Skip to main content
Erschienen in: Breast Cancer Research and Treatment 1/2019

24.07.2019 | Clinical trial

Effects of cyclic adjustment training delivered via a mobile device on psychological resilience, depression, and anxiety in Chinese post-surgical breast cancer patients

verfasst von: Kaina Zhou, Jin Li, Xiaomei Li

Erschienen in: Breast Cancer Research and Treatment | Ausgabe 1/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Psychological resilience is an important ability for women with breast cancer to cope effectively with depression and anxiety. However, the demands of long-term hospital-based psychological rehabilitation interventions are not met in mainland China, where shorter hospital stays and longer home rehabilitation are common. This study examines whether a cyclic adjustment training (CAT) intervention delivered via a mobile device can improve psychological resilience, and reduce depression and anxiety symptoms, in a population of post-surgical women with breast cancer.

Methods

Women with breast cancer were recruited through convenience sampling from a general hospital in Xi’an, and randomly allocated to an intervention group (n = 66), receiving CAT plus routine nursing care for 12 weeks, or a control group (n = 66), receiving only routine nursing care. The primary outcome was psychological resilience. Resilience, anxiety, and depression were measured using the Connor-Davidson Resilience Scale (CD-RISC), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS), respectively. A linear mixed model was applied to analyze the effects.

Results

Patients in the CAT group displayed significantly improved psychological resilience, anxiety, and depression scores (F = 19.53, P < 0.001; F = 31.85, P < 0.001; F = 26.32, P < 0.001), respectively, compared to the control group.

Conclusions

The CAT had positive effects on improving psychological resilience and reducing the symptoms of anxiety and depression, supporting its use as an effective psychological management and intervention strategy in the early stages of long-term rehabilitation of post-surgical women with breast cancer.

Trial registration

Chictr.org.cn ChiCTR-IOR-16008253, registered 9 April 2016.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Siegel RL, Miller KD, Jemal A (2018) Cancer statistics. CA Cancer J Clin 68:7–30CrossRef Siegel RL, Miller KD, Jemal A (2018) Cancer statistics. CA Cancer J Clin 68:7–30CrossRef
12.
Zurück zum Zitat Zhang W (2016) The postoperate status of psychological resilience and quality of life and collective intervention effects of breast cancer. Dissertation, Xinxiang Medical College, Henan Zhang W (2016) The postoperate status of psychological resilience and quality of life and collective intervention effects of breast cancer. Dissertation, Xinxiang Medical College, Henan
17.
Zurück zum Zitat Lai C, Chen S (2018) Application of WeChat continuation nursing in postoperative breast cancer patients undergoing modified radical mastectomy. China Health Stand Manage 9:135–137 Lai C, Chen S (2018) Application of WeChat continuation nursing in postoperative breast cancer patients undergoing modified radical mastectomy. China Health Stand Manage 9:135–137
18.
Zurück zum Zitat Liu J, Li Y (2019) Effects of WeChat continuous nursing on functional exercise compliance and quality of life in breast cancer patients after surgery. J Clin Nurs Pract 4:81 Liu J, Li Y (2019) Effects of WeChat continuous nursing on functional exercise compliance and quality of life in breast cancer patients after surgery. J Clin Nurs Pract 4:81
19.
Zurück zum Zitat Ling L, Wu M, Li S, Xiao Z, Li W (2017) Influence of continuous intervention of WeChat on cancer related fatigue and negative emotion in patients after breast cancer operation. Chin Nurs Res 31:4675–4677 Ling L, Wu M, Li S, Xiao Z, Li W (2017) Influence of continuous intervention of WeChat on cancer related fatigue and negative emotion in patients after breast cancer operation. Chin Nurs Res 31:4675–4677
20.
Zurück zum Zitat Xu M, Deng L, Xu Y (2016) Application of peer education base on WeChat platform in postoperative nursing of breast cancer patients. Chin J Clin Oncol Rehabil 23:1501–1504 Xu M, Deng L, Xu Y (2016) Application of peer education base on WeChat platform in postoperative nursing of breast cancer patients. Chin J Clin Oncol Rehabil 23:1501–1504
21.
Zurück zum Zitat Roy SC, Andrews HA (2009) The Roy adaptation model, 3rd edn. Pearson, Upper Saddle River Roy SC, Andrews HA (2009) The Roy adaptation model, 3rd edn. Pearson, Upper Saddle River
22.
Zurück zum Zitat Amanak K, Sevil U, Karacam Z (2019) The impact of prenatal education based on the Roy adaptation model on gestational hypertension, adaptation to pregnancy and pregnancy outcomes. J Pak Med Assoc 69:11–17PubMed Amanak K, Sevil U, Karacam Z (2019) The impact of prenatal education based on the Roy adaptation model on gestational hypertension, adaptation to pregnancy and pregnancy outcomes. J Pak Med Assoc 69:11–17PubMed
23.
Zurück zum Zitat Alimohammadi N, Maleki B, Abbasi S, Shakerian B, Hemati Z (2018) The effect of adaptation training on controlling maladaptation behaviors in adolescents with asthma based on Roy adaptation model. Tanaffos 17:103–109PubMedPubMedCentral Alimohammadi N, Maleki B, Abbasi S, Shakerian B, Hemati Z (2018) The effect of adaptation training on controlling maladaptation behaviors in adolescents with asthma based on Roy adaptation model. Tanaffos 17:103–109PubMedPubMedCentral
29.
Zurück zum Zitat Wang C (1986) Analysis of self-rating depression scale on 1340 normal subjects. Chin J Nerv Ment Dis 12:267–268 Wang C (1986) Analysis of self-rating depression scale on 1340 normal subjects. Chin J Nerv Ment Dis 12:267–268
30.
Zurück zum Zitat Zhang Z (2005) Chinese behavioral medicine science. Chin J Behav Med Sci 14(6):517 Zhang Z (2005) Chinese behavioral medicine science. Chin J Behav Med Sci 14(6):517
34.
Zurück zum Zitat Zhou K, Li X, Yan H, Dang S, Wang D (2011) Effects of music therapy on depression and duration of hospital stay of breast cancer patients after radical mastectomy. Chin Med J 124:2321–2327PubMed Zhou K, Li X, Yan H, Dang S, Wang D (2011) Effects of music therapy on depression and duration of hospital stay of breast cancer patients after radical mastectomy. Chin Med J 124:2321–2327PubMed
Metadaten
Titel
Effects of cyclic adjustment training delivered via a mobile device on psychological resilience, depression, and anxiety in Chinese post-surgical breast cancer patients
verfasst von
Kaina Zhou
Jin Li
Xiaomei Li
Publikationsdatum
24.07.2019
Verlag
Springer US
Erschienen in
Breast Cancer Research and Treatment / Ausgabe 1/2019
Print ISSN: 0167-6806
Elektronische ISSN: 1573-7217
DOI
https://doi.org/10.1007/s10549-019-05368-9

Weitere Artikel der Ausgabe 1/2019

Breast Cancer Research and Treatment 1/2019 Zur Ausgabe

Umsetzung der POMGAT-Leitlinie läuft

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

CUP-Syndrom: Künstliche Intelligenz kann Primärtumor finden

30.04.2024 Künstliche Intelligenz Nachrichten

Krebserkrankungen unbekannten Ursprungs (CUP) sind eine diagnostische Herausforderung. KI-Systeme können Pathologen dabei unterstützen, zytologische Bilder zu interpretieren, um den Primärtumor zu lokalisieren.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.