Psychological Nursing Intervention Research Articles

Effect of Nursing on Patients with Primary Liver Cancer before and after Transcatheter Arterial Embolization

The aim of the present study was to observe and analyze the nursing effect on primary liver cancer before and after transcatheter arterial embolization. About 200 patients with advanced primary liver cancer who had been treated in the Second People’s Hospital of Huai’an were selected as research subjects. All of them were subjected to transcatheter arterial embolization. During perioperative period, nursing was carried out for patients and the patients were explained with the method, purpose, results and cautions about the treatment. Moreover, psychological nursing intervention, dietary intervention, auxiliary examination were performed. The postoperative puncture site and operated limb situations were observed and recorded for medication guidance. In this study, all patients were well-treated. Adverse reactions noted after treatment mainly were liver area pain, digestive tract reaction, fever, which were relatively mild and effectively improved with timely medical measures, with no severe complications. Comparison of quality of life score and mental status score before and after nursing showed significant improvement. To guarantee a smooth and successful implementation of transcatheter arterial embolization for patients with primary liver cancer, the key is to develop a scientific and comprehensive nursing mode to improve curative effect.

Observation of Nursing Effect for Patients with Primary Liver Cancer Before and After Transcatheter Arterial Embolization

To observe and analyze the nursing effect of primary liver cancer before and after transcatheter arterial embolization, 200 patients with advanced primary liver cancer who had been treated in the Second People’s Hospital of Huai’an were selected as research subjects. All of them were subjected to transcatheter arterial embolization. During perioperative period, nursing was carried out for patients and they were explained about the method, purpose, results and cautions about the treatment; moreover, psychological nursing intervention, dietary intervention, auxiliary examination were performed. The postoperative puncture site and operative limb situations were observed and recorded for medication guidance. In this study, all patients were well treated. Adverse reactions after treatment mainly included liver area pain, digestive tract reaction, fever, which were relatively mild and effectively improved with timely medical measures with no severe complications being left. Comparison of quality of life score and mental status score before and after nursing showed significant difference. To guarantee a smooth and successful implementation of transcatheter arterial embolization for patients with primary liver cancer, the key is to develop a scientific and comprehensive nursing mode to improve curative effect.

Application of high quality nursing intervention model in nursing of subcutaneous tunnel type lumbar cistern catheter

Objective To observe and evaluate the application effect of high quality nursing intervention model in nursing of subcutaneous tunnel type lumbar cistern catheter. Methods From January 2017 to April 2019, 86 patients without intracranial infection and with indwelling lumbar cistern external drainage catheter indication were randomly divided into two groups according to the method of digital table. 43 cases in the control group were given routine nursing methods, 43 cases in the observation group were given high quality nursing intervention on the basis of routine nursing methods, including psychological nursing intervention, intraoperative nursing intervention, postoperative nursing intervention, prevention of infection, nursing intervention before and after extubation. The nursing effect and nursing satisfaction of the two groups were compared. Results The incidence of adverse events in the observation group was significantly lower than that in the control group (4.65% vs.25.58%) (χ2=7.340, P=0.007), the scores of SDS and SAS in the observation group were significantly lower than those in the control group (t=21.133, 19.051, P=0.000, 0.000), and the satisfaction rate of nursing service in the observation group was significantly higher than that in the control group (97.67% vs.81.40%) (χ2=4.468, P=0.035). Conclusion The application of high quality nursing intervention model in subcutaneous tunnel type lumbar cistern catheterization and after operation can reduce the risk of catheter nursing, effectively reduce the incidence of adverse events, significantly alleviate the negative mood of patients, improve the satisfaction of patients on nursing service, and is worth popularizing and applying in catheter nursing service. Key words: High quality nursing intervention; Subcutaneous tunnel type; Lumbar cistern external drainage; Nursing satisfaction

Application of positive psychological nursing model combined with dietary regulation in the treatment of constipative irritable bowel syndrome

