Construction of a psychological intervention program to support fear of recurrence in patients with cervical cancer

Table 2 Experts’ recommendations and revisions

Number of communications	Suggestion		Content of the modification
Round 1	Mission approach	Innovative mission approaches	Add synchronized Tencent video live streaming on top of the regular lectures
	Forms of mission	Traditional board books are more outdated	Prepare synchronized videos for health promotion in advance
	Intervention time	Clear and harmonized timing of interventions	One-to-one opportunity for 30 minutes week by appointment
	Psychological intervention modalities	Is there some variation in psychological problems from patient to patient and is there a graded intervention?	Those at low risk are interviewed by a psychiatric nurse; those at medium risk are interviewed by a counselling clinic; and those at high risk are interviewed by a psychologist
	Psychological intervention content	Are there more factors that contribute to patients’ fear of relapse and are the intervention programs targeted?	A multidisciplinary approach is used to target interventions to patients presenting with fear of relapse through consultation
	Intervention	There are more measures to help patients relieve psychological stress, what are the specific stress reduction measures taken	Instruct patients in skills related to stress reduction tools and guide them to learn to reduce stress on their own
Round 2	Decompression schedule	What specifically are the stress reduction tools?	Stress relieving tools include stress reducing ball/stress reducing flip stick/fingertip blocks/BIG ENTER key stress reducer/ferrofluid magnetic fluid/stress reducing Rubik’s cube and so on
	Implementation	How to implement psychological interventions for postoperative cervical cancer patients?	A psychological intervention workshop for fear of relapse was set up, “HengYi Oasis”, with the head nurse of the ward as the person in charge, a nurse specialized in psychology as the leader of the team, supplemented by a nurse specialized in oncology and a nurse specialized in nutrition to provide guidance on oncology and nutrition
	Intervention	What interventions are available in addition to stress reduction tools?	Organize interventions such as positive thinking stress reduction (e.g., body scanning, meditation stress reduction method), music stress reduction (method), music sleep exercise, stress reduction breathing exercise, confiding stress reduction (method), etc.; popularize Chinese medicine meridian health exercise: Ba Duan Jin, Green Valley Wu Chun meridian exercise, clapping health exercise, taijiquan, five-step boxing, neck and shoulder exercise, tendon and muscle clapping exercises, etc.