Therapeutic Evaluation Of Dyadic Intervention In Breast Cancer Patients With Unmet Psychological Needs

Research Purpose:This study conducted dyadic intervention for breast cancer patients with unmet psychological needs,to explore the impact of dyadic intervention on unmet psychological needs,quality of life,social constraints,anxiety and depression of breast cancer patients,and to verify the feasibility of dyadic intervention in Chinese breast cancer patients.Research Methods:A total of 96 pairs of breast cancer patients and their spouses who were admitted to the Breast Surgery Department of a Grade A hospital in Huzhou City,Zhejiang Province from October 2019to October 2020 and had a psychological need field score of>20 on SCNS-SF34 scale and needed to undergo mastectomy were selected as the research subjects.They were randomly divided into the intervention group and the control group.The control group was given conventional nursing,and the intervention group was given dyadic intervention on the basis of conventional nursing,and the scores of unmet psychological needs,quality of life,social constraints,anxiety and depression on the 21 days,42 days and 63 days after surgery were analyzed and compared between the two groups.Research Results:（1）Comparison of general data of patients:89 pairs of breast cancer patients and their spouses were finally included in the study,44 pairs in the intervention group and 45 pairs in the control group.The age,body mass index（BMI）,education,occupation,family per capita monthly income,medical expenses,understanding of disease and clinical stage of patients in the two groups were statistically analyzed,and the results showed no statistical significance（P>0.05）.The general information of patients in the two groups were comparable.（2）Comparison of unmet psychological need scores between the two groups:the unmet psychological need scores of the intervention group and the control group showed a decreasing trend with the extension of the intervention time.Repeated ANOVA results showed that there was no significant difference in unmet psychological need scores between the intervention group and the control group at baseline 21 days after surgery（P>0.05）.The scores of unmet psychological needs on postoperative 42 days and 63 days had statistical significance（P<0.05）.When group factors were not taken into account,the scores of unmet psychological needs of patients at each time point were significantly different(F_{time point}=192.515,P<0.001).When the time point factor was not taken into account,there was a statistically significant difference in unmet psychological need scores between the two groups(F_group=29.847,P<0.001).There was an interaction between time points and groups(F_interaction=18.823,P<0.001).（3）Comparison of quality of life scores between the two groups:the quality of life of the two groups gradually improved with the extension of intervention time.Repeated measurement ANOVA results showed that the quality of life scores of patients in both groups were statistically significant at 42 days and 63 days after surgery,except for the baseline 21 days after surgery（P<0.05）.When group factors were not taken into account,the difference in quality of life scores at different time points was statistically significant(F_{time point}=165.815,P<0.001).When the time point factor was not taken into account,there was no statistically significant difference in unmet psychological need scores between the two groups(F_group=2.545,P=0.114).There was an interaction between time points and groups(F_interaction=14.821,P<0.001).（4）Comparison of social constraints scores between the two groups:before and after intervention,the level of social constraints in the two groups showed a declining trend.Repeated ANOVA results showed that the social constraints scores of patients in both groups were statistically significant at 42 days and 63 days after surgery,except 21 days after surgery（baseline）（P<0.05）.When group factors were not taken into account,there was a statistically significant difference in social constraints scores at different time points(F_{time point}=363.810,P<0.001).When the time point factor was not taken into account,there were significant differences between the two groups of patients with different intervention methods(F_group=25.861,P<0.001).There was an interaction between time points and groups(F_interaction=10.211,P<0.001).（5）Comparison of anxiety scores between the two groups:before and after intervention,the anxiety level of the two groups showed a decreasing trend.Repeated measures of ANOVA showed that there was no significant difference in anxiety scores between the intervention group and the control group at baseline 21 days after surgery（P>0.05）.The anxiety scores on postoperative 42days and 63 days were statistically significant（P<0.05）.When group factors were not taken into account,there was a statistically significant difference in anxiety scores at different time points(F_{time point}=191.100,P<0.001).When the time point factor was not taken into account,there were significant differences between the two groups of patients with different intervention methods(F_group=5.390,P=0.023).There was an interaction between time points and groups(F_interaction=10.211,P<0.001).（6）Comparison of depression scores between the two groups:the depression level of the two groups showed a declining trend before and after intervention.Repeated measures of ANOVA showed no statistically significant difference in depression scores between the intervention group and the control group at baseline 21 days after surgery（P>0.05）.The depression scores on postoperative 42 days and 63 days were statistically significant（P<0.05）.When group factors were not considered,there was a statistically significant difference in depression scores at different time points(F_{time point}=386.010,P<0.001).When the time point factor was not taken into account,there were significant differences between the two groups of patients with different intervention methods(F_group=10.332,P=0.002).There was an interaction between time points and groups(F_interaction=10.211,P<0.001).Research Conclusion:（1）Both the dyadic intervention and conventional nursing can reduce the unmet psychological needs,improve the quality of life,reduce social constraints,relieve anxiety and depression of breast cancer patients,but compared with the conventional nursing,the dyadic intervention is significantly more advantages,the intervention effect is significantly better than the conventional nursing;（2）Dyadic intervention can be used as a new way of intervention in the psychological nursing of breast cancer patients;...