Dongfang Han1, Dajun Wang2, Jia Yang1, Xiaomei Li3. 1. Department of Gynecology and Obstetrics, The First Affiliated Hospital of Xi'an Jiaotong University Xi'an, Shaanxi Province, China. 2. Qide Academy of Xi'an Jiaotong University Xi'an, Shaanxi Province, China. 3. School of Nursing, Health Science Center, Xi'an Jiaotong University Xi'an, Shaanxi Province, China.
Abstract
OBJECTIVE: To explore the effect of multidisciplinary collaborative continuous nursing on the psychological state and quality of life of cervical cancer patients. METHODS: A total of 132 patients with cervical cancer who were hospitalized in our hospital were selected as the research subjects, and they were randomized into the observation group (n=66) and the control group (n=66). The control group was given regular continuous nursing, while the observation group was given three-month multidisciplinary collaborative continuous nursing. It was conducted through WeChat, telephone follow-up, face-to-face consultation and lectures, giving guidance on diet, medication, pain control, psychological health, self-care, review time, recognition and processing of postoperative complications, daily activities, social behaviors and so on. Patients' anxiety, depression, quality of life, cancer-related fatigue, complication incidence, and sleep quality were compared between the two groups. RESULTS:Self-rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were applied for evaluation. The anxiety and depression scores of patients in the observation group were significantly lower than those in the control group (both P<0.001). The scores on physical functioning, general health, social role functioning, emotional role functioning, and mental health, in the observation group were higher than those in the control group (all P<0.01). Compared with patients in the control group, those in the observation group had higher scores on behavioral/severity, affective meaning, sensory and cognition/mood (all P<0.001). Patients in the observation group had lower complication incidence of postoperative nausea, abdominal pain, wound infection and intestinal obstruction (P<0.05). Besides, the sleep quality scores of patients in the observation group were also lower than those in the control group (all P<0.001). CONCLUSION: The application of multidisciplinary collaborative continuous nursing for patients with cervical cancer is effective. It can improve patients' depression, anxiety, quality of life, cancer-related fatigue, sleep quality, and reduce the incidence of complications. Therefore, it is worthy of clinical application and promotion. AJTR
RCT Entities:
OBJECTIVE: To explore the effect of multidisciplinary collaborative continuous nursing on the psychological state and quality of life of cervical cancerpatients. METHODS: A total of 132 patients with cervical cancer who were hospitalized in our hospital were selected as the research subjects, and they were randomized into the observation group (n=66) and the control group (n=66). The control group was given regular continuous nursing, while the observation group was given three-month multidisciplinary collaborative continuous nursing. It was conducted through WeChat, telephone follow-up, face-to-face consultation and lectures, giving guidance on diet, medication, pain control, psychological health, self-care, review time, recognition and processing of postoperative complications, daily activities, social behaviors and so on. Patients' anxiety, depression, quality of life, cancer-related fatigue, complication incidence, and sleep quality were compared between the two groups. RESULTS: Self-rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were applied for evaluation. The anxiety and depression scores of patients in the observation group were significantly lower than those in the control group (both P<0.001). The scores on physical functioning, general health, social role functioning, emotional role functioning, and mental health, in the observation group were higher than those in the control group (all P<0.01). Compared with patients in the control group, those in the observation group had higher scores on behavioral/severity, affective meaning, sensory and cognition/mood (all P<0.001). Patients in the observation group had lower complication incidence of postoperative nausea, abdominal pain, wound infection and intestinal obstruction (P<0.05). Besides, the sleep quality scores of patients in the observation group were also lower than those in the control group (all P<0.001). CONCLUSION: The application of multidisciplinary collaborative continuous nursing for patients with cervical cancer is effective. It can improve patients' depression, anxiety, quality of life, cancer-related fatigue, sleep quality, and reduce the incidence of complications. Therefore, it is worthy of clinical application and promotion. AJTR
Authors: Lars-Christian Horn; Anne Katrin Höhn; Bettina Hentschel; Uta Fischer; Karl Bilek; Christine E Brambs Journal: J Cancer Res Clin Oncol Date: 2019-01-02 Impact factor: 4.553
Authors: Vinicius Toloti Moschini da Silva; Ana Paula Fortuna Diniz; Jumara Martins; Kleber Cursino; Sergio Carlos Barros Esteves; Julio Cesar Teixeira Journal: Brachytherapy Date: 2018-12-24 Impact factor: 2.362