Effectiveness of a couple-based psychosocial intervention on patients with prostate cancer and their partners: A quasi-experimental study

To understand the effectiveness of a couple-based psychosocial information package (PIP) and multimedia psychosocial intervention (MPI) on patients with prostate cancer and their partners.A random assignment and quasi-experimental design were used.From August 2015-March 2018, 103 newly diagnosed patients with prostate cancer and their partners were divided into a control group (CG) (N = 50), PIP group (N = 25) and MPI group (N = 28). The CG received usual care, the PIP group received information manuals and telephone counselling for 6-week and the MPI group received multimedia films and manuals and professional support for 6 weeks. The three groups were posttested 6, 10, 18 and 24 weeks after the pre-test. The outcome measurements included disease appraisals, emotion status, relationship satisfaction, health-related quality of life (HRQOL) and satisfaction with MPI.Partners in the MPI and PIP groups experienced significant improvements in positive and negative affect or mental HRQOL as compared with the CG. The effectiveness of MPI and PIP on negative affect, mental HRQOL, however, were not statistically significant in patients with prostate cancer. Nevertheless, patients were satisfied with the MPI.Nurses can provide different types of interventions for partners, depending on personal preferences and available resources.There is a lack of studies that focus on the effectiveness of couple-based psychosocial intervention on both the patients with prostate cancer and their partners in Asia. Partners in the multimedia psychosocial intervention group and psychosocial information package group experienced improvements in positive affect, negative affect or health-related quality of life as compared with the control group. Patients in both intervention groups experienced similar negative affect and health-related quality of life as compared with the control group. The couple-based psychosocial interventions can be provided by nurses based on partners' preferences and available resources.目的: 了解基于夫妇的心理社会信息包（PIP）和多媒体心理社会干预（MPI）对前列腺癌患者及其伴侣的治疗效果。 设计: 采用随机分配和准实验设计。 方法: 从2015年8月至2018年3月，将103位新诊断的前列腺癌患者及其伴侣分为对照组（CG）（N = 50）、PIP组（N = 25）和MPI组（N = 28）。对照组接受常规护理，PIP组接受为期6周的信息手册和电话咨询，MPI组接受为期6周的多媒体电影、手册以及专业支持。在预测试后的第6、10、18和24周对这三组进行后测试。结果测量包括疾病评估、情绪状态、关系满意度、健康相关生活质量（HRQOL）和MPI满意度。 结果/发现: 与对照组相比，MPI组和PIP组的伴侣在积极和负面影响或心理HRQOL方面都有显著改善。MPI组和PIP组队前列腺癌患者的负面情绪、精神生活质量的影响在统计学不显著。然而，患者对MPI很满意。 结论: 护士可以根据个人喜好和可用资源为伴侣提供不同类型的干预措施。 影响: 在亚洲，目前还缺乏对前列腺癌患者及其伴侣进行基于夫妇的心理社会干预效果的研究。与对照组相比，多媒体心理社会干预组和心理社会信息包组的伴侣在积极情感、消极情感或健康相关的生活质量方面有所改善。与对照组相比，两个干预组的患者经历相似的负面影响和与健康相关的生活质量。护士可以根据伴侣的喜好和可用资源提供基于夫妇的心理社会干预。.