基于微信的认知行为压力管理在早期宫颈癌患者中的应用:随机对照研究。

IF 0.9 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Journal of Obstetrics and Gynaecology Pub Date : 2024-12-01 Epub Date: 2024-10-21 DOI:10.1080/01443615.2024.2410858
Qing Hao, Lan Feng, Dandan Chen, Xia Fan, Lei Wei, Zhaojun Cui, Jing Zhang, Lin Wang, Dan Zhang, Xinxin Zhan, Wenping Yang
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However, the groups exhibited decreased EuroQol-5 dimension scores at M3 (<i>t</i> = 2.056, <i>P</i> = 0.041) and M6 ((<i>t</i> = 2.242, <i>P</i> = 0.026) and QLQ-C30 symptom scores at M1 (<i>t</i> = 2.026, <i>P</i> = 0.044) and M3 (<i>t</i> = 2.210, <i>P</i> = 0.028).</p><p><strong>Conclusion: </strong>WB-CBSM reduced anxiety and depression and improved the spiritual well-being and quality of life of patients with early-stage cervical cancer treated with surgical resection.</p>","PeriodicalId":16627,"journal":{"name":"Journal of Obstetrics and Gynaecology","volume":"44 1","pages":"2410858"},"PeriodicalIF":0.9000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Application of WeChat-based cognitive behavioural stress management for early-stage cervical cancer patients: a randomised controlled study.\",\"authors\":\"Qing Hao, Lan Feng, Dandan Chen, Xia Fan, Lei Wei, Zhaojun Cui, Jing Zhang, Lin Wang, Dan Zhang, Xinxin Zhan, Wenping Yang\",\"doi\":\"10.1080/01443615.2024.2410858\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>This randomised controlled study was aimed at investigating the effects of WeChat-based cognitive behavioural stress management (WB-CBSM) on the mental health of patients with early-stage cervical cancer treated with surgical resection.</p><p><strong>Methods: </strong>A total of 184 patients with early-stage cervical cancer were randomised to receive either WB-CBSM (<i>n</i> = 92) or normal care (NC) (<i>n</i> = 92) for 8 weeks.</p><p><strong>Results: </strong>Compared with the NC group, the WB-CBSM group exhibited reduced Hospital Anxiety and Depression Scale (HADS)-anxiety scores at months (M)1 (<i>t</i> = 2.022, <i>P</i> = 0.045), M3 (<i>t</i> = 2.575, <i>P</i> = 0.011), and M6 (<i>t</i> = 2.709, <i>P</i> = 0.007); anxiety rates at M3 (<i>χ<sup>2</sup></i> = 4.834, <i>P</i> = 0.028) and M6 (<i>χ<sup>2</sup></i> = 5.182, <i>P</i> = 0.023); HADS-depression scores at M3 (<i>t</i> = 2.069, <i>P</i> = 0.040) and M6 (<i>t</i> = 2.449, <i>P</i> = 0.015); and depression rates at M6 (<i>χ<sup>2</sup></i> = 4.268, <i>P</i> = 0.039). 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引用次数: 0

摘要

研究背景本随机对照研究旨在探讨基于微信的认知行为压力管理(WB-CBSM)对接受手术切除治疗的早期宫颈癌患者心理健康的影响:共有184名早期宫颈癌患者被随机分配到WB-CBSM组(92人)或普通护理组(92人),为期8周:结果:与 NC 组相比,WB-CBSM 组在第 1 个月(M)(t = 2.022,P = 0.045)、第 3 个月(t = 2.575,P = 0.011)和第 6 个月(t = 2.709,P = 0.007)的医院焦虑和抑郁量表(HADS)焦虑评分有所降低;在第 1 个月(M)的焦虑率为 0.007,第 3 个月(t = 2.575,P = 0.011)和第 6 个月(t = 2.709,P = 0.007);M3(χ2 = 4.834,P = 0.028)和 M6(χ2 = 5.182,P = 0.023)的焦虑率;M3(t = 2.069,P = 0.040)和 M6(t = 2.449,P = 0.015)的 HADS 抑郁评分;M6(χ2 = 4.268,P = 0.039)的抑郁率。此外,WB-CBSM 组在 M1(t = -2.001,P = 0.047)、M3(t = -2.281,P = 0.024)和 M6(t = -3.501,P = 0.001);M3(t = -2.034,P = 0.043)和 M6(t = -2.426,P = 0.016)时的生活质量问卷-核心 30(QLQ-C30)总体健康评分;M3(t = -2.009,P = 0.046)时的 QLQ-C30 功能评分。然而,两组在 M3(t = 2.056,P = 0.041)和 M6((t = 2.242,P = 0.026)时的 EuroQol-5 维度得分以及在 M1(t = 2.026,P = 0.044)和 M3(t = 2.210,P = 0.028)时的 QLQ-C30 症状得分均有所下降:结论:WB-CBSM可减少早期宫颈癌手术切除患者的焦虑和抑郁,改善其精神健康和生活质量。
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Application of WeChat-based cognitive behavioural stress management for early-stage cervical cancer patients: a randomised controlled study.

Background: This randomised controlled study was aimed at investigating the effects of WeChat-based cognitive behavioural stress management (WB-CBSM) on the mental health of patients with early-stage cervical cancer treated with surgical resection.

Methods: A total of 184 patients with early-stage cervical cancer were randomised to receive either WB-CBSM (n = 92) or normal care (NC) (n = 92) for 8 weeks.

Results: Compared with the NC group, the WB-CBSM group exhibited reduced Hospital Anxiety and Depression Scale (HADS)-anxiety scores at months (M)1 (t = 2.022, P = 0.045), M3 (t = 2.575, P = 0.011), and M6 (t = 2.709, P = 0.007); anxiety rates at M3 (χ2 = 4.834, P = 0.028) and M6 (χ2 = 5.182, P = 0.023); HADS-depression scores at M3 (t = 2.069, P = 0.040) and M6 (t = 2.449, P = 0.015); and depression rates at M6 (χ2 = 4.268, P = 0.039). Moreover, the WB-CBSM group showed increased Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being scale scores at M1 (t = -2.001, P = 0.047), M3 (t = -2.281, P = 0.024), and M6 (t = -3.501, P = 0.001); the Quality of Life Questionnaire-Core 30 (QLQ-C30) global health score at M3 (t = -2.034, P = 0.043) and M6 (t = -2.426, P = 0.016); and QLQ-C30 function score at M3 (t = -2.009, P = 0.046). However, the groups exhibited decreased EuroQol-5 dimension scores at M3 (t = 2.056, P = 0.041) and M6 ((t = 2.242, P = 0.026) and QLQ-C30 symptom scores at M1 (t = 2.026, P = 0.044) and M3 (t = 2.210, P = 0.028).

Conclusion: WB-CBSM reduced anxiety and depression and improved the spiritual well-being and quality of life of patients with early-stage cervical cancer treated with surgical resection.

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来源期刊
CiteScore
2.40
自引率
7.70%
发文量
398
审稿时长
6 months
期刊介绍: Journal of Obstetrics and Gynaecology represents an established forum for the entire field of obstetrics and gynaecology, publishing a broad range of original, peer-reviewed papers, from scientific and clinical research to reviews relevant to practice. It also includes occasional supplements on clinical symposia. The journal is read widely by trainees in our specialty and we acknowledge a major role in education in Obstetrics and Gynaecology. Past and present editors have recognized the difficulties that junior doctors encounter in achieving their first publications and spend time advising authors during their initial attempts at submission. The journal continues to attract a world-wide readership thanks to the emphasis on practical applicability and its excellent record of drawing on an international base of authors.
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