护理学报2024，Vol.31Issue(5)：7-11,5.DOI:10.16460/j.issn1008-9969.2024.05.007
基于二元应对的宫颈癌患者夫妻参与式绘画疗法干预方案构建研究
Construction of participatory art therapy intervention scheme for cervical cancer patients and their spouses based on Dyadic Coping Theory
摘要
Abstract
Objective To construct a participatory art therapy intervention scheme based on dyadic coping theory to alleviate the psychological pressure of cervical cancer patients and their spouses and improve the relationship.Methods The draft plan was developed through literature review and group discussion,and 20 experts were invited to conduct two rounds of letter consultation to revise the draft scheme,and pre-experiments were carried out to form the final scheme,which was verified in 82 cervical cancer patients and their spouses.Results The authority coefficient of expert correspondence was 0.91,and the Kendall coordination coefficient W of the second round of correspondence 0.316(P＜0.001).The applicability score of each item was＞4.6,and the coefficient of variation＜0.14.The final scheme comprised six structured sessions,each centered around the following core themes:self-awareness,open dialogue and mutual understanding,reminiscence involving sentimental artifacts,retrospection on their shared life experiences,and continued solidarity and support.The time effect,interaction effect,and intergroup effect of psychological stress,dyadic coping,marital adjustment score of the two groups were found statistically significant before the intervention,after three intervention sessions,and at the end of the intervention(P＜0.001).Conclusion The intervention scheme of participatory art therapy for cervical cancer patients and their spouses based on dyadic coping theory fully considers the psychological status of cervical cancer patients and their spouses and expert opinions.It is scientific and practical,and provides clinical reference to relieve psychological pressure and improve intimate relationship between cervical cancer patients and their spouses.关键词
绘画疗法/艺术疗愈/二元应对/宫颈癌/亲密关系/心理护理Key words
art therapy/art healing/dyadic coping/cervical cancer/intimate relationship/mental nursing分类
医药卫生引用本文复制引用
段乃娟,孙丽,李凤侠,张会..基于二元应对的宫颈癌患者夫妻参与式绘画疗法干预方案构建研究[J].护理学报,2024,31(5):7-11,5.基金项目
中华护理学会 2021年度立项科研课题(ZHKYQ2021 03) （ZHKYQ2021 03）
2021年安徽省护理学会科研课题立项重点项目(AHHLa202105) （AHHLa202105）
