A Psychological Nursing Intervention for Patients With Thyroid Cancer on Psychological Distress and Quality of Life

Wang, Shujia; Huang, Hui; Wang, Liping; Wang, Xiaoyan

doi:10.1097/nmd.0000000000001157

Cited by 18 publications

(18 citation statements)

References 20 publications

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“…At present, the gradual progress in the field of medical technology and nursing has made the development of nursing work more and more concerned about how to improve the physical and mental health of patients. Psychological nursing intervention, along with clinical basic care, gradually becomes key to nursing work (28). The goals of psychological nursing intervention are to improve the patient's care environment, enhance the patient's understanding and grasp of the disease, reduce the patient's fear and tension related to the disease, enhance their self-confidence in the face of cancer, correct their incorrect perception, guide them to respond accurately, and eliminate their anxiety and depression (29).…”

Section: Discussionmentioning

confidence: 99%

A Psychological Nursing Intervention for Patients with Breast Cancer on Inflammatory factors, Negative emotions and Quality of Life

Li¹,

Xie²,

Xu³

et al. 2022

ijph

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Background: We aimed to evaluate the effect of a psychological nursing intervention on inflammatory factors, negative emotions and quality of life in patients with breast cancer. Methods: Patients at the Cancer Hospital of China Medical University from January 2017 to January 2020 were stratified into two groups based on the way of nursing. Patients in the control group received routine care, and the experimental group received appropriate psychological care interventions in addition to routine care. We compared the inflammatory factors (interleukin-6 (IL-6) and C reactive protein (CRP)), negative emotions (self-rating depression scale (SDS) and self-rating anxiety scale (SAS)) and quality of Life (short form-36 survey (SF-36)) between two groups. Results: A total of 226 patients with breast cancer were enrolled in this study. Before the intervention, the CRP, IL-6, SAS and SDS between two groups were not significantly different (t=0.205, 0.971, 0.590, 1.579; P=0.838, 0.332, 0.556, 0.116). After the intervention, the CRP, IL-6, SAS and SDS between two groups were decreased and significantly different (t=-17.648, -18.079,-18.267,-18.613; P<0.05) Besides, the social function , physiological function, mental health, physical pain, physical limitation, vitality, emotional functions and overall health were improved and significantly different between two groups after intervention (P<0.05). Conclusion: A psychological nursing Intervention has the beneficial effect on the inflammatory factors, negative emotions and quality of life in patients with breast cancer.

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Section: Discussionmentioning

confidence: 99%

A Psychological Nursing Intervention for Patients with Breast Cancer on Inflammatory factors, Negative emotions and Quality of Life

Li¹,

Xie²,

Xu³

et al. 2022

ijph

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“…A study [12] conducted on 120 patients with thyroid cancer found that mindfulness-based stress reduction could also signi cantly alleviate the anxiety and depression of patients. Another studies [13,14] using a psychological nursing intervention also found that psychological distress, depression and anxiety could be signi cantly reduced. All of the above studies are generally consistent with the ndings of this paper.…”

Section: Relatively Few Studies Have Been Conducted On Interventions ...mentioning

confidence: 94%

“…At the same time, another study [10] also con rmed that more comprehensive information and correct understanding of the disease were important ways to alleviate the psychological distress of patients with thyroid cancer. Currently, studies have found that measures that can effectively alleviate depression, anxiety, and improve the quality of life of thyroid cancer patients are mainly psychological interventions, including psychological and behavioral interventions [11], mindfulness-based stress reduction [12] and psychological nursing intervention [13,14]. There are few studies that combine knowledge dissemination with psychological interventions to alleviate psychological problems and improve quality of life in thyroid cancer patients.…”

Section: Introductionmentioning

confidence: 99%

Effect of cognitive behavior therapy based on the health education pathway on psychology of Chinese papillary thyroid carcinoma patients: A randomized controlled trial

