scholarly journals Influences of Psychological Intervention on Negative Emotion, Cancer-Related Fatigue and Level of Hope in Lung Cancer Chemotherapy Patients Based on the PERMA Framework

Author(s):  
Min Tu ◽  
Fan Wang ◽  
Sanying Shen ◽  
Hui Wang ◽  
Jing Feng

Background: Psychological status is a decisive factor for regulating the lung cancer chemotherapy patients’ levels of fatigue and hope. Using the PERMA (Positive Emotion, Engagement, Relationships, Meaning, and Accomplishment) framework. We aimed to explore the influences of the psychological intervention on the patients’ negative emotion, cancer-related fatigue, and level of hope. Method: A total of 100 lung cancer chemotherapy patients admitted in Wuhan No.4 Hospital, China, from Jan 2018 to Aug 2019 were enrolled as research objects divided into the control group and observation group. Positive psychological intervention using the PERMA framework was given to the observation group. The scores of Post-Traumatic Growth Inventory (PTGI), Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), Cancer Fatigue Scale (CFS), and Herth Hope Index (HHI) were evaluated and compared in the two groups. Results: After the intervention, PTGI score in the observation group is higher than that in the control group, whereas the SAS and SDS scores are lower in the observation group than in the control group, and the differences are statistically significant (P<0.05). Score of each CFS dimension and total CFS score in the observation group are all lower than those in the control group, with statistically significant differences (P<0.05). Score of each HHI dimension and total HHI score are higher than those in the control group, and the differences are statistically significant (P<0.05). Conclusion: Positive psychological intervention using the PERMA framework can improve the emotional and fatigue state of lung cancer chemotherapy patients and elevate their level of hope.

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Hui Zhang

Objective: To explore the effect of KAP intervention mode on resilience and cancer-related fatigue in patients with colorectal cancer undergoing chemotherapy. Methods: A prospective randomized trial was conducted. 55 patients with colorectal cancer who received routine nursing from February 2018 to February 2019 were included in the control group, and 55 patients who received routine nursing + KAP intervention from March 2019 to March 2020 were included in the observation group. The scores of Resilience Scale and cancer-related fatigue scale (CFS) before and 6 months after intervention were compared between the two groups. Results: After 6 months of intervention, the score of resilience of the two groups was higher than that before intervention, and that of the observation group was higher than that of the control group, the difference was statistically significant (P < 0.05); The CFS score of the two groups was lower than that before intervention, and that of the observation group was lower than that of the control group, the difference was statistically significant (P < 0.05). Conclusion: KAP intervention model can improve the resilience of patients with colorectal cancer chemotherapy, reduce cancer-related fatigue.


2021 ◽  
Vol 5 (5) ◽  
pp. 172-176
Author(s):  
Chao Wang ◽  
Bo Xiang ◽  
Bo Han

Objective: To explore the emotional impact of psychological nursing intervention on patients with malignant tumor radiotherapy, and further verify the specific application value of this nursing model in the oncology department. Methods: A total of 129 patients with tumor radiotherapy admitted to our hospital from June 2018 to June 2021 were selected as subjects, and they were divided into control group and observation group by random number method. Among them, 64 cases in the control group received routine clinical nursing. 65 cases in the observation group received psychological nursing intervention. Then, the clinical nursing effect, self-rating anxiety scale (SAS) score, self-rating depression scale (SDS) score, immune function level change condition and clinical nursing satisfaction were compared under the two nursing modes, in order to fully verify the clinical application value of psychological nursing intervention mode for patients with cancer radiotherapy. Results: Comparing the clinical indexes of the two groups, SDS and SAS scores of the observation group were significantly lower than those of the control group. In terms of nursing satisfaction, the observation group is 96.92% and the control group is 90.62%, the difference was significant, and had clinical statistical significance (P < 0.05); After the comprehensive evaluation of the immune function of the two groups, it was found that the observation group was significantly better than the control group, and the difference between the two groups was statistically significant (P < 0.05). Conclusion: In the mode of psychological nursing, medical staff can carry out precise psychological nursing intervention and nutritional nursing for patients according to the specific conditions and treatment process of patients, which can greatly promote the psychological stability of patients, significantly reduce patients’ negative emotions. In addition, the scientific implementation of psychological nursing intervention in the treatment of tumor radiotherapy patients can effectively strengthen the improvement of the immune function of patients, which has a very important application value to improve the physical function of patients, promotes the patient’s body rehabilitation, and is worth in the field of widespread application.


