A 12-week WeChat education, relaxing, and care program relieves anxiety, depression, insomnia, and posttraumatic stress disorder in parents of childhood lymphoma patients.

IF 2 4区 医学 Q3 HEMATOLOGY Hematology Pub Date : 2024-12-01 Epub Date: 2024-11-18 DOI:10.1080/16078454.2024.2426825
Zhongyu Wang, Zhongya Wang, Yanxia Ji, Hui Duan, Li Wang, Yanzheng Zhao, Qing Guo, Xuechao Wang
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Abstract

Objectives: In our previous study, we conducted a 6-month WeChat education and care program for parents of pediatric acute lymphoblastic leukemia patients, which was effectively alleviated anxiety, depression, and insomnia. This study implemented a 12-week WeChat education, relaxing, and care program (WERC) to investigate its effect on psychological disorders and insomnia in parents of childhood lymphoma patients.

Methods: Totally, 112 parents of 56 childhood lymphoma patients were randomized at a 1:1 ratio into WERC (N = 56) or normal care (NC) (N = 56) groups to receive corresponding 12-week interventions. The self-rating anxiety/depression scale (SAS/SDS), Athens insomnia scale (AIS), and impact of events scale-revised (IES-R) scores were assessed at enrollment (W0) and 12 weeks after the initiation of the intervention (W12); score changes (W0-W12) were also calculated.

Results: Scores of the scales at W0 did not differ between groups (all P > 0.05). The WERC group showed a lower SAS score at W12 (P = 0.045) and greater change in SAS score (P < 0.001) than the NC group. The SDS score at W12 was not different (P = 0.119), while SDS score change was numerically greater (P = 0.076) in the WERC group than the NC group. Compared with the NC group, the WERC group tended toward a decreased AIS score at W12 (P = 0.054) and a greater AIS score change (P < 0.001). The IES-R score at W12 was lower (P = 0.040), and the IES-R score change was greater (P = 0.013) in the WERC group than the NC group.

Conclusion: A 12-week WERC ameliorates psychological disorders and insomnia better than NC in parents of childhood lymphoma patients.

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为期12周的微信教育、放松和护理项目缓解了儿童淋巴瘤患者家长的焦虑、抑郁、失眠和创伤后应激障碍。
研究目的在之前的研究中,我们对小儿急性淋巴细胞白血病患者的家长开展了为期6个月的微信教育和关怀项目,有效缓解了他们的焦虑、抑郁和失眠。本研究实施了为期12周的微信教育、放松和关怀项目(WERC),以探讨其对儿童淋巴瘤患者家长心理障碍和失眠的影响:56名儿童淋巴瘤患者的112名家长按1:1的比例随机分为WERC组(56人)和普通护理组(56人),接受相应的12周干预。在入组(W0)和干预开始 12 周后(W12),对焦虑/抑郁自评量表(SAS/SDS)、雅典失眠量表(AIS)和事件影响量表修订版(IES-R)的得分进行评估,并计算得分变化(W0-W12):结果:各组在 W0 时的量表评分没有差异(P 均大于 0.05)。WERC 组在 W12 时的 SAS 分数较低(P = 0.045),SAS 分数变化较大(P P = 0.119),而 WERC 组的 SDS 分数变化在数值上大于 NC 组(P = 0.076)。与 NC 组相比,WERC 组在 W12 期的 AIS 评分趋于下降(P = 0.054),AIS 评分变化较大(P P = 0.040),WERC 组的 IES-R 评分变化大于 NC 组(P = 0.013):结论:与NC相比,为期12周的WERC能更好地改善儿童淋巴瘤患者父母的心理障碍和失眠。
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来源期刊
Hematology
Hematology 医学-血液学
CiteScore
2.60
自引率
5.30%
发文量
140
审稿时长
3 months
期刊介绍: Hematology is an international journal publishing original and review articles in the field of general hematology, including oncology, pathology, biology, clinical research and epidemiology. Of the fixed sections, annotations are accepted on any general or scientific field: technical annotations covering current laboratory practice in general hematology, blood transfusion and clinical trials, and current clinical practice reviews the consensus driven areas of care and management.
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