Objective To explore the application of positive psychological nursing model combined with dietary regulation in the treatment of constipative irritable bowel syndrome. Methods A total of 100 cases of constipation-predominant irritable bowel syndrome treated from August 2017 to May 2018 were randomly divided into control group and observation group, 50 cases in each group. The control group was given routine nursing intervention, while the observation group was given active psychological nursing intervention and dietary adjustment on the basis of routine nursing. After intervention, the clinical efficacy, psychological status and quality of life of the two groups were compared. Results The total effective rate of the observation group was 92.00%(46/50), which was significantly higher than that of the control group (72.00%,36/50). The difference was statistically significant (χ2=7.862, P<0.05). The scores of Symptom Checklist-90 (SCL-90), Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in the observation group (12.97±2.65, 10.38±1.86, 13.86±1.63, 10.02±1.11, 13.03±1.18, 5.19±0.32, 7.94±1.26, 7.34±0.88, 6.29±1.02, 9.43±1.00, 50.64±5.21, 50.14±5.26) were significantly lower than those in the control group (21.88±3.65, 18.72±1.05, 17.21±1.99, 14.43±1.29, 19.46±1.45, 6.79±0.41, 9.15±1.37, 9.22±1.16, 8.90±1.92, 14.02±1.98, 40.42±3.89, 42.77±3.85) (t=-11.114-27.610, P<0.05). The scores of anxiety, pickiness, health anxiety and social reaction in the Irritable Bowel Syndrome-Quality of Life Scale (IBS-QOL) in the observation group (92.90±12.67, 89.55±14.11, 89.09±15.25, 86.22±16.36) were significantly better than those in the control group (80.04±16.58, 80.09±15.44, 78.25±16.53, 77.79±16.23) (t=-4.358--2.587, P<0.05). Conclusion Positive psychology combined with dietary regulation intervention can improve the therapeutic effect of patients with constipation-predominant irritable bowel syndrome, improve their mental and psychological symptoms, alleviate anxiety and depression, and improve the quality of life, which is worthy of wide clinical promotion. Key words: Irritable bowel syndrome; Constipation predominant; Positive psychology; Dietary regulation

Psychological nursing approach on anxiety and depression of patients with severe urinary incontinence after radical prostatectomy - a pilot study.

ObjectiveTo implement a psychological intervention programme and explore its effects on anxiety and depression in patients with severe urinary incontinence following radical prostatectomy.MethodsThis pilot randomized controlled trial recruited patients that underwent laparoscopic radical prostatectomy. Patients were randomized to conventional nursing and psychoeducation groups. The primary outcome was the levels of anxiety and depression evaluated by the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) at 3 months after urinary catheter removal. The quality of life (secondary outcome) was evaluated using the incontinence-specific quality of life scale (I-QOL).ResultsThe study analysed 35 patients: 16 received conventional nursing and 19 received a psychoeducational intervention. There were no significant differences in the sociodemographic data and SAS, SDS and I-QOL scores between the two groups at baseline. At 3 months after catheter removal, the SAS and SDS scores in the psychoeducation group were significantly lower compared with the conventional nursing group; and the I-QOL score in the psychoeducation group was significantly higher compared with the conventional nursing group.ConclusionThis pilot study suggests that the psychological nursing intervention improved the symptoms of anxiety and depression, and improved quality of life, in patients with severe urinary incontinence following radical prostatectomy.

Evaluation on application effect of psychological nursing intervention on patients with traumatic endophthalmitis

Background: To explore the application effect of psychological nursing intervention in patients with traumatic endophthalmitis. Methods: A total of 90 patients with traumatic endophthalmitis admitted to our hospital from August 2018 to April 2019 were selected as study objects and randomly divided into observation group and control group, with 45 cases in each group. The control group received routine nursing care, and the observation group performed psychological nursing intervention on the basis of the control group. The scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) and nursing satisfaction degree were compared before and after nursing treatment in two groups. Results: The scores of SAS and SDS of the observation group were better than those of the control group. The score of the nursing satisfaction degree of the observation group was higher than that of the control group, showing statistically significant difference (P&lt;0.05). Conclusions: Psychological nursing intervention can improve the physical and mental condition of patients with traumatic endophthalmitis, reduce their negative emotions such as anxiety and depression, and improve the satisfaction of nursing. It is worthy of clinical promotion.

