Title : Effect of Motivational Interviewing based on Recovery THRIVE Model on Post-traumatic Growth in Patients with Liver Cancer after Hepatitis B : A Randomized Controlled Study
Abstract:
In China, about more than 80% of primary liver cancer patients are co-infected with hepatitis B virus. These patients suffer from great physical and psychological pain during anti-cancer and anti-viral treatment, but there is also a degree of post-traumatic growth, and post-traumatic growth (PTG) plays an active role in promoting their physical and psychological recovery and improving their quality of life. This study investigated the effects of motivational interviewing based on the THRIVE model of psychological recovery on post-traumatic growth, anxiety and depression, and quality of life in patients with post-hepatitis B liver cancer. We used a single-blind, randomized, controlled trial. A convenience sample of 100 patients with post-hepatitis B liver cancer who met the inclusion criteria in a tertiary hospital in Chongqing,
China, was selected for the study, and they were randomly divided into a control group given conventional psychological care (n=50) and an intervention group given motivational interviewing based on conventional psychological care plus the THRIVE model of psychological recovery (n=50). The post-traumatic growth, anxiety and depression, and quality of life of the patients were assessed using the Simplified Chinese version of the Post-Traumatic Growth Inventory (C-PTGI), the Self-Assessment Scale for Anxiety (SAS), the Self-Assessment Scale for Depression (SDS), and the Quality of Life Scale for Patients with Liver Cancer (QOL-LC V2.0) before the intervention and 1 and 3 months after discharge, respectively. The results revealed that at 1 month after discharge and 3 months after discharge, the C-PTGI and the scores of each dimension in the intervention group were higher than those in the control group, and the SAS and SDS scores were lower than those in the control group (P?0.01); the QOL-LC total score, psychological function, symptom side effects, and social function scores in the intervention group were higher than those in the control group (P?0.01), but the difference between the somatic function scores of the two groups was not statistically However, the difference in somatic function scores between the two groups was not statistically significant (P?0.05). These results suggest that this study provides preliminary evidence that motivational interviewing based on the THRIVE model of psychological recovery can enhance post-traumatic growth, alleviate anxiety and depression, and improve the quality of life of post-hepatitis B liver cancer patients to some extent.
What will audience learn from your presentation?
1.Explain how the audience will be able to use what they learn?
This study can expand the scope of research on post-traumatic growth, enrich the theoretical and practical studies related to PTG, and provide methodological references for the study of post-traumatic growth in patients with other cancers or infectious diseases.
2.How will this help the audience in their job?
Optimize clinical nurses' psychological care measures for post-hepatitis B liver cancer patients to improve their mental health and quality of life; the formed PTG intervention model can provide practical references for other infectious disease patients.
3.Is this research that other faculty could use to expand their research or teaching?
In clinical teaching and research, the research content of this study can provide ideas for mental health education for patients with infectious diseases. the THRIVE
model clearly clarifies the six steps of psychological recovery, namely self-assessment, nurturing hope, telling new stories, discovering changes, assessing changes, and demonstrating growth with practical actions; and it is used as a theoretical basis to form an MI applicable to PTG in patients with post-hepatocellular carcinoma after hepatitis B intervention program, which is highly innovative.
4.Does this provide a practical solution to a problem that could simplify or make a designer’s job more efficient?
Unlike previous patients who passively and ineffectively received psychological care interventions, the MI intervention program we designed based on the THRIVE model of psychological recovery can well establish a good nurse-patient partnership with patients, and the patient's subjective initiative is greatly improved in solving the problems of patients' psychosocial and behavioral styles, and the efficiency of nurse-patient communication is also improved to some extent.
5.Will it improve the accuracy of a design, or provide new information to assist in a design problem?
This study can provide a new research protocol to address the health promotion of post-hepatitis B liver cancer patients. Through the MI intervention based on the THRIVE model of psychological recovery for post-hepatitis B liver cancer patients, we aim to improve PTG levels, improve patients' psychological status and quality of life, and provide a basis for clinical nurses to implement individualized psychological care for post-hepatitis B liver cancer patients.
