基于二元应对的宫颈癌患者夫妻参与式绘画疗法干预方案构建研究

doi:10.16460/j.issn1008-9969.2024.05.007

护理学报 ›› 2024, Vol. 31 ›› Issue (5): 7-11.doi: 10.16460/j.issn1008-9969.2024.05.007

基于二元应对的宫颈癌患者夫妻参与式绘画疗法干预方案构建研究

段乃娟^1,2, 孙丽², 李凤侠², 张会^1,3,4

1.安徽医科大学护理学院,安徽合肥 230601;
2.安徽省肿瘤医院,安徽合肥 230000;
3.安徽医科大学第一附属医院,安徽合肥 2300323;
4.安徽省公共卫生临床中心,安徽合肥 230032

收稿日期:2024-01-05 出版日期:2024-03-10 发布日期:2024-04-08
通讯作者: 张会（1973-）,女,安徽合肥人,硕士,硕士研究生导师。E-mail：zhanghui310@126.com
作者简介:段乃娟（1993-）,女,安徽宣城人,本科学历,硕士研究生在读。
基金资助:
中华护理学会2021年度立项科研课题（ZHKYQ202103）; 2021年安徽省护理学会科研课题立项重点项目（AHHLa202105）

Construction of participatory art therapy intervention scheme for cervical cancer patients and their spouses based on Dyadic Coping Theory

DUAN Nai-juan^1,2, SUN Li², LI Feng-xia², ZHANG Hui^1,3,4

1. School of Nursing, Anhui Medical University, Hefei 230601, China;
2. Anhui Provincial Cancer Hospital, Hefei 230000, China;
3. The First Affiliated Hospital of Anhui Medical University, Hefei 2300323, China;
4. Anhui Public Health Clinical Center, Hefei 230032, China

Received:2024-01-05 Online:2024-03-10 Published:2024-04-08

摘要/Abstract

摘要： 目的基于二元应对理论构建宫颈癌患者夫妻参与式绘画疗法干预方案,旨在缓解宫颈癌患者夫妻的心理压力并改善亲密关系。方法通过文献回顾、小组讨论拟定方案草案,选取20名专家开展2轮函询对草案进行修订形成初稿,开展预试验进一步完善形成终稿,在82对宫颈癌患者夫妻中进行验证。结果专家函询权威系数为0.91、第2轮函询肯德尔协调系数W为0.316（P<0.001）,每个条目适用性评分>4.6分,变异系数<0.14。该方案最终形成以自我了解、彼此表达、感动的事、回首岁月、夫妻同心、携手同行为主题的6场干预,2组宫颈癌患者夫妻在干预前、干预3场后、干预结束后的心理压力、二元应对、婚姻调适得分时间效应、交互效应、组间效应均有统计学意义（P<0.001）。结论基于二元应对理论构建的宫颈癌患者夫妻参与式绘画疗法干预方案,充分考虑了宫颈癌患者夫妻的心理状态及专家意见,具有较好的科学性、实用性和临床意义,能够为宫颈癌患者夫妻缓解心理压力、改善亲密关系提供临床参考。

关键词: 绘画疗法, 艺术疗愈, 二元应对, 宫颈癌, 亲密关系, 心理护理

Abstract: Objective To construct a participatory art therapy intervention scheme based on dyadic coping theory to alleviate the psychological pressure of cervical cancer patients and their spouses and improve the relationship. Methods The draft plan was developed through literature review and group discussion, and 20 experts were invited to conduct two rounds of letter consultation to revise the draft scheme, and pre-experiments were carried out to form the final scheme, which was verified in 82 cervical cancer patients and their spouses. Results The authority coefficient of expert correspondence was 0.91, and the Kendall coordination coefficient W of the second round of correspondence 0.316 (P<0.001). The applicability score of each item was >4.6, and the coefficient of variation <0.14. The final scheme comprised six structured sessions, each centered around the following core themes: self-awareness, open dialogue and mutual understanding, reminiscence involving sentimental artifacts, retrospection on their shared life experiences, and continued solidarity and support. The time effect, interaction effect, and intergroup effect of psychological stress, dyadic coping, marital adjustment score of the two groups were found statistically significant before the intervention, after three intervention sessions, and at the end of the intervention (P<0.001). Conclusion The intervention scheme of participatory art therapy for cervical cancer patients and their spouses based on dyadic coping theory fully considers the psychological status of cervical cancer patients and their spouses and expert opinions. It is scientific and practical, and provides clinical reference to relieve psychological pressure and improve intimate relationship between cervical cancer patients and their spouses.

Key words: art therapy, art healing, dyadic coping, cervical cancer, intimate relationship, mental nursing

中图分类号:

R473.73

段乃娟, 孙丽, 李凤侠, 张会. 基于二元应对的宫颈癌患者夫妻参与式绘画疗法干预方案构建研究[J]. 护理学报, 2024, 31(5): 7-11.

DUAN Nai-juan, SUN Li, LI Feng-xia, ZHANG Hui. Construction of participatory art therapy intervention scheme for cervical cancer patients and their spouses based on Dyadic Coping Theory[J]. Journal of Nursing, 2024, 31(5): 7-11.

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基于二元应对的宫颈癌患者夫妻参与式绘画疗法干预方案构建研究

Construction of participatory art therapy intervention scheme for cervical cancer patients and their spouses based on Dyadic Coping Theory

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