The influence of psychological nursing on negative emotion regulation of gynecological tumor patients

Objective To explore the influence of psychological nursing intervention on negative emotion regulation of gynecological tumor patients. Methods A total of 46 cases of gynecological tumor patients admitted to the hospital from June 2015 to June 2017 were selected as research objects.Among them, 22 patients admitted from June 2015 to June 2016 were taken as the control group, and 24 patients admitted from July 2016 to June 2017 were taken as the research group.The study group adopted standardized psychological nursing intervention on the basis of routine nursing.The scores of negative emotions in the two groups were compared 24 hours after admission, 24 hours before discharge and 3 months after discharge. Results The total score of mental state of the patients in the study group was significantly reduced 24 hours before discharge, and the differences were statistically significant (P<0.05). Anxiety, depression, anger and total scores of the patients in the study group all decreased significantly 3 months after surgery, and the differences were statistically significant (P<0.05). Conclusion Targeted and standardized psychological nursing intervention can effectively improve the negative emotions of gynecological tumor patients, which provides a new idea for the nursing of clinical gynecological tumor patients. Key words: Psychological nursing; Gynecologic oncology; Negative emotion

Nursing Intervention of Quality of Life on Patient with Gynaecologic Cancer

Most women with gynecological cancer have low of quality of life. This is due to the perception of the community that identifies cancer with death thus creates a feeling of being useless for life and introvert more. To overcome, a nursing intervention is needed that can improve the quality of life of patients with gynecological cancer. Methods: The literature search was conducted using EBSCO, PubMed, ProQuest and Cengange with the key words gynecological cancer, quality of life, nursing intervention. Furthermore, 188 articles (EBSCO 5, PubMed 13, ProQuest 169 and Cengange 1) were retrieved, of which 11 (EBSCO 2, PubMed 6, and ProQuest 3). The findings are made in table form and narrated. Results: Findings showed that certain nursing interventions can be done to improve the quality of life on gynecologic cancer survivors through physical activity, palliative care, Anma therapy, homecare, Leadership and Coaching for Health (LEACH) programs, Non-sporting qigong (NSQG), Qigong sports (SQG), and Our Fear of Recurrence Therapy (FORT). Conclusions and Recommendations: Providing comprehensive physical and psychological nursing interventions through both hospital and home care services can improve the quality of life on gynecologic cancer survivors.

Effectiveness of nursing interventions among patients with cancer: An overview of systematic reviews.

To explore nursing interventions used among patients with cancer and summarise the results of their effectiveness. The ultimate goal was to improve the quality of care and provide best evidence for clinicians to refer to while developing effective nursing interventions. Nursing interventions refer to actions that nurses take with the aim of improving the well-being of people with cancer-related health and care needs. A plethora of systematic reviews has been conducted in this research area, although with scattered results. We conducted a comprehensive review to identify and summarise the existing evidence. This overview of systematic reviews adheres to the PRISMA guidelines. The PubMed, CINAHL, MEDLINE and Scopus databases were searched. Nine reviews reporting findings from 112 original studies published 2007-2017 met the selection criteria. The results of intervention effectiveness were analysed using descriptive quantification and a narrative summary of the quantitative data. The effectiveness of educational nursing interventions was inconsistent on quality of life (QoL), attitudes, anxiety and distress, but positive on level of knowledge, symptom severity, sleep and uncertainty. Psychosocial nursing interventions had a significant effect on spiritual well-being, meaning of life, fatigue and sleep. Psychological nursing interventions reduced cancer-related fatigue. Nursing interventions supporting patients' coping had a significant impact on anxiety, distress, fatigue, sleep, dyspnoea and functional ability. Activity-based interventions may prevent cancer-related fatigue. Nursing interventions achieved significant physical and psychological effects on the lives of patients with cancer. Multidimensional nature of interventions by combining different elements reinforces the effect. Priorities for future research include identifying the most beneficial components of these interventions. Implementation of these nursing interventions into clinical practice is important to improve patients' knowledge and QoL as well as reducing various symptoms and side effects related to cancer and its treatment.