2021 ◽  
Vol 7 (5) ◽  
pp. 4341-4348
Author(s):  
Qi Chen ◽  
Ling Xu ◽  
Hui Liang

Objective. To explore the impact of whole interventional psychological intervention combined with action-oriented teaching on the incidence of postoperative complications and negative emotion in patients with malignant glioma (MG). Methods. 96 MG patients admitted to our hospital (January 2020 - January 2021) were selected, and equally split into the control group (CG) treated with routine nursing and the study group (SG) treated with whole interventional psychological intervention combined with action-oriented approach on the basis of routine nursing. The impact of the two nursing patterns on the incidence of postoperative complications and negative emotion of patients was scientifically evaluated. Results. The patients of CG and SG showed no statistical difference in general data (P>0.05). Compared with CG, the proportion of patients with severe and extreme pain, and the scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in SG were notably lower (P<0.05). According to statistics, intracranial hemorrhage occurred in 4 cases of CG and 0 case of SG, diarrhea occurred in 5 cases of CG and 1 case of SG, hyperpyrexia occurred in 4 cases of CG and 1 case of SG, and nausea and vomiting occurred in 2 cases of CG and 2 cases of SG, so it could be seen that the incidence of adverse reactions in SG was notably lower compared with CG (P<0.05). The scores of 36-item short-form health survey scale (SF-36) and nursing quality in SG were notably higher compared with CG (P<0.05). Conclusion. The combination of whole interventional psychological intervention and action-oriented teaching can effectively reduce the incidence of postoperative complications, relieve postoperative pain, improve psychological state and further improve quality of life of MG patients. Therefore, it is an effective intervention program that can improve nursing Quality.


2021 ◽  
Vol 7 (5) ◽  
pp. 3256-3265
Author(s):  
Yongli Duan ◽  
Wenchao Liu ◽  
Lili Huang

Objective: to analyze the influence of positive psychological intervention on negative psychology, cognitive function, self-acceptance and disease uncertainty in patients with Parkinson’s disease. Methods: 79 patients with Parkinson’s disease admitted to our hospital from July 2017 to December 2019 were collected for comparative treatment. According to the random number method, they were divided into observation group (40 cases) and control group (39 cases). The patients in the control group were given routine nursing methods. The patients in the observation group were given positive psychological intervention on the basis of the control group. After the interference, the patients in the two groups were given negative psychology (HAMD) and cognition Function (visuospatial and executive function, naming ability, attention and memory, language ability, abstract thinking, delayed memory, orientation ability, total score), self-acceptance (self-acceptance, self-score), disease uncertainty (uncertainty, complexity), ADL, family coping style average score (positive coping style, negative coping style) The differences were analyzed. Results: after intervention, the HAMD scores of the two groups were lower than that before intervention, and the above indexes of the observation group were significantly lower than that of the control group (P < 0.05). After intervention, the visual space and executive function, naming ability, attention and memory, language ability, abstract thinking, delayed memory, orientation ability and total scores of the two groups were significantly higher than those of the control group (P < 0.05). After intervention, the self-acceptance and self-score of the two groups were higher than before intervention, and the above indexes of the observation group were significantly higher than those of the control group, the difference was statistically significant (P < 0.05). After intervention, the scores of uncertainties and complexity in the two groups were lower than those before intervention, and the above indexes in the observation group were significantly lower than those in the control group (P < 0.05). After intervention, the ADL scores of the two groups were higher than that before intervention, and the above indexes of the observation group were significantly higher than those of the control group, the difference was statistically significant (P < 0.05). After intervention, the scores of positive coping style in the two groups were higher than those before intervention, and the above indexes in the observation group were significantly higher than those in the control group (P < 0.05), while the scores of negative coping style in the observation group were lower than those before intervention, and the above indexes in the observation group were significantly lower than those in the control group, with a statistically significant difference (P < 0.05). Conclusion: positive psychological intervention can reduce the level of depression, improve patients’ cognitive function, increase patients’ self-confidence, reduce their fear of disease and improve their living standrads.


