Effects of supportive-expressive group psychological intervention on fear of recurrence in cancer patients receiving radiotherapy
10.3760/cma.j.cn115682-20230817-00566
- VernacularTitle:支持-表达性团体心理干预对肿瘤放疗患者复发恐惧的效果研究
- Author:
Lijuan ZHANG
1
;
Fei QIN
;
Yu ZHU
;
Shuman WANG
;
Yu ZHANG
;
Hongwei WAN
Author Information
1. 上海市质子重离子医院护理部 上海市放射肿瘤学重点实验室 上海质子重离子放射治疗工程技术研究中心，上海 201315
- Keywords:
Neoplasms;
Radiotherapy;
Support-expressive group psychological intervention;
Fear of recurrence;
Meaning in life;
Social support
- From:
Chinese Journal of Modern Nursing
2024;30(9):1205-1211
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of supportive-expressive group psychological intervention on the fear of recurrence in cancer patients receiving radiotherapy.Methods:From September 2022 to February 2023, convenience sampling was used to select 72 tumor inpatients from Shanghai Proton and Heavy Ion Center. According to the random number table method, patients were divided into an intervention group and a control group, with 36 cases in each group. The control group received routine nursing, while the intervention group carried out supportive-expressive group psychological intervention. The fear of recurrence, meaning in life, and perceived social support scores of two groups of patients before and after intervention were compared using the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Cancer-Meaning in Life Scale (C-MiLS), and Perceived Social Support Scale (PSSS) .Results:A total of 7 cases were lost, with 33 cases in the intervention group and 32 cases in the control group completing the study. Before intervention, there was no statistically significant difference in the general information, fear of recurrence, meaning in life, and perceived social support scores between the two groups of patients ( P>0.05). After supportive-expressive group psychological intervention, the total score of cancer recurrence fear, physical health dimension, and social family dimension scores of the intervention group were (30.42±8.31), (15.58±4.12), and (14.82±4.83), respectively, which were lower than the control group's (36.19±5.64), (18.84±3.48), and (17.09±3.27), and the differences were statistically significant ( t=-3.260, -3.446, and -2.216; P<0.05). After intervention, the total score of the intervention group's meaning in life was (63.42±6.37), which was higher than the control group's (54.91±6.53), and the difference was statistically significant ( t=5.325, P<0.05). After intervention, the perceived social support score of the intervention group was (67.64±7.93), which was higher than the control group's (62.38±10.25), and the difference was statistically significant ( t=2.318, P<0.05). After intervention, the level of fear of recurrence in the intervention group was lower than that before intervention, and the level of meaning in life and perceived social support were higher than those before intervention, with statistical differences ( P<0.05) . Conclusions:Support-expressive group psychological intervention can help cancer patients deal with survival, emotional, and interpersonal issues they face, reduce their fear of recurrence, improve their meaning in life, and perceived social support.
