| Objective1.To construct an emotional management training intervention program for breast cancer patients undergoing chemotherapy.2.To verify the intervention effect of the emotional management training intervention program.MethodsThis study consists of two parts:1.Construction of emotional management training intervention program for breast cancer patients undergoing chemotherapy.We systematically searched domestic and foreign databases in both Chinese and English,analyzed the literature related to emotion management and emotion management intervention programs,extracted the main contents of the intervention program,a semi-structured interview was conducted on 8cases of breast cancer patients undergoing chemotherapy,and the interview data were analyzed to extract relevant content to form the first draft of the emotional management training intervention plan for breast cancer patients undergoing chemotherapy.The intervention program was systematically evaluated by selecting 13 experts for Delphi expert consultation.According to experts recommendations,the emotional management training program for breast cancer patients undergoing chemotherapy was revised.Five patients undergoing chemotherapy after breast cancer surgery were selected to debug the intervention plan,revise the intervention plan again,and form a test draft of the emotional management training intervention plan for patients undergoing chemotherapy after breast cancer surgery.2.The application of emotional management training intervention program for breast cancer patients undergoing chemotherapy.It was convenient to select patients with postoperative chemotherapy for breast cancer who were hospitalized in the tumor center of a tertiary hospital in Zhengzhou.The patients who met the inclusion criteria,we randomly divided them into the control group and the intervention group by through a coin.37 cases in each ward.The intervention group was given routine health education plus an emotional management training intervention program for patients undergoing chemotherapy after breast cancer surgery.The control group was assigned routine health education about breast cancer-related knowledge.The outcome indicators determined the through literature review include cognitive emotion regulation strategies,emotion regulation self-efficacy,anxiety and depression,and sleep quality.The effect of the intervention program was evaluated,the problems in the intervention process were analyzed,and the intervention program was adjusted again.Results1.Construction of emotional management training intervention program for breast cancer patients undergoing chemotherapy.Firstly,the Chinese and English literature related to emotion management from the establishment of the database to January 2021 were searched,and 8 experimental articles were finally included as a reference.Four topics and six subtopics were extracted from semi-structured interviews with10 breast cancer patients;on this basis,the first draft of the emotional management training intervention plan for breast cancer patients undergoing chemotherapy was constructed.The first draft of the intervention plan was revised again through two rounds of Delphi expert consultation and a pilot test with 5 breast cancer patients undergoing chemotherapy.The effective recovery rates of the two rounds of expert letter questionnaires were 92.8% and 100%,and the authority coefficient of experts was 0.9.Emotional management training intervention plan for post-chemotherapy patients.2.To apply of emotional management training intervention program for breast cancer patients undergoing chemotherapy.74 patients with breast cancer undergoing chemotherapy were recruited in this study.In the end,12 cases were lost to follow-up during the intervention process,and the final effective sample size was62 cases.(1)Emotion regulation strategy: The generalized estimating equation analysis showed that:Between-group effects: There were statistically significant differences in the scores of each dimension of cognitive emotion regulation between the two groups of breast cancer patients undergoing chemotherapy(P<0.05).The scores of each dimension of non-adaptive emotion regulation of the patients were lower than those of the control group one month after the intervention and three months after the intervention,and the scores of each dimension of adaptive emotion regulation were higher one month after the intervention and three months after the intervention Compared with the control group;Time effect: the scores of other dimensions of the two groups of breast cancer patients undergoing chemotherapy were significantly different at different time points(P<0.05).Interaction: Except for catastrophic and rational acceptance,the scores of other dimensions in the two groups of breast cancer patients undergoing chemotherapy were higher than There was an interaction between experiment and time factors(P<0.05).(2)Emotion regulation self-efficacy: The generalized estimating equation analysis showed that there was a statistically significant difference in the total score of emotion regulation self-efficacy between the two groups of breast cancer patients undergoing chemotherapy after surgery(P<0.05);within-group effect,each There were differences in the total scores of emotional regulation self-efficacy between the two groups of breast cancer patients undergoing chemotherapy at time points(P < 0.05);and there was an interaction effect between time and grouping in the total emotional regulation self-efficacy scores of the two groups of breast cancer patients undergoing chemotherapy.(P<0.05),the effect of time factors(before the intervention,one month after the end of the intervention,and three months after the end of the intervention)was different with the different groups(intervention group and control group),and the experimental factors had different effects on breast cancer surgery.The effect of the total score of emotional regulation self-efficacy in chemotherapy patients changed with time,and the difference was statistically significant(P<0.05).(3)Anxiety and depression score: The generalized estimating equation showed that:between-group effect,there was a statistically significant difference in depression scores between the two groups of breast cancer patients undergoing chemotherapy after surgery(P<0.05);There were differences in the depression scores of patients undergoing chemotherapy after cancer surgery(P<0.05);and there was an interaction effect in the depression scores of patients undergoing chemotherapy after breast cancer surgery(P<0.05).The effects of experimental factors on depression in patients undergoing chemotherapy after breast cancer surgery varied over time.(4)Insomnia score: The generalized estimating equation analysis,the results showed that the between-group effect and the insomnia scores of the two groups of breast cancer patients undergoing chemotherapy were significantly different(P<0.05).The comparison of insomnia scores in chemotherapy patients showed a statistically significant difference(P<0.05);the comparison of insomnia scores in the two groups of breast cancer patients undergoing chemotherapy,there was an interaction effect between time and groups,and the difference was statistically significant(P<0.05).Conclusions1.The emotional management training intervention program for patients undergoing chemotherapy after breast cancer surgery can effectively promote the transformation of their non-adaptive regulation strategies,and enhancing the use of adaptive emotion regulation strategies can improve the emotional regulation ability of patients undergoing chemotherapy after breast cancer surgery,and improve their anxiety and depression.Promote the improvement of their sleep quality.2.Based on the health belief model and emotion regulation theory,this study constructs an emotion management training program for breast cancer patients undergoing chemotherapy,which can effectively improve their negative emotions,improve sleep quality,and promote postoperative recovery.Management and intervention provide reference and reference,with clinical significance. |
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