2021 ◽  
Author(s):  
Yanfei Jin ◽  
Yuqing Wang ◽  
Hongwen Ma ◽  
Xu Tian ◽  
Wang Honghong

Abstract Aims To evaluate the efficacy and mechanism of positive psychological intervention (PPI) on the psychological capital, psychological distress, and life satisfaction among colostomy patients. Methods Patients (n=120) with permanent stomas were recruited and randomly assigned into two groups. Patients in the experimental group (n=60) received standard care and PPI, whereas patients in the control group (n=60) only received standard care. The psychological capital, psychological distress, and life satisfaction were measured and compared between two groups before the intervention, the immediate post-intervention, and follow-up. Results All 120 patients completed the study. The hope, optimism, resilience, psychological distress, and life satisfaction score of the experimental group were significantly higher than those of the control group at T1 and T2 (P<0.05). Self-efficacy score of the experimental group had no significant difference at the two-time points after the intervention than the control group (P>0.05). Changes in hope and resilience which belong to psychological capital mediated the intervention’s efficacy on changes in PPI on life satisfaction (β = 0.265, P=0.005; β = 0.686, P=0.002). Conclusions PPI could effectively improve psychological capital, psychological distress, and life satisfaction among patients with stomas. Besides, our findings add novel support that increased hope and resilience are the active ingredients that promote intervention change.


2018 ◽  
Vol 5 (4) ◽  
pp. 285-289
Author(s):  
Xiao-Jing Guo ◽  
Li-Li Wei ◽  
Xin-Hui Li ◽  
Ning- Ning Yu ◽  
Shao-Bo Gao ◽  
...  

Abstract Objective The aim of this study was to explore the safe and effective method of expectoration in the preoperative period of patients with lung cancer resection and to promote the rehabilitation of patients. Methods A total of 100 cases of lung cancer patients undergoing elective surgery were divided into the observation group and the control group, with 50 cases in each group. The control group was treated with vibration expectoration vest for expectoration during the perioperative period, and the observation group was treated with respiratory function exerciser that has expectoration function in the perioperative period, three times a day, and the effect was evaluated after 5 days. Results The number of patients in the observation group after the first expectoration time was significantly less than that of the control group (P<0.001). Pain score, pulmonary atelectasis, and pulmonary infection rate of the observation group were significantly lower than those of the control group; the hospitalization time was significantly shorter than that of the control group; and the difference was statistically significant (P<0.05). Conclusions Lobectomy for lung cancer patients with perioperative respiratory training for respiratory function exercise, compared with conventional methods, is helpful for postoperative expectoration and to reduce the incidence of adverse events.


2020 ◽  
Vol 48 (10) ◽  
pp. 030006052096167
Author(s):  
Xiaoli Li ◽  
Liangliang Liu ◽  
Yanfei Zhang ◽  
Li Li

Objective The study aim was to examine the effect of a psychological intervention on patients with psoriasis vulgaris. Methods Participants in this prospective study were 205 patients with psoriasis vulgaris, 104 who received a psychological intervention (study group) and 101 who received routine nursing care (control group). An additional 291 healthy subjects formed a non-psoriasis group. The Symptom Checklist-90 (SCL-90), Generic Quality of Life Inventory (GQOLI), Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) were used to evaluate psychological status and quality of life. Results There were significant differences in SCL-90 and GQOLI scores between the study and non-psoriasis groups. After treatment, the study group showed significantly improved scores on the SCL-90 and GQOLI compared with the control group. Scores on the SDS (mean ± standard deviation: 31.99 ± 4.54 vs. 44.08 ± 4.52) and SAS (28.36 ± 4.52 vs. 40.14 ± 6.33) were improved in the study group. In addition, patients in the study group showed higher satisfaction rate and compliance rate than those in the control group. Conclusion Psychological intervention may be beneficial for improving quality of life and the therapeutic efficacy of drugs in patients with psoriasis.


