| Research purpose:The purpose of this study is to construct a set scientific and efficient intervention programs based on gratitude-expansion construction theory,which can effectively alleviate the fear of cancer recurrence in breast cancer undergoing chemotherapy,and to verify the effect of this program on breast cancer chemotherapy patients' fear of cancer recurrence.Research Methods:1.Construct an intervention program: through literature review,form the first draft,then pre-experiments and experts demonstrated that a set of scientific,practical and effective intervention plans suitable for the needs of breast cancer chemotherapy patients in China to alleviate the fear of cancer recurrence.2.Verification of the effect of the intervention plan: the subjects with FCR score more than30 were selected by investigation and study,and 80 breast cancer patients with chemotherapy were treated with similar trials for 3 weeks.The experimental group: gratitude-expansion theory behavior intervention + routine nursing,the control group: routine nursing.Baseline data was collected before the intervention,and the data were collected again 3weeks after the intervention,6 weeks after the intervention,9 weeks after the intervention,and 12 weeks after the intervention.The effect of the intervention program was evaluated using the cancer recurrence worry scale and the gratitude questionnaire.Chi-square test was used for statistical analysis of count data such as residence,family genetic history,education level,occupational status,marital status,number of children born,chemotherapy cycle,disease stage,etc.t-test was used to measure age,fear of recurrence and gratitude level.Two independent sample t-tests were used to compare the recurrence fear score and gratitude level score before and after the intervention of the experimental group and the control group.The results of different times were repeated measurement of variance analysis.Research Results:1.Baseline comparison: At baseline,there were no significantly differences(p>0.05)between the groups on the general data,FCR scores,scores of various dimensions,and gratitude level,indicating that the groups could be compared.2.FCR scores: The inter-group effect(F=184.560),the intra-group effect(F=44.469),the interactive effect(F=85.899)of the FCR scores was statistically significant(p<0.05).The comparison between the groups at each time point after the intervention was statistically significant(p<0.05);in the control group,there was no statistically significant difference between baseline-week12,week 6-week9(p>0.05);in the test group,there was no statistically significant difference between week3-week6,week6-week12,week9-week12(p>0.05).3.Overall worry: The inter-group effect(F=30.075),the intra-group effect(F=27.660),the interaction effect(F=55.232)of overall worry scores was statistically significant(p<0.05).The comparison between the groups at each time point after the intervention was statistically significant(p<0.05);in the control group,there was no statistically significant difference between baseline-week12,week6-week9,week6-week12(p>0.05);in the test group,there was no statistically significant difference between week3-week6,week3-week12,week6-week12,week9-week12(p> 0.05);4.Health worry: The inter-group effect(F=125.504),the intra-group effect(F=25.605),the interaction effect(F=46.053)of the health worry scores was statistically significant(p<0.05).The comparison between the groups at each time point after the intervention was statistically significant(p<0.05);in the control group,there was no statistically significant difference between baseline-week9,baseline-week12,week3-week6,week6-week9(p>0.05);in the test group,there was statistically significant difference between baseline-week3,baseline-week6,baseline-week9,baseline-week12(p<0.05).5.Female worry: The inter-group effect(F=109.102),the intra-group effect(F=18.244),the interaction effect(F=38.698)of the female worry scores was statistically significant(p<0.05).The comparison between the groups at each time point after the intervention was statistically significant(p<0.05);in the control group,the difference between the baseline and the third week was statistically significant(p<0.05);in the test group,there was no statistically significant difference between week6,week3-week12,week6-week12,week9-week12(p>0.05);6.Role worry: The inter-group effect(F=67.495),the intra-group effect(F=12.269),the interaction effect(F=29.418)of the role worry score was statistically significant(p<0.05).The comparison between the groups at each time point after the intervention was statistically significant(p<0.05);in the control group,the difference between the baseline and the third week was statistically significant(p<0.05);in the test group,there was statistically significant difference between baseline-week 6,baseline-week 9,baseline-week 12(p<0.05).7.Death worry: The inter-group effect(F=88.400),the intra-group effect(F=15.535),the interactive effect(F=23.576)of the death worry scores was statistically significant(p<0.05).The comparison between the groups at each time point after the intervention was statistically significant(p<0.05);in the control group,there was statistically significant difference between baseline-week3,week3-week6,week3-week9,week3-week12(p<0.05);in the test group,there was statistically significant difference between baseline-week3,baseline-week6,baseline-week9,baseline-week12(p<0.05).8.Gratitude level: The inter-group effect(F=15.430),the intra-group effect(F=58.094),the interaction effect(F=10.517)of the gratitude level scores was statistically significant(p<0.05).The comparison between the groups at each time point after the intervention was statistically significant(p<0.05);in the control group,there was no statistically significant difference between week3-week6,week3-week9,week3-week12,week6-week12(p>0.05);in the test group,there was statistically significant difference between baseline-week3,baseline-week6,baseline-week9,baseline-week12(p<0.05).Research Conclusion:1.Constructed a set of scientific,practical and effective intervention plan based on the gratitude-expanded construction theory,which is suitable for the breast cancer chemotherapy patients in China to alleviate the fear of cancer recurrence.2.Verified the effect of the behavior intervention program based on the gratitude-expanded construction theory in breast cancer chemotherapy patients: the behavior intervention program based on gratitude-expanded construction theory can effectively alleviate the fear of cancer recurrence and overall worry,health concern,female worry,role worry,and death worry of breast cancer chemotherapy patients,and improve the level of gratitude. |
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