Cinar Sezgi, Ozdogan Osman Cavit, Alahdab Yesim
Sezgi Cinar, PhD, is Associate Professor, Celal Bayar University, Department of Nursing, Department of Medical Nursing, Manisa, Turkey. Osman Cavit Ozdogan, MD, is Professor, Marmara University Medical Faculty, Department of Gastroenterology, Istanbul, Turkey. Yesim Alahdab, MD, is Associate Professor, Marmara University, Department of Gastroenterology, Istanbul, Turkey.
Gastroenterol Nurs. 2015 Sep-Oct;38(5):343-7. doi: 10.1097/SGA.0000000000000130.
The aim of this study was to determine the impact of education provided by a nurse on quality of life, anxiety, and depression in patients receiving hepatitis C virus (HCV) therapy. The total number of patients receiving HCV treatment was 25 patients (18 females and 7 males). Organized patient lectures addressed transmission routes of HCV, effects of virus on the liver, interferon treatment, treatment complications and care, and psychosocial problems faced by patients with HCV and their families. Lectures were followed by interviews in small groups including 3-4 patients each and repeated 3 months after. Data were collected by patient surveys, Hospital Anxiety-Depression Scale, and Short Form (SF)-36 Health Survey (SF-36). There were no significant differences between pre- and posteducation for the SF-36 domains, namely role physical, health perception, social functioning, role emotion, and mental health, whereas there were significant differences between pre- and posteducation for the SF-36 domains, namely physical function, bodily pain, and vitality. Pre-education depression and anxiety scores were higher than posteducation depression and anxiety scores. Specific educational programs provided by nurses improved patients' quality of life and decreased anxiety and depression in patients receiving HCV therapy. These findings support the importance of educational programs provided by nurses for HCV patients.
本研究的目的是确定护士提供的教育对接受丙型肝炎病毒(HCV)治疗的患者的生活质量、焦虑和抑郁的影响。接受HCV治疗的患者总数为25例(18例女性和7例男性)。有组织的患者讲座内容包括HCV的传播途径、病毒对肝脏的影响、干扰素治疗、治疗并发症及护理,以及HCV患者及其家人面临的心理社会问题。讲座后进行小组访谈,每组包括3 - 4名患者,并在3个月后重复进行。通过患者调查、医院焦虑抑郁量表和简明健康调查(SF - 36)收集数据。SF - 36量表中的角色生理、健康认知、社会功能、角色情感和心理健康等领域在教育前后无显著差异,而SF - 36量表中的身体功能、身体疼痛和活力等领域在教育前后存在显著差异。教育前的抑郁和焦虑评分高于教育后的抑郁和焦虑评分。护士提供的特定教育项目改善了接受HCV治疗患者的生活质量,并降低了他们的焦虑和抑郁。这些发现支持了护士为HCV患者提供教育项目的重要性。