Influence of psychological nursing and health education on depression, anxiety and life quality of elderly patients with lung cancer

Abstract

Background To explore and analyze the influence of psychological nursing and health education on depression, anxiety and life quality of elderly patients with lung cancer. Methods There were 84 elderly patients with lung cancer who were admitted and treated in our hospital since July 2018 till July 2019, serving as the objects of observation. The selected patients were divided into the control group (n = 42) and the observation group in principle of random allocation by computer numbers. Routine care was conducted to the control group, while psychological nursing and health education were implemented to the observation group, so as to compare the improvement effect of depression, anxiety, life quality and compliance on the two groups of patients before/after the two different nursing methods were adopted for intervention. Results Hamilton Depression Scale and Hamilton Anxiety Scale scores in the observation group were lower than those in the control group, and the levels of various pulmonary function indicators including degree of blood oxygen saturation, forced expiratory volume in 1 second, forced vital capacity and maximum ventilatory capacity and quality of life scores were significantly improved; compared with the control group, the total compliance of the observation group was significantly increased, and the difference between the two groups was statistically significant (P < 0.05). Conclusion The psychological nursing and health education implemented for elderly patients with lung cancer will improve patients' bad mood effectively, enhance life quality and perfect prognosis for patients, maintaining significant value in clinical application.

Depression and anxiety in cancer patient enrolled in clinical trials with serious adverse events

“…The median pain score of the moderate-severe depression group (3 [2,3]) was also higher than that of the nonemild depression group (2 [1,2], p < 0.001). The median IES score was considerably higher in the moderate-severe group (33.0 [22.0-48.0)] than in the none-mild group (22.0 [5.5-30.0], p < 0.001), while the mean FSI score was substantially lower in the none-mild group (14 [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21]) than in the moderate-severe group (34 , p < 0.001). Among patients with moderate-severe depression, 14 (32.6%) also experienced moderate-severe anxiety (Table 2).…”

“…The American Society of Clinical Oncology (ASCO) has published guidelines for screening and treating depression and anxiety symptoms in cancer patients and has identified risk factors for depressive and anxiety symptoms including sex, marital status, and age, among others 16 . The incidence rates of anxiety and depression in women are often higher than in men, and the prevalence of anxiety and depression is higher in younger than older groups 17,18 . Single, divorced, and widowed cancer patients may lack emotional support, leading to increased susceptibility to anxiety and depression 19 .…”

Influence of Psychological Nursing Procedure on Negative Emotion, Stress State, Quality of Life and Nursing Satisfaction in Patients with Lung Cancer Radical Operation

“…Cetkin’s team believed that health education is closely related to the clinical treatment effect of patients undergoing radical lung cancer surgery, but most patients lack knowledge about diseases, which often requires systematic popularization of science by medical staff ( 17 ). In the psychological nursing procedure, team members will explain the adverse effects of bad psychology on the body to the patients, and educate the patients about lung cancer-related knowledge, so as to help the patients understand their own diseases, reduce patients’ anxiety about the diseases, and relieve patients’ doubts ( 18 ). In addition, psychological nursing aims at the characteristics of psychological needs of patients undergoing radical lung cancer surgery, encourages patients to maintain communication with the outside world, enables patients to obtain social and family support, helps patients to eliminate psychological burden, increases their initiative to participate in disease treatment, and achieves the realization of psychological barriers ( 19 ).…”

What should nurses do on post-stroke depression? A global systematic assessment of clinical practice guidelines

“…At present, the Hamilton Depression Scale is the most widely used assessment tool in clinical practice or research. [37][38][39] The scale has good reliability and validity, but its large content is not conducive to the practical application of clinical nurses. 9 AHA/ ASA 11 recommend the use of the Patient Health Questionnaire-2 scale for rapid recognition and preliminary judgement, which contains only two items and is suitable for clinical promotion.…”

“…In addition, it can promote multidisciplinary collaboration and provide a basis for further detailed assessment and intervention by physicians. At present, the Hamilton Depression Scale is the most widely used assessment tool in clinical practice or research 37–39. The scale has good reliability and validity, but its large content is not conducive to the practical application of clinical nurses 9.…”