Construction and application of "Five in One" stepwise psychological rehabilitation model for cancer patients

Abstract

Objective To explore the effects of the establishment and application of Five in one stepwise psychological rehabilitation model for cancer patients. Methods In February 2016, the Department of Chest Oncology in West China Hospital Sichuan University established Five in One stepwise psychological rehabilitation model: a team consisting of oncology doctors, nurses, medical social workers, sunshine nurses/psychologist and psychiatrist who provided holistic psychological management including psychological assessment, psychological education, and psychological intervention. By convenience sampling, a total of 1 402 cancer patients admitted before the establishment of the model in the hospital from August 2015 to January 2016 were selected and put into the control group. Routine nursing intervention was given to the group. Totally 1 823 cancer patients admitted from February to July in 2016 after the establishment of the model in the hospital were selected and assigned into the observation group. The Five in One model was adopted for the group. The two groups were compared in terms of the conditions of adverse emotions and suicide risks. Results The incidence of adverse emotions was 29.24%, and the incidence of suicide risk was 3.92% in the control group. The incidence of adverse emotions was 10.92% and 1.76% for the suicide risk in the observation group. There were statistical differences in the incidence of adverse emotions and suicide risks between the two groups (P<0.01) . Conclusions The establishment of Five in One model for cancer patients can reduce cancer patients' adverse emotions and risks of suicide, and provides new ideas and methods for the management of cancer patients' psychological distress. Key words: Neoplasms; Psychological intervention; Rehabilitation model; Critical values; Medical social workers