Aim: To present a study protocol for evaluating the feasibility and effectiveness of an individual face-to-face intervention based on protective factors to improve resilience among breast cancer patients.
Background: Research involving the effectiveness of universal interventions to improve resilience for breast cancer patients has seldom been reported and there is an urgent need to find a more acceptable, cost-effective method of providing emotional support. Through health education and psychological interventions, increasing protective factors could promote recovery to the original condition and improve resilience.
Design: A randomized controlled trial of an individual face-to-face intervention.
Methods: A total of 160 adults diagnosed with confirmed breast cancer will be recruited. The patients will be randomly assigned to the control group (N = 80) or the intervention group (N = 80). An intervention focusing on protective factors will be implemented in the intervention group. A survey of the patients from the two groups will be conducted at baseline, 1, 3, 6, and 12 months. The primary outcome is resilience, measured by the 14-item Resilience Scale. Secondary outcomes include self-efficacy, optimism, perceived social support, and mastery. The Chinese versions of the General Self-Efficacy Scale, revised Life Orientation Test, Multidimensional Scale of Perceived Social Support, and Self-Mastery Scale will be used to measure the four protective factors.
Impact: One-to-one and face-to-face interventions have many potential advantages for inpatients, including convenience, accessibility and individuality. Once its effectiveness is confirmed, the intervention will be implemented broadly and make support available for a large number of patients.
目的: 提出一项评估基于保护性因素的个体面对面干预的可行性和有效性,以提高乳腺癌患者的康复能力的研究方案。 背景: 关于提高乳腺癌患者复原力的普遍干预措施的有效性的研究很少有报道,且找出一种更可接受、成本效益更高的提供情感支持的方法的需求迫切。健康教育和心理干预及增加保护性因素有助于患者恢复至病前状态,提高患者恢复力。 设计: 个体面对面干预的随机对照试验。 方法: 将招募160名确诊患有乳腺癌的成人。将患者随机分为对照组(N=80)和干预组(N=80)。干预组实施以保护因素为主的干预。在1个月、3个月、6个月和12个月的开始时对两组患者进行调查。调查想得到的主要结果是由14项康复能力量表进行测量的迅速恢复的能力。次要结果包括自我效能、乐观、社会认同支持和控制力。采用中文版的一般自我效能感量表、修订后的生活取向测验、多维社会支持感量表和自我掌握量表对四个保护因素进行评估。 影响: 一对一和面对面干预对住院患者有许多潜在的好处,包括便利、易接近和个性化。一旦其有效性得到确认,干预措施将得到广泛实施,并将帮助大量患者。.
Keywords: breast neoplasm; nursing intervention; protective factors; randomized controlled trial; resilience.
© 2019 John Wiley & Sons Ltd.