Jia

Zhao

Diao

et al. 2022

Preprint

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Purpose: Our main aim was to explore whether cognitive behavior therapy based on the health education pathway (CBT-HEP) can effectively alleviate the psychological problems of papillary thyroid carcinoma (PTC) patients after 131I treatment.Methods: Eligible PTC patients were prospectively included (July 1, 2019-February 1, 2021). The baseline demographic characteristics questionnaire, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30), the Distress Thermometer (DT), the Hamilton Anxiety Scale (HAMA), and the Patient Health Questionnaire-9 (PHQ-9)needed to be completed. Patients with a DT score ≥ 4 were randomly enrolled in further intervention trials. Patients received CBT-HEP and casual conversation (CC) in different groups.Results: A total of 357 PTC patients were investigated in this study, 48 and 49 patients were included in the CBT-HEP and CC groups, respectively. The DT, HAMA, and PHQ-9 scores before and after intervention and after six months of follow-up were 5.19, 10.29, 5.60; 2.50, 5.44, 3.38; 1.67, 3.98, 2.79 (CBT-HEP) and 4.84, 8.16, 3.76; 4.39, 8.53, 4.63; 3.63, 8.14, 4.37 (CC), respectively. DT, HAMA, and PHQ-9 scores decreased more significantly in the CBT-HEP group. Women, living alone, hypothyroidism, sadness, anxiety, tingling in hands/feet, breathing, concern about the treatment effect and radiation safety significantly increased the likelihood of a severe DT score.Conclusion: CBT-HEP is effective in relieving distress, anxiety and depression in PTC patients. In addition, PTC patients with the above characteristics have a poorer quality of life and should receive more attention.Registration: ChiCTR1900025852; registration date, September 11, 2019

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“…In 2016, Wu et al 10 reported that a 1-year psychological and behavioral intervention could improve functional capacities and QoL, alone with reducing depression and anxiety in patients with DTC who treated with postoperative radioactive iodine. In 2020, Wang et al 11 found that a four-week psychological nursing intervention, including the processes such as improving patient’s care environment, enhancing patient’s understanding of the disease and reducing patient’s fear and tension, could reduce psychological distress and enhance the QoL of thyroid cancer patients. Similarly, He et al 12 reported in 2021 that WeChat app-based perioperative nursing interventions could reduce disease stress and improve positive attitudes and self-management efficacy in patients with thyroid cancer.…”

Section: Introductionmentioning

confidence: 99%

Effect of Psychological Intervention on Differentiated Thyroid Cancer Patients in the Treatment with Radioactive Iodine

Liu¹,

Zuo²,

Liu³

et al. 2023

PPA

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Objective This study aimed to design a standard method of psychological intervention and evaluate the effect of such psychological intervention against the psychological distress of differentiated thyroid cancer (DTC) patients in the treatment with radioactive iodine. Methods The enrolled patients were randomly divided into the intervention group and the control group. Both the patients in the 2 groups received the routine nursing care, while the patients in the intervention group also received the additional standard psychological interventions. The questionnaires including patient health questionnaire-9 (PHQ-9), generalized anxiety disorder 7-item (GAD-7), cancer fatigue scale (CFS) and positive and negative affect schedule (PANAS) were used to assess psychological status. These questionnaires were performed at week 0 (T0), week 8 (T1, immediately after the last time of intervention) and week 24 (T2, 16 weeks after the intervention). Results PHQ-9, GAD-7, CFS and Negative Affect (NA) scores measured at T1 and T2 in the intervention group were significantly lower than those in the control group ( P < 0.001). And intervention group also had higher positive affect (PA) scores at T1 and T2 ( P < 0.001). Furthermore, the changes of PHQ-9, GAD-7, CFS, PA and NA scores from T0 to T1 and T0 to T2 were more evident in the intervention group than in the control group. Conclusion Psychological intervention could significantly improve psychological distress of DTC patients in the treatment with radioactive iodine.

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A Psychological Nursing Intervention for Patients With Thyroid Cancer on Psychological Distress and Quality of Life

Cited by 18 publications

References 20 publications

A Psychological Nursing Intervention for Patients with Breast Cancer on Inflammatory factors, Negative emotions and Quality of Life

A Psychological Nursing Intervention for Patients with Breast Cancer on Inflammatory factors, Negative emotions and Quality of Life

Effect of cognitive behavior therapy based on the health education pathway on psychology of Chinese papillary thyroid carcinoma patients: A randomized controlled trial

Effect of Psychological Intervention on Differentiated Thyroid Cancer Patients in the Treatment with Radioactive Iodine

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