Empathy Reduces the Recurrence Rate of Venipuncture-induced Syncope

Objective: To demonstrate the effect of empathy on reducing the recurrence rate of venipuncture-induced syncope among patients with a history of fainting. Methods: A total of 300 patients with a history of fainting at the sight of blood or a needle who visited our outpatient department for blood draws during December 2013 and December 2018 participated in this study and were randomly divided into a control group (98 cases of mild syncope and 52 of severe syncope) and an experimental group (95 cases of mild syncope and 55 of severe syncope). The control group followed the traditional procedure for drawing blood; in addition to the traditional procedure, a psychological nursing intervention was applied to the experimental group. Results: The experimental group had a recurrence rate significantly lower than the control group (6.7% vs 37.3%, P = 0.001); particularly, there was a statistically significant difference between the recurrence rates of the mild-syncope subgroups (0.1% vs 12.2%, P = 0.02). In terms of severe syncope, the patients in the experimental group showed a lower recurrence risk compared to those in the control group (16.4% vs 84%, P = 0.0001), and the difference has statistical significance. Conclusion: Empathy is an effective psychological nursing intervention against the recurrence rate of venipuncture-induced syncope among patients with a history of fainting.

Effect of psychological nursing on anxiety of patients undergoing coronary artery bypass surgery

Objective To explore the effect of psychological counseling on postoperative anxiety in patients with coronary artery bypass grafting (CABG) . Methods A total of 58 patients with CABG admitted to Beijing Anzhen Hospital Affiliated to Capital Medical University from April 2016 to July 2017 were selected by convenience sampling method. All the research subjects were divided into observation group and control group with 29 cases in each by random number table method. The patients in the control group were given routine perioperative nursing, while the patients in the observation group were given psychological nursing intervention. The anxiety level of the patients in the two groups before and after operation was evaluated by Hamilton Anxiety Scale (HAMA) . Results There was no statistical significance difference of HAMA scores of the two groups before operation (P>0.05) . After operation, the difference was statistically significant in HAMA score (P<0.05) . Conclusions Psychological intervention in CABG patients can effectively reduce the mortality of the patients and relieve the postoperative anxiety of the patients. Key words: Coronary artery disease; Coronary artery bypass grafting, off-pump; Anxiety; Coronary bypass; Psychological nursing; Hamilton Anxiety Scale

Application of psychological nursing intervention based on SCL-90 Scale in ICU patients with artificial airway

