doi:10.3969/j.issn.1674-490X.2021.01.010

Abstract

Abstract: Objective To identify the effects of couple-based psychological interventions on psychological status of patients with breast cancer by using meta-analysis. Methods We performed a systematic search in Web of Science, PubMed, Cochrane Library, CNKI and Wanfang to collect studies about effects of couple-based psychological interventions on psychological status in patients with breast cancer from inception to May 2020. Meta-analysis was performed by using RevMan 5.3 software after two independent reviewers conducted independent literature screening, data extraction, and literature quality evaluation according to inclusion and exclusion criteria. Results Seven studies were recruited, including 1 093 patients. Descriptive result displayed that couple-based psychological interventions had a positive effect on fear of cancer recurrence of patients with breast cancer. The results of meta-analysis showed that couple-based psychological interventions had no significant effect on anxiety (SMD=0.04,95%CI=-0.11~0.19,P=0.63)or depress(SMD=0.05,95%CI=-0.20~0.10,P=0.54)of patients with breast cancer. Conclusion Couple-based psychological interventions have a positive effect on fear of cancer recurrence of patients with breast cancer, but have no significant effect on anxiety or depress. Due to limited quality and quantity of the included studies, more high-quality studies are required to verify above conclusion.

Key words: dyadic coping, psychological interventions, breast cancer, psychological health, Meta-analysis

CLC Number:

R737

References

[1] COUGHLIN S S. Epidemiology of breast cancer in women[J]. Adv Exp Med Biol, 2019, 1152: 9-29. DOI: 10.1007/978-3-030-20301-6_2.
[2] International Agency for Research on Cancer:China[R/OL].(2020-12)[2020-12-31].https://v.hbu.cn/https/77726476706e69737468656265737421f7f44ed22e317a53300e9b/today/data/factsheets/populations/160-china-fact-sheets.pdf.
[3] 倪倩倩, 周利华, 王维利, 等. 妇科癌症患者配偶心理困扰与自我表露、亲密关系的调查分析[J]. 中华护理杂志, 2016, 51(5): 529-533. DOI: 10.3761/j.issn.0254-1769.2016.05.003.
[4] DUPREZ C, VANLEMMENS L, UNTAS A, et al. Emotional distress and subjective impact of the disease in young women with breast cancer and their spouses[J]. Future Oncol, 2017, 13(29): 2667-2680. DOI: 10.2217/fon-2017-0264.
[5] 安慧颖, 陈长英, 王盼盼, 等. 癌症患者及其配偶二元应对的研究进展[J]. 中国护理管理, 2019, 19(7): 1064-1069. DOI: 10.3969/j.issn.1672-1756.2019.07.022.
[6] NICOLAISEN A, HAGEDOORN M, HANSEN D G, et al. The effect of an attachment-oriented couple intervention for breast cancer patients and partners in the early treatment phase: a randomised controlled trial[J]. Psychooncology, 2018, 27(3): 922-928. DOI: 10.1002/pon.4613.
[7] 李明士, 张智. 以夫妻为中心的心理干预在老年乳腺癌患者中的应用效果评价[J]. 中国护理管理, 2016, 16(6): 749-753. DOI: 10.3969/j.issn.1672-1756.2016.06.008.
[8] MANNE S L, OSTROFF J S, WINKEL G, et al. Couple-focused group intervention for women with early stage breast cancer[J]. J Consult Clin Psychol, 2005, 73(4): 634-646. DOI: 10.1037/0022-006X.73.4.634.
[9] CHRISTENSEN D N. Postmastectomy couple counseling: an outcome study of a structured treatment protocol[J]. J Sex Marital Ther, 1983, 9(4): 266-275. DOI: 10.1080/00926238308410913.
[10] KALAITZI C, PAPADOPOULOS V P, MICHAS K, et al. Combined briefpsychosexual intervention after mastectomy: effects on sexuality, body image, a-nd psychological well-being[J]. J Surg Oncol, 2007, 96(3): 235-240. DOI: 10.1002/jso.20811.
[11] MANNE S L, SIEGEL S D, HECKMAN C J, et al. A randomized clinical trial of a supportive versus a skill-based couple-focused group intervention f-or breast cancer patients[J]. J Consult Clin Psychol, 2016, 84(8): 668-681. DOI: 10.1037/ccp0000110.
[12] HUANG Q,YANG X F, JIANG A M,et al. Psychological intervention improves quality of life for patients with breast cancer[J].Int J Clin Exp Med,2019,12(3):2511-2517.
[13] 伍萍. 配偶同步知信行教育模式干预对乳腺癌患者生活质量和心理应激的影响[J]. 当代护士(下旬刊), 2016(3): 83-84.
[14] 张贤贤, 张利霞, 贾智慧, 等. 夫妻自我表露在青年乳腺癌患者癌症复发恐惧干预中的应用研究[J]. 中华护理杂志, 2019, 54(11): 1610-1614. DOI: 10.3761/j.issn.0254-1769.2019.11.002.
[15] LYONS K S, LEE C S. The theory of dyadic illness management[J]. J Fam Nurs, 2018, 24(1): 8-28. DOI: 10.1177/1074840717745669.

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 13

Recommended Articles

Metrics

Comments

[1]	. [J]. Journal of Hebei Medical College for Continuing Education, 2023, 40(2): 39-43.
[2]	YANG Yang, WANG Jue, LIU Ning. A meta-analysis of the detection rate of dysphagia in patients with acute stroke [J]. Journal of Hebei Medical College for Continuing Education, 2022, 39(2): 54-65.
[3]	WEI Yali,SUN Chengcheng,WANG Xiaochun. Advances on vasculogenic mimicry in breast cancer [J]. Journal of Hebei Medical College for Continuing Education, 2022, 39(2): 16-23.
[4]	. [J]. Journal of Hebei Medical College for Continuing Education, 2021, 38(5): 7-14.
[5]	. [J]. Journal of Hebei Medical College for Continuing Education, 2020, 37(3): 18-27.
[6]	. [J]. Medical Reserch and Education, 2020, 37(1): 36-40.
[7]	. [J]. Medical Reserch and Education, 2020, 37(1): 14-20.
[8]	. [J]. Medical Reserch and Education, 2019, 36(2): 39-47.
[9]	QI Juan, XU Yan, LI zhong, zHAO Binyu. Effects of continuous nursing on the functional recovery of patients with breast cancer [J]. Medical Reserch and Education, 2015, 32(5): 64-66.
[10]	ZHANG Gang, QI Juan, LI Zhong, LIN Xiaomeng, CAI Qianqian, HAO Xin. Clinical significance of molecular markers expression in invasive ductal breast cancer and ductal carcinoma in situ [J]. Medical Reserch and Education, 2015, 32(3): 31-35.
[11]	LIN Xiaomeng, SHI Jianwei, WANG Jian, LI Zhong. Ductal carcinoma in situ of the breast (Report of 78 cases) [J]. Medical Reserch and Education, 2015, 32(1): 26-30.
[12]	FANG Yuting, JIANG Ling, SHI Tianlu, SUN Yancai. A meta-analysis of the effects and safety of montelukast sodium in treating mycopeasmae pneumonia in children [J]. Medical Reserch and Education, 2014, 31(5): 29-33.
[13]	ZHOU Bin,Li Yuanyuan. Sensitivity analysis on commonly used chemotherapy drugs in treating breast cancer cells [J]. Medical Reserch and Education, 2014, 31(2): 21-24.