| Objective : To evaluate the feasibility and effectiveness of Managing Cancer and Living Meaningfully based on VR（VR-CALM）,which is used to manage expected symptoms of cancer itself,alleviate psychological distress,and enhance quality of life（QOL）in Chinese breast cancer survivors.Methods : Ninety-eight patients with breast cancer were recruited in this study.Two-arm（Managing Cancer and Living Meaningfully based on VR— VR-CALM vs.care as usual—CAU）randomized feasibility trial.All patients were evaluated by the scale Functional Assessment of Cancer Therapy–Breast cancer patient（FACT-B）,Distress Thermometer（DT）,Concerns About Recurrence Scale（CARS）,Piper Fatigue Scale（PFS）,Pittsburgh Sleep Quality Index（PSQI）,The Self-Rating Anxiety Scale（SAS）,The Self-Rating Depression Scale（SDS）before and after VR-CALM or CAU application to BCs.We compared the differences in all these scores between the VR-CALM group and the CAU group.Results:Patients in the VR-CALM group showed a significant decrease in levels of distress,anxiety,depression,sleep disorders,fatigue（t=-6.829,t=-5.819,t=-2.094,t=-3.031,t=-10.082,P =.000,.000,.042,.000,respectively）and higher level of life quality（t=8.216,P=.000）compared with CAU group after intervention.And post-intervention patients in VR-CALM group compared with pre-intervention showed lower level of distress and remarkable improvement of QOL（t=11.521,t=-10.379,p=.000,.000）The pre-intervention questionnaire revealed no significant between-group differences regarding distress,anxiety,depression,sleep disorders,fatigue and life quality.Conclusions:VR-CALM is a psychotherapy tailored to the needs of patients with breast cancer.According to the findings of this study,VR-CALM has beneficial impacts on improving QOL and relieving psychological distress,anxiety,depression,sleep disturbances,and fatigue in breast cancer patients.There is significant decrease in level of distress and improvement of QOL in VR-CALM group after intervention. |
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