Objective To explore the application of psychological nursing intervention based on Symptom Checklist 90 Scale (SCL-90) in ICU patients with artificial airway. Method A total of 94 cases of ICU patients with artificial airway in Beijing Luhe Hospital Affilated to Capital Medical University from March 2016 to March 2017 were selected as the research subjects. SCL-90 was used to assess the psychological status of the patients. All patients were randomly divided into observation group and control group with 47 cases in each. Two groups were given routine nursing intervention. The observation group was also given psychological nursing intervention on the basis of the SCL-90 Scale. The psychological status of the two groups of patients was analyzed before and after intervention by Hamilton Anxiety Scale (HAMA) , Hamilton Depression Scale (HAMD) and Visual Analogue Scale for Fear (FAVS) methods. Results The scores of anxiety (1.80±0.35) , depression (1.82±0.47) and fear (1.59±0.34) of ICU patients with artificial airway were higher than those of adult norm, which was (1.39±0.43) , (1.50±0.59) and (1.23±0.41) respectively. The differences were statistically significant (t=9.043, 5.148, 8.321; P<0.01) . The scores of HAMA, HAMD and FAVS after intervention in the two groups were lower than those before intervention. The HAMA score (9.15±2.20) , the HAMD score (10.94±2.50) and the FAVS score (1.95±0.41) in the observation group were lower than those in the control group (13.41±2.37) , (14.98±2.11) and (2.73±0.59) respectively. The differences were statistically significant (t=9.031, 8.466, 7.443; P<0.01) . Conclusions ICU patients with artificial airway are mainly accompanied with anxiety, depression and fear. Targeted psychological nursing can improve the patient's unhealthy psychological mood, which is of great significance to promote the prognosis of the disease. Key words: Nursing care; Intensive care units; Artificial airway; Negative emotion

Effect of mental nursing intervention in elderly patients with chronic kidney disease

Objective To explore the effect of psychological nursing intervention in elderly patients with chronic kidney disease. Methods A total of 137 elderly patients with chronic kidney disease admitted to this hospital from January 2014 to December 2016 were selected as the research objects. Among them, 65 patients were from January 2014 to June 2015, and routine nursing intervention was given, which was set as the control group.The remaining 72 patients were patients from July 2015 to December 2016, and psychological nursing intervention was given on the basis of the nursing of the control group, which was set as the observation group. The SDS and SAS scores, psychological and emotional scores and intervention satisfaction were compared between the two groups. Results There were no significant differences in SDS and SAS scores between the two groups before the intervention, and the difference was statistically significant(P>0.05). After the intervention, the SDS and SAS scores of the two groups were significantly improved compared with those before the intervention, and the SDS and SAS scores of the observation group were lower than those of the control group, with statistically significant differences(P<0.05). The scores of somatization, compulsion, interpersonal sensitivity, hostility, terror, paranoia, doubts and depression of the observation group were lower than those of the control group, and the differences were statistically significant (P<0.05). The satisfaction rates of the observation group and the control group were respectively 93.05%and73.83%.And the difference was statistically significant(P<0.05). Conclusions The psychological nursing intervention for elderly patients with chronic kidney disease can significantly alleviate their anxiety, depression and other adverse psychological emotions, and improve their satisfaction with the nursing intervention, which can be further promoted and used in clinic. Key words: Chronic kidney disease; Aged; Psychological nursing intervention

Effect of clinical care pathway combined with whole-course psychological intervention on gastrointestinal function in patients undergoing radical gastrectomy for gastric cancer

Objective To observe the effect of clinical care pathway combined with whole-course psychological nursing intervention on the gastrointestinal function of patients undergoing radical gastrectomy for gastric cancer. Methods A total of 90 patients who had been seeking radical gastrectomy for gastric cancer in the hospital from January 2015 to January 2017 were selected, and then according to the random number table method, these patients were divided into a control group and an observation group, 45 cases of each group.The control group received routine care, while the observation group was given clinical care pathway combined with whole-course psychological nursing intervention based on the care for the control group.The gastrointestinal function, negative psychological emotions, postoperative complications and satisfaction in the two groups were observed and compared. Results The total incidence of postoperative gastrointestinal symptoms, infections and other complications of the observation group were significantly lower than those of the control group, and the differences were statistically significant (P<0.05). The postoperative anal discharge time, recuperation time and defecation time in the observation group were less than those in the control group, and the differences were statistically significant(P<0.05). After intervention, the scores of anxiety self-rating scale (SAS) and depression self-rating scale (SDS) in the control group were higher than those in the observation group, and the differences were statistically significant(P<0.05). Conclusions For patients undergoing radical gastrectomy for gastric cancer, clinical care pathway combined with whole-course psychological nursing intervention is with significant clinical care effect, which can significantly help to alleviate their negative emotions and boost the recovery of their gastrointestinal function.Moreover, it incurs less postoperative complications and yet brings higher care satisfaction of the patients. Key words: Radical gastrectomy for gastric cancer; Clinical care pathway; Whole-course psychological care; Gastrointestinal function

