[J]. Cancer Med,2017,6(5):1108-1122. DOI:10.1002/cam4.1052.
[12] Kubo A,Kurtovich E,McGinnis M,et al.A Randomized Controlled Trial of mHealth Mindfulness Intervention for Cancer Patients and Informal Cancer Caregivers: A Feasibility Study within an Integrated Health Care Delivery System[J].Integr Cancer Ther, 2019,18(1):1-13.DOI:10.1177/1534735419850634.
[13] 毛鸣. 乳腺癌化疗早期患者创伤后成长的现状及正念减压疗法的干预效果研究[D].扬州:扬州大学,2018.
[14] Kallay E,Baban A.Emotional Benefits of Expressive Writing in a Sample of Romanian Female Cancer Patients[J]. Cognition, Brain, and Behavior,2008,12(1):115-129.
[15] Lu Q, Zheng D, Young L, et al.A Pilot Study of Expressive Writing Intervention among Chinese-speaking Breast Cancer Survivors[J].Health Psychol.2012,31(5):548-551.DOI: 10.1037/a0026834.
[16] 刘少华,强万敏,沈傲梅,等. 书写表达对改善化疗期乳腺癌患者益处发现水平、抑郁情绪、睡眠质量的效果[J]. 中国护理管理, 2017(9):1181-1184.DOI:10.3969/j.issn.1672-1756.2017.09.007.
[17] Gallagher MW, Long LJ, Tsai W, et al.The Unexpected Impact of Expressive Writing on Posttraumatic Stress and Growth in Chinese American Breast Cancer Survivors[J]. J Clin Psychol,2018, 74(10):1673-1686.DOI:10.1002/jclp.22636.
[18] Chandwani KD, Thornton B, Perkins GH, et al.Yoga Improves Quality of Life and Benefit Finding in Women Undergoing Radiotherapy for Breast Cancer[J]. J Soc Integr Oncol,2010,8(2):43-55.DOI:10.2310/7200.2010.0002.
[19] Crawford JJ, Vallance JK, Holt NL, et al.A Pilot Randomized, Controlled Trial of a Wall Climbing Intervention for Gynecologic Cancer Survivors[J].Oncol Nurs Forum, 2017, 44(1):77-86.DOI:10.1188/17.ONF.77-86.
[20] Shin W, Song S, Jung SY, et al.The Association between Physical Activity and Health-related Quality of Life Among Breast Cancer Survivors[J]. Health Qual Life Outcomes, 2017, 15(1):132-139.DOI:10.1186/s12955-017-0706-9.
[21] Heinrichs N, Zimmermann T, Huber B, et al.Cancer Distress Reduction with a Couple-based Skills Training:A Randomized Controlled Trial[J]. Ann Behav Med,2012,43(2):239-252.DOI:10.1007/s12160-011-9314-9.
[22] 丁春戈,梅永霞,林蓓蕾,等. 二元应对在慢性病患者及其配偶中的应用进展[J]. 中华护理杂志, 2018,53(5):626-630.
[23] Zwahlen D, Hagenbuch N, Carley MI, et al.Posttraumatic Growth in Cancer Patients and Partners-effects of Role, Gender and the Dyad on Couples' Posttraumatic Growth Experience[J]. Psychooncology, 2010, 19(1):12-20.DOI:10.1002/pon.1486.
[24] Garlan RW, Butler LD, Siegel ERA, et al.Perceived Benefits and Psychosocial Outcomes of a Brief Existential Family Intervention for Cancer Patients/Survivors[J]. Omega, 2011, 62(3):243-268.DOI:10.2190/OM.62.3.c.
[25] Rosenbaum E, Garlan RW, Hirschberger N, et al.The Life Tape Project:Increasing Family Social Support and Symbolic Immortality with a Brief Existential Intervention for Cancer Patients and Their Families[J]. Omega, 2006, 53(4):321-339.
[26] Ramos C, Costa PA, Rudnicki T, et al.The Effectiveness of a Group Intervention to Facilitate Posttraumatic Growth Among Women with Breast Cancer[J].Psychooncology, 2017,27(1):258-264.DOI:10.1002/pon.4501.
[27] Pat-Horenczyk R, Perry S, Hamama-Raz Y, et al.Posttraumatic Growth in Breast Cancer Survivors: Constructive and Illusory Aspects[J]. J Trauma Stress, 2015, 28(3):214-222. DOI:10.1002/jts.22014.
