Application of WeChat-based cognitive behavioural stress management for early-stage cervical cancer patients: a randomised controlled study
Background This randomised controlled study was aimed at investigating the effects of WeChat-based cognitive behavioural stress management (WB-CBSM) on the mental health of patients with early-stage cervical cancer treated with surgical resection.Methods A total of 184 patients with early-stage cerv...
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Taylor & Francis Group
2024-12-01
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| Series: | Journal of Obstetrics and Gynaecology |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/01443615.2024.2410858 |
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| author | Qing Hao Lan Feng Dandan Chen Xia Fan Lei Wei Zhaojun Cui Jing Zhang Lin Wang Dan Zhang Xinxin Zhan Wenping Yang |
| author_facet | Qing Hao Lan Feng Dandan Chen Xia Fan Lei Wei Zhaojun Cui Jing Zhang Lin Wang Dan Zhang Xinxin Zhan Wenping Yang |
| author_sort | Qing Hao |
| collection | DOAJ |
| description | Background This randomised controlled study was aimed at investigating the effects of WeChat-based cognitive behavioural stress management (WB-CBSM) on the mental health of patients with early-stage cervical cancer treated with surgical resection.Methods A total of 184 patients with early-stage cervical cancer were randomised to receive either WB-CBSM (n = 92) or normal care (NC) (n = 92) for 8 weeks.Results Compared with the NC group, the WB-CBSM group exhibited reduced Hospital Anxiety and Depression Scale (HADS)–anxiety scores at months (M)1 (t = 2.022, P = 0.045), M3 (t = 2.575, P = 0.011), and M6 (t = 2.709, P = 0.007); anxiety rates at M3 (χ2 = 4.834, P = 0.028) and M6 (χ2 = 5.182, P = 0.023); HADS–depression scores at M3 (t = 2.069, P = 0.040) and M6 (t = 2.449, P = 0.015); and depression rates at M6 (χ2 = 4.268, P = 0.039). Moreover, the WB-CBSM group showed increased Functional Assessment of Chronic Illness Therapy–Spiritual Well-Being scale scores at M1 (t = −2.001, P = 0.047), M3 (t = −2.281, P = 0.024), and M6 (t = −3.501, P = 0.001); the Quality of Life Questionnaire-Core 30 (QLQ-C30) global health score at M3 (t = −2.034, P = 0.043) and M6 (t = −2.426, P = 0.016); and QLQ-C30 function score at M3 (t = −2.009, P = 0.046). However, the groups exhibited decreased EuroQol-5 dimension scores at M3 (t = 2.056, P = 0.041) and M6 ((t = 2.242, P = 0.026) and QLQ-C30 symptom scores at M1 (t = 2.026, P = 0.044) and M3 (t = 2.210, P = 0.028).Conclusion WB-CBSM reduced anxiety and depression and improved the spiritual well-being and quality of life of patients with early-stage cervical cancer treated with surgical resection. |
| format | Article |
| id | doaj-art-b3087790c0de4aeca27f1723e74fa5d2 |
| institution | Kabale University |
| issn | 0144-3615 1364-6893 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
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| series | Journal of Obstetrics and Gynaecology |
| spelling | doaj-art-b3087790c0de4aeca27f1723e74fa5d22025-01-09T12:13:17ZengTaylor & Francis GroupJournal of Obstetrics and Gynaecology0144-36151364-68932024-12-0144110.1080/01443615.2024.2410858Application of WeChat-based cognitive behavioural stress management for early-stage cervical cancer patients: a randomised controlled studyQing Hao0Lan Feng1Dandan Chen2Xia Fan3Lei Wei4Zhaojun Cui5Jing Zhang6Lin Wang7Dan Zhang8Xinxin Zhan9Wenping Yang10Department of Gynaecology, The First Affiliated Hospital of Xingtai Medical College, Xingtai, ChinaDepartment of Gynaecology, The First Affiliated Hospital of Xingtai Medical College, Xingtai, ChinaDepartment of Gynaecology and Obstetrics, Wuchang Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, ChinaDepartment of Gynaecology and Obstetrics, Shaoyang City Longhui County People’s Hospital, Shaoyang, ChinaDepartment of Cardiovascular Surgery, Shanxi Provincial People’s Hospital, Taiyuan, ChinaDepartment