Effect of positive psychological intervention on psychological status and quality of life in patients undergoing thoracic surgery operation

Objective To establish the screening condition of psychological intervention for patients in department of chest surgery and to explore the effect of psychological intervention on mental status and quality of life of patients undergoing operation. Methods Firstly, 30 healthy citizens and 30 patients undergone thoracic surgery were selected used simple random sampling method from October 2015 to December 2016. The Quality of Life Assessment Table (SF-36) and 90 Symptom Self-assessment Tables (SCL-90) were used respectively to obtain the ROC curve analysis of each total score. The respective values of them were obtained. Secondly, according to the cut-off value, 90 eligible patients were selected and randomly divided into control group and observation group, 45 cases in each group. The control group was given general care, and the intervention group received positive psychological intervention nursing for 2 weeks. Before and after intervention, all patients underwent SF-36 and SCL-90 scores, and the nursing satisfaction survey was done before the end of the study. Results The ROC curve analysis showed that the patients with SF-36 total score less than 570.55 had poorer quality of life, and the patients with SCL-90 total score more than 13.21 had poor mental status. After the intervention, the SF-36 score in emotional function, social function, the overall health of the two groups had no statistical difference (P>0.05) , other indicators of the intervention group were better than the control group, and there were statistical differences (P 0.05) , other indicators of the intervention group were better than the control group, and there were statistical differences (P<0.05) . Conclusions The patients undergoing chest surgery with SF-36 total score less than 570.55 and SCL-90 total score more than 13.21 need positive psychological nursing intervention, and positive nursing intervention has a positive impact on the quality of life and psychological status of such patients. Key words: Thoracic surgery operation; Quality of life; Psychological state; Psychological nursing; Positive psychological intervention

Researchprogression of positive psychology of patients with breast cancer in psychological nursing

Breast is one of most common among females. With rise of concept of positive psychology, research of positive psychology of patients with breast has become a current hot topic. This research reviews development of this part from aspects of the influence of positive psychological factors on quality of life in patients with breast cancer and the research status of positive psychological intervention of patients with breast cancer, in order to provide reference for building a better psychological nursing intervention model of patients with breast cancer. Key words: Breast neoplasms; Positive psychology; Research progression

Effect of psychological nursing based on relaxation training for the psychological state in patients with impacted third molar removal surgery

Objective: To discuss the effect of psychological nursing based on relaxation training for the psychological state in patients with impatced third molar removal surgery. Methods: A total of one hundred patients with impacted third molar removal surgery were selected from June 2015 to June 2017 in People's Liberation Army No. 105 hospital. According to the nursing method, all patients were divided into psychological intervention group and the control group, 50 cases in each group, the control group was given routine nursing intervention and the psychological intervention group was given psychological nursing intervention based on relaxation training. Results: The after intervention Corah's modified dental anxiety scale (6.3±1.2), Stouthard dental fear scale (62.9±6.5) scores and heart rate [(76.4±5.2) bpm], systolic blood pressure [(102.5±6.3) mmHg], diastolic blood pressure [(75.3±3.1) mmHg] levels of psychological group were significantly lower than those of the control group. The once removal success rate, intraoperative relaxation sense rate of psychological group were significantly higher than those of the control group, the teeth extraction time of psychological group was significantly lower than that of the control group, the difference was statistically significant (P=0.013, P=0.003). Conclusions: Psychological nursing intervention based on relaxation training can effectively improve the mental state and stress state of patients with impacted third molar removal surgery, which is beneficial to the process of the surgery.

