Feasibility and effectiveness of staged standardized psychological support in improving the psychological state of patients with head and neck tumors radiotherapy
LIN Juan1 ZHANG Qing2 HU Yunxia3 ZHANG Yuanyuan1 TONG Yusuo1 FENG Wanting4 DENG Xue1▲
1.Department of Radiotherapy, Huaian First Hospital Affiliated to Nanjing Medical University, Jiangsu Province, Huaian 223300, China;
2.Department of Nursing, Huaian First Hospital Affiliated to Nanjing Medical University, Jiangsu Province, Huaian 223300, China;
3.Department of Obstetrics, Huaian First Hospital Affiliated to Nanjing Medical University, Jiangsu Province, Huaian 223300, China;
4.Department of Oncology, Huaian First Hospital Affiliated to Nanjing Medical University, Jiangsu Province, Huaian 223300, China
[Abstract] Objective To explore the effect of staged standardized psychological support on the psychological state of patients undergoing radiotherapy for head and neck tumors. Methods From February 2019 to June 2021, a total of 94 patients with head and neck tumor radiotherapy admitted to Huaian First Hospital Affiliated to Nanjing Medical University were selected as the research subjects, and they were divided into two groups according to the subjective wishes of their families. The control group received routine nursing care, while the observation group received standardized psychological support in stages. The psychological states of the two groups were observed at the time of entry (T0), 14 days (T1), 28 days (T2), and 56 days (T3) of the intervention, and the self-management ability and quality of life were compared between the two groups at T0 and T3. Results The overall analysis showed that there were statistically significant differences in the mini-mental adjustment to canccer scale (Mini-MAC-29) score between the two groups, time comparison, and interaction comparison (P ＜ 0.05). Further pairwise comparisons and intra-group comparisons: the scores of each dimension of the Mini-MAC-29 at T1, T2, and T3 in the two groups were lower than those at T0 in the same group, while the scores in each dimension of the scale at T2 and T3 were lower than those of the same group at T1, and the differences were statistically significant (P ＜ 0.05). Comparison between groups: the scores of Mini-MAC-29 in each dimension at T0, T1, and T2 between the two groups showed no significant difference (P ＞ 0.05). The scores of each dimension at T3 in the observation group were lower than those in the control group, and the differences were statistically significant (P ＜ 0.05). At T3, the scores of the health promotion strategy questionnaire in the two groups were higher than those at T0 in the same group, while those of the observation group were higher than those of the control group, and the differences were statistically significant (P ＜ 0.05). At T3, the scores of Chinese head and neck tumors patients’ quality of life scale were higher than those at T0 in the same group, while those of the observation group were higher than those of the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Staged standardized psychological support for patients undergoing radiotherapy for head and neck tumors can improve their psychological state, self-management ability and quality of life.
林娟1 张青2 胡云侠3 张媛媛1 仝宇梭1 冯婉婷4 邓雪1▲. 阶段式规范化心理支持改善头颈部肿瘤放疗患者心理状态的可行性与有效性分析[J]. 中国医药导报, 2022, 19(25): 158-162.
LIN Juan1 ZHANG Qing2 HU Yunxia3 ZHANG Yuanyuan1 TONG Yusuo1 FENG Wanting4 DENG Xue1▲. Feasibility and effectiveness of staged standardized psychological support in improving the psychological state of patients with head and neck tumors radiotherapy. 中国医药导报, 2022, 19(25): 158-162.
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