2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Yanfeng Sun ◽  
Xiaohui Guo ◽  
Lingling Zhang ◽  
Wenqian Zhang ◽  
Yuqin Zuo

Objective: To compare and analyze the clinical efficacy of brain radiotherapy combined with targeted therapy and concurrent radiotherapy and chemotherapy in the treatment of non-small cell lung cancer (NSCLC) with brain metastasis. Methods: Fifty-eight patients with NSCLC with brain metastasis who were admitted to our hospital between October 2016 and October 2017 were randomly divided into a control group and an observation group, 29 cases in each group. The control group was treated with concurrent radiotherapy and chemotherapy, while the observation group was treated with whole brain radiotherapy plus targeted therapy. The disease control rate, adverse reactions and survival condition were compared between the two groups. Results: The disease control rate of the observation group was 68.97%, significantly higher than 41.38% of the control group (P<0.05); the total incidence of adverse reactions in the observation group was 6.90%, significantly lower than 24.14% of the control group (P<0.05); the median survival time of the observation group was (16.81±5.32) months, significantly longer than that of the control group ((9.76±3.25) months). The one-year and two-year survival rates in the observation group were significantly higher than those in the control group (P<0.05). Conclusion: Whole brain radiotherapy combined with targeted therapy is superior to concurrent radiotherapy and chemotherapy in the treatment of NSCLC with brain metastasis and has high safety. It can effectively prolong the life span of patients and is worth clinical promotion and application. doi: https://doi.org/10.12669/pjms.36.3.1626 How to cite this:Sun Y, Guo X, Zhang L, Zhang W, Zuo Y. Evaluation of radiotherapy combined with targeted therapy and concurrent radiotherapy, chemotherapy in the treatment of Non-Small Cell Lung Cancer with brain metastasis. Pak J Med Sci. 2020;36(3):---------.  doi: https://doi.org/10.12669/pjms.36.3.1626 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2021 ◽  
Author(s):  
Chunqi Luo ◽  
Qiaojian Zou ◽  
Huiling Liang ◽  
Jingyi Chen ◽  
Xuanmin Chen ◽  
...  

Abstract Background: Perinatal mood disorders can seriously endanger the health of pregnant women and fetus, affect family relationships and cause heavy burden and potential hazards to family and society. This study aims to investigate anxiety and depression in second trimester pregnant women with cervical insufficiency (CI) and identify its risk factors, so as to provide guidance for daily clinic work.Methods: From April 2019 to July 2020, 98 mid-pregnancy women with CI underwent laparoscopic cervical cerclage in the First Affiliated Hospital of Sun Yat-sen University were selected as observation group and 166 normal pregnant women in second trimester were set as control group. Zung's Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were applied to evaluate perinatal mood disorders in both groups.Results: Pregnant women in CI group had a SAS score of 46.31±11.29 and SDS score of 54.12±11.72, higher than the SAS score of 41.63±7.70 and SDS score of 47.56±9.31 in control group (both P<0.001). While 32.65% and 67.35% of pregnant women in observation group were considered to have different degrees of anxiety and depression, only 15.06% and 30.72% of normal pregnant women meet the same condition (both P<0.001). Multiple logistic regression analysis indicated that educational experience is an independent protective factor for depression disorder in second trimester pregnant women with CI.Conclusion: Pregnant women with CI are prone to develop anxiety and depression in the second trimester than normal pregnant women, therefore doctors and nurses should pay more attention to them in clinic work.


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