Effect of staged psychological nursing on the improvement of negative emotion and social support in patients with bone injury caused by traffic accident

Objective To explore the effect of staged psychological nursing on negative emotion and social support in patients with bone injury caused by traffic accident. Methods Totally 80 cases of bone injuries caused by traffic accident from February 2016 to January 2017 were selected as the subjects.The randomized digital table method was used to randomly assign patients and divided into the control group and the observation group according to the principle of random allocation,40 patients in each group.The control group received routine care measures, while the observation group received staged psychological intervention on the basis of nursing care of the patients in the control group.Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS) and Social Support Rating Scale (SSRS) were used to compare the difference between two groups of patients before and after intervention, such as negative emotion and social support. Results The observation group were treated by staged psychological nursing intervention, the SAS and SDS scores were (33.28±4.19),(35.71±5.18) points, which were significantly lower than control group(36.41±4.15),(38.12±5.03) points, the differences were significant(t=6.08, 1.96, P<0.01). The observation group of patients with objective social support,subjective social support and social support scores were (20.17±2.65), (24.81±2.84), (15.83±2.05) points, which were higher than the control group(16.11±2.54), (18.24±2.76), (12.34±2.01) points, the difference were statistically significant(t=7.14, 9.13, 7.32, P<0.05). Conclusions Staged psychological nursing can obviously improve the mental status of patients with fracture caused by car injury,reduce the incidence of depression and anxiety, and promote the recovery of patients.It is worthy of clinical application and promotion. Key words: Nursing care; Fracture; Anxiety; Depression; Social support

Nursing progress of rapid rehabilitation for gastrointestinal function after gynecological laparoscopic surgery

The paper introduced the significance of promoting the early recovery of gastrointestinal function, and the countermeasures to promote the recovery of gastrointestinal function of patients after gynecological laparoscopic surgery from the perspective of rapid rehabilitation. It introduced six aspects including the optimization of diet management, encouragement of early postoperative activities, standardized catheter management, advocated nurses-driven analgesic program, application of the structure of psychological nursing and traditional Chinese medical nursing intervention. Besides, this paper put forward the deficiencies with the prospect, so as to provide references for improving the implementation of gastrointestinal function after gynecological laparoscopic surgery. Key words: Review; Laparoscopy; Gynecological surgery; Fast-track surgery; Gastrointestinal function

Effects of comprehensive psychological nursing intervention for patients with nasopharyngeal carcinoma during radiotherapy

Objective To explore the effects of comprehensive psychological nursing intervention on patients with nasopharyngeal carcinoma during radiotherapy, so as to provide references for alleviating their physical and mental pain and to improve their quality of life. Methods From July 2016 to April 2017, a total of 124 cases of nasopharyngeal carcinoma patients treated by radiotherapy from a ClassⅢGrade A hospital were recruited in the research, of which 63 cases from July to December 2016 were assigned as control group and 61 cases from January to April 2017 were assigned as intervention group. Routine nursing care was provided in the control group. On the basis of the routine nursing, individual combined with group intervention was applied in the intervention group according to the psychological and behavioral interventions before and during radiotherapy. The nursing intervention lasted from the beginning of the first radiotherapy till the end of the therapy course in both groups. By the end of the therapy, all the patients were investigated with Distress Thermometer (DT) and the short Quality of Life Scale for Nasopharyngeal Carcinoma with 13 items (QOL-NPC13) . Results The scores of DT in the control group and the intervention group were (8.08±0.58) and (5.30±1.11) respectively, and the difference was statistically significant (t=19.316, P<0.001) . The scores of body function, psychological spirit, social relationship, toxic side effect and the quality of life of the intervention group were all higher than those of the control group, the differences were statistically significant (Z=-4.674, -7.894, -4.755, -4.842, -8.114; P<0.001) . Conclusions Comprehensive psychological nursing intervention is helpful to relieve the psychological pain and improve the quality of life in patients with nasopharyngeal carcinoma undergoing radiotherapy. Key words: Nasopharyngeal neoplasms; Radiotherapy; Psychological nursing