[28] 田琳琳,马丽莉,李艳萍. 结构式团体心理干预对改良根治术后年轻乳腺癌病人创伤后成长的影响[J].护理研究, 2016(30):3384-3386. DOI:10.3969/j.issn.1009-6493.2016.27.019.
[29] Van d SN, Vos J, Van Uden-Kraan CF, et al. Efficacy of Meaning-centered Group Psychotherapy for Cancer Survivors: A Randomized Controlled Trial[J]. Psychol Med,2017,47(11):1990-2001.DOI:10.1017/S0033291717000447.
[30] Breitbart W, Poppito S,Rosenfeld B,et al.Pilot Randomized Controlled Trial of Individual Meaning-centered Psychotherapy for Patients with Advanced Cancer[J]. J Clin Oncol,2012,30:1304-1309.DOI:10.1200/JCO.2011.36.2517.
[1] 张小莉, 杨鑫玉, 肖宇, 刘春燕, 张璐, 伍晓琴, 黄月霖, 傅静. 晚期癌症患者代理决策者安宁疗护决策后悔研究的范围综述[J]. 护理学报, 2024, 31(8): 49-54.
[2] 黄佳颖, 张静, 梁丽婵, 孟江南, 叶红雨, 王为杰, 史蕾. 简版儿科症状筛查工具的汉化及在4~7岁癌症患儿中的信效度检验[J]. 护理学报, 2024, 31(8): 55-59.
[3] 陈芮, 王梅, 唐晓霞, 朱傲雪, 毛惠娜. 基于ERG理论的免疫检查点抑制剂治疗癌症患者护理需求方案的构建[J]. 护理学报, 2024, 31(7): 1-5.
[4] 袁华君, 段功香, 陈路桥, 王慧清. 癌症终末期患者救护意愿量表的编制及信效度检验[J]. 护理学报, 2024, 31(6): 73-78.
[5] 宋彩妮, 郑尧, 宋英, 刘丽华. 癌症照顾者信息隐瞒量表的汉化及在肺癌患者照顾者中的信效度检验[J]. 护理学报, 2024, 31(3): 17-20.
[6] 刘仲全, 杨秀, 傅忠华. 头颈癌患者女性配偶照顾者创伤后成长体验的质性研究[J]. 护理学报, 2024, 31(22): 73-78.
[7] 栗跃歌, 孔涵, 曹鼎, 李佳欣, 尚娅萌, 常淑莹. 228例中青年宫颈癌术后患者癌症复发恐惧现状及影响因素分析[J]. 护理学报, 2024, 31(20): 8-12.
[8] 耿玉芳, 秦如梦, 王慧, 张珊珊, 周利华. 基于诠释性现象学研究的卵巢癌患者创伤后成长经历模型的构建[J]. 护理学报, 2024, 31(18): 73-78.
[9] 潘靖达, 董燕燕, 何家欣, 刘红利, 林穗仪, 于红静, 潘珊, 李佳佳, 凌冬兰. 医护人员对癌症患者病情披露心理体验的Meta整合[J]. 护理学报, 2024, 31(16): 56-61.
[10] 郭颖英, 俞新燕, 谢淑萍. 虚拟现实在癌症晚期患者安宁疗护中的应用[J]. 护理学报, 2024, 31(11): 58-62.
[11] 钱湛, 杨晓婷, 林觐民. 癌症患者生育忧虑体验的Meta整合[J]. 护理学报, 2023, 30(4): 55-60.
[12] 孙琪, 李丹钰, 宗旭倩, 袁长蓉, 罗菁, 黄青梅, 张雯, 杨瑒, 吴傅蕾. 移动医疗在癌症老年患者院外管理中的应用进展[J]. 护理学报, 2023, 30(22): 36-39.
[13] 董岩, 朱思颖, 王虹, 范甜甜, 黎玉梅, 韩媛. 青少年癌症幸存者重返校园体验质性研究的Meta整合[J]. 护理学报, 2023, 30(19): 56-61.
[14] 苏闪闪, 董又鸣, 郑蔚, 王丹丹, 刘梦丽, 刘贺, 瞿小凤, 张苇. 癌症患者社会疏离测评问卷的编制及信效度检验[J]. 护理学报, 2023, 30(17): 51-56.
[15] 花芸, 王雯沁, 刘志梅, 冯国和, 杜沫晗. 癌症患者PICC置管支持性照护需求量表的编制及信效度检验[J]. 护理学报, 2023, 30(15): 23-28.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!