Effects of nurse-led supportive-expressive group intervention for post-traumatic growth among breast cancer survivors: A randomized clinical trial.

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Date: July 2022
From: Journal of Nursing Scholarship(Vol. 54, Issue 4)
Publisher: Wiley Subscription Services, Inc.
Document Type: Report
Length: 507 words

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Keywords: a supportive-expressive group intervention; breast cancer; clinical trail; post-traumatic growth; self-disclosure Abstract Background Post-traumatic growth induced from cancer diagnosis and treatment could benefit the prognosis of cancer survivors, but intervention based on self-disclosure in group is limited. Objective Aimed to examine the effectiveness of a supportive-expressive group intervention on post-traumatic growth. The impact of the intervention on anxiety and depression were also explored. Design This randomized clinical trial enrolled patients from June 2017 to September 2018 with a one-month follow-up. Data collectors were blinded to patient grouping. Setting A single center study in Chengdu, China. Participants One hundred sixty-eight participants who met the eligibility criteria were randomly assigned to the intervention group (n = 84) or control group (n = 84); 46 were excluded and 122 patients finished the one-month follow-up. Methods Participants in the intervention group received nurse-led support intervention focusing on topics such as "Being a Patient", "Interpersonal Relationships", "Journey for Recovery", and "Planning the Future" while participants in the control group received health education, rehabilitation training etc. according to the nursing routine of breast cancer patients. The intervention was designed in accordance with the diagnosis and treatment process as well as patient needs. Participants in both groups were evaluated three times (T1-baseline before the intervention, T2-end of the intervention, and T3-1 month follow up). Post-traumatic growth, anxiety and depression were evaluated. Results Participants in the intervention group reported higher level of post-traumatic growth (p Conclusions These findings provide evidence for the potential effectiveness of the nurse-led intervention on positive benefits of post-traumatic growth and relieved anxiety and depression for Chinese breast cancer survivors and will inform the design and development of a large randomized controlled trial. Clinical relevance The supportive-expression group intervention can be applied independently by nurses. The four themes of self-disclosure can help patients grow after trauma, and this method can be used as a psychological support technique for breast cancer patients during hospitalization. Article Note: Guorong Wang and Zhuyue Li share co-first authorship. Byline: Guorong Wang, Zhuyue Li, Xi Luo, Ru Wei, Hui Liu, Jing Yang, Jianxia Lyu, Xiaolian Jiang

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Gale Document Number: GALE|A709984760