Effect of Problem‐Based Learning Combined With Rational Emotive Behavior Therapy on Psychological Outcomes, Self‐Efficacy, Adverse Events, Quality of Life, and Treatment Compliance in Breast Cancer Care: A Non‐Randomized Study.
To evaluate the effectiveness of combined problem‐based learning (PBL) and rational emotive behavior therapy (REBT) on Psychological Outcomes, Self‐Efficacy, Adverse Events, Quality of Life, and Treatment Compliance in breast cancer care. In this non‐randomized study conducted at a tertiary hospital...
| Publicado en: | Nursing & Health Sciences Vol. 28; no. 1; pp. 1 - 10 |
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| Autores principales: | , , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192462570&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192462570 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14410745 82B jtl: Nursing & Health Sciences issn: 14410745 maglogo: Y pubinfo: dt: Mar2026 vid: 28 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 192462570 192462570 192462570 10.1111/nhs.70299 192462570 ppf: 1 ppct: 9 formats: tig: atl: Effect of Problem‐Based Learning Combined With Rational Emotive Behavior Therapy on Psychological Outcomes, Self‐Efficacy, Adverse Events, Quality of Life, and Treatment Compliance in Breast Cancer Care: A Non‐Randomized Study. aug: au: Zhou, Yanru Han, Yuanyuan Jin, Runhao affil: Department of Nursing, Tianjin Children's Hospital (Children's Hospital, Tianjin University), Tianjin, China sug: subj: Problem-Based Learning Learning Methods Behavior Therapy Methods Mental Health Treatment Outcomes Self-Efficacy Evaluation Quality of Life Evaluation Medication Compliance Adverse Health Care Event Evaluation Combined Modality Therapy Human Clinical Trials Nonrandomized Trials Comparative Studies Pretest-Posttest Control Group Design Tertiary Health Care China Breast Neoplasms Surgery Postoperative Care Anxiety Prevention and Control Adverse Health Care Event Prevention and Control Hamilton Rating Scale for Depression Psychological Tests Questionnaires Scales Funding Source Adolescence Adult Middle Age Aged Chi Square Test Data Analysis Software T-Tests Descriptive Statistics Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years ab: To evaluate the effectiveness of combined problem‐based learning (PBL) and rational emotive behavior therapy (REBT) on Psychological Outcomes, Self‐Efficacy, Adverse Events, Quality of Life, and Treatment Compliance in breast cancer care. In this non‐randomized study conducted at a tertiary hospital in China, 180 patients with breast cancer treated between October 2021 and August 2022 were divided into a control group (n = 90) receiving conventional education and a study group (n = 90) receiving PBL combined with REBT. Outcomes were assessed using validated scales including the Hamilton Anxiety/Depression Rating Scales, EORTC QLQ‐C30, General Self‐Efficacy Scale, a hospital‐designed compliance questionnaire, and adverse event follow‐up. After intervention, the study group demonstrated significantly greater improvements in psychological outcomes (p < 0.05), self‐efficacy (p < 0.05), lower adverse event rates (13.33% vs. 31.11%; p < 0.01), quality of life domains (p < 0.05), treatment compliance (p < 0.05), compared to the control group. The combined PBL and REBT approach enhances postoperative care for patients with breast cancer by improving psychological outcomes (e.g., reducing anxiety), enhancing self‐efficacy, minimizing adverse events, improving quality of life, and promoting treatment compliance. Key Points: This study fills a gap in the literature by demonstrating the combined application of problem‐based learning (PBL) and rational emotive behavior therapy (REBT) in breast cancer nursing, showing significant improvements in patient psychological outcomes (e.g., reduced anxiety and depression via HAMA/HAMD scores) and treatment adherence.The PBL + REBT approach enhances nurses' knowledge acquisition, skill development, and peer collaboration, providing practical strategies to elevate nursing education and breast cancer care practices.Combining PBL and REBT plays a crucial role in postoperative breast cancer care, reducing adverse events (from 31.11% to 13.33%), boosting quality of life (via EORTC QLQ‐C30), and increasing self‐efficacy (via GSES). pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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