of Gynaecology, The First Affiliated Hospital of Xingtai Medical College, Xingtai, ChinaDepartment of Gynaecology, The First Affiliated Hospital of Xingtai Medical College, Xingtai, ChinaDepartment of Gynaecology, The First Affiliated Hospital of Xingtai Medical College, Xingtai, ChinaDepartment of Gynaecology, The First Affiliated Hospital of Xingtai Medical College, Xingtai, ChinaDepartment of Gynaecology, The First Affiliated Hospital of Xingtai Medical College, Xingtai, ChinaDepartment of Gynaecology, The First Affiliated Hospital of Xingtai Medical College, Xingtai, ChinaBackground This randomised controlled study was aimed at investigating the effects of WeChat-based cognitive behavioural stress management (WB-CBSM) on the mental health of patients with early-stage cervical cancer treated with surgical resection.Methods A total of 184 patients with early-stage cervical cancer were randomised to receive either WB-CBSM (n = 92) or normal care (NC) (n = 92) for 8 weeks.Results Compared with the NC group, the WB-CBSM group exhibited reduced Hospital Anxiety and Depression Scale (HADS)–anxiety scores at months (M)1 (t = 2.022, P = 0.045), M3 (t = 2.575, P = 0.011), and M6 (t = 2.709, P = 0.007); anxiety rates at M3 (χ2 = 4.834, P = 0.028) and M6 (χ2 = 5.182, P = 0.023); HADS–depression scores at M3 (t = 2.069, P = 0.040) and M6 (t = 2.449, P = 0.015); and depression rates at M6 (χ2 = 4.268, P = 0.039). Moreover, the WB-CBSM group showed increased Functional Assessment of Chronic Illness Therapy–Spiritual Well-Being scale scores at M1 (t = −2.001, P = 0.047), M3 (t = −2.281, P = 0.024), and M6 (t = −3.501, P = 0.001); the Quality of Life Questionnaire-Core 30 (QLQ-C30) global health score at M3 (t = −2.034, P = 0.043) and M6 (t = −2.426, P = 0.016); and QLQ-C30 function score at M3 (t = −2.009, P = 0.046). However, the groups exhibited decreased EuroQol-5 dimension scores at M3 (t = 2.056, P = 0.041) and M6 ((t = 2.242, P = 0.026) and QLQ-C30 symptom scores at M1 (t = 2.026, P = 0.044) and M3 (t = 2.210, P = 0.028).Conclusion WB-CBSM reduced anxiety and depression and improved the spiritual well-being and quality of life of patients with early-stage cervical cancer treated with surgical resection.https://www.tandfonline.com/doi/10.1080/01443615.2024.2410858Cervical cancerWeChatcognitive behavioural stress managementpsychological well-beingquality of life |
| spellingShingle | Qing Hao Lan Feng Dandan Chen Xia Fan Lei Wei Zhaojun Cui Jing Zhang Lin Wang Dan Zhang Xinxin Zhan Wenping Yang Application of WeChat-based cognitive behavioural stress management for early-stage cervical cancer patients: a randomised controlled study Journal of Obstetrics and Gynaecology Cervical cancer cognitive behavioural stress management psychological well-being quality of life |
| title | Application of WeChat-based cognitive behavioural stress management for early-stage cervical cancer patients: a randomised controlled study |
| title_full | Application of WeChat-based cognitive behavioural stress management for early-stage cervical cancer patients: a randomised controlled study |
| title_fullStr | Application of WeChat-based cognitive behavioural stress management for early-stage cervical cancer patients: a randomised controlled study |
| title_full_unstemmed | Application of WeChat-based cognitive behavioural stress management for early-stage cervical cancer patients: a randomised controlled study |
| title_short | Application of WeChat-based cognitive behavioural stress management for early-stage cervical cancer patients: a randomised controlled study |
| title_sort | application of wechat based cognitive behavioural stress management for early stage cervical cancer patients a randomised controlled study |
| topic | Cervical cancer cognitive behavioural stress management psychological well-being quality of life |
| url | https://www.tandfonline.com/doi/10.1080/01443615.2024.2410858 |
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