自治计划对结直肠癌患者生活质量的有效性:一项随机对照试验
Tsae-Jyy Wang1, Shih-Chang Chang2, Hsi-Hsien Hsu3
1School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, 112303, Taiwan.
概括
自主管理计划改善了结直肠癌患者的生活质量,并减少了结直肠癌患者的痛苦和疲劳. 然而,它并没有显著影响身体活动或水果和蔬菜摄入量.
科学领域:
- 在瘤学瘤学.
- 行为科学 行为科学
- 心理学 心理学 心理学
背景情况:
- 结肠直肠癌 (CRC) 幸存者面临着影响生活质量的挑战.
- 有效的自我管理策略对于CRC患者的康复和福祉至关重要.
研究的目的:
- 评估基于接受和承诺疗法 (ACT) 的结直肠癌患者自我管理计划的有效性.
- 评估该计划对生活质量,情绪压力,疲劳,体力活动和饮食摄入量的影响.
主要方法:
- 一项随机对照试验,涉及156名患有I-III期结肠直肠癌的患者.
- 干预组接受了基于ACT的自我管理计划 (小册子,培训,电话).
- 对照组接受了标准的健康教育传单;结果在六个月的随访期间进行了评估.
主要成果:
- 在焦虑,抑郁,疲劳和身体/功能指标上观察到显著改善.
- 在干预组中,结肠直肠癌特异性生活质量显著改善.
- 没有发现身体活动或水果和蔬菜摄入量的显著变化.
结论:
- 基于ACT的自我管理技能,包括症状管理和心理调整,有助于CRC患者.
- 这些技能有助于患者导航癌症生存,可能加速康复和提高生活质量.
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