Borji Milad, Tarjoman Asma, Abdi Alireza, Otaghi Masoume
Department of Nursing, Faculty of Nursing and Midwifery, Kermanshah University of Medical Science, Kermanshah, Iran.
Student Research Committee, Kermanshah University of Medical Science, Kermanshah, Iran.
Asian Pac J Cancer Prev. 2019 Jul 1;20(7):1967-1971. doi: 10.31557/APJCP.2019.20.7.1967.
Background: Gastrointestinal cancer is the third most common types of cancer in the world which leads to a lot of stress among sufferers. Pharmacological and non-pharmacological approaches are used to treat stress induced by serious diseases. Eye movement desensitization and reprocessing (EMDR) technique is considered as one of non-pharmacological method for decreasing patient’s stress. Objective: This study was conducted to determine the effect of home care using EMDR technique on the stress of patients with gastrointestinal cancer. Materials and Methods: The current semi-experimental study was performed on patients with gastrointestinal cancer residing in Ilam, Iran. The patients were randomly divided into two groups of intervention (n=30) and control (n=30). Home care was provided for intervention group in patients’ homes which included 2 sessions (a total of 60 sessions for all patients). Each session lasted for 45 to 60 minutes according to EMDR protocol. The data were analyzed using SPSS (version 16). Results: The findings of this study showed that most of patients were male (36, 60%), had diploma degrees (44, 73.3%), had a monthly income less than 500 thousand (38, 63.3%), were married (39, 65 %). The mean age of the patients was 69.18 ± 11.58 years. No statistically significant difference was observed between two groups before the intervention in terms of patients’ perceived stress (P>0.05). However, efficacy and perceived distress of the intervention group significantly was decreased following the intervention (P<0.05). Conclusions: According to the findings regarding the impact of home care using EMDR technique on reducing stress in patients with gastrointestinal cancer, the implementation of this intervention and provision of education for patients are recommended to expand the nursing duty to community health wards as well as to improve the health status of patients.
胃肠道癌是全球第三大常见癌症类型，给患者带来诸多压力。药理学和非药理学方法用于治疗严重疾病引发的压力。眼动脱敏再处理（EMDR）技术被视为减轻患者压力的非药理学方法之一。目的：本研究旨在确定采用EMDR技术的居家护理对胃肠道癌患者压力的影响。材料与方法：本项半实验性研究针对居住在伊朗伊拉姆的胃肠道癌患者开展。患者被随机分为干预组（n = 30）和对照组（n = 30）。为干预组患者提供居家护理，包括2个疗程（所有患者共60个疗程）。根据EMDR方案，每个疗程持续45至60分钟。数据采用SPSS（16版）进行分析。结果：本研究结果显示，大多数患者为男性（36例，60%），拥有文凭（44例，73.3%），月收入低于50万（38例，63.3%），已婚（39例，65%）。患者的平均年龄为69.18 ± 11.58岁。干预前两组患者的感知压力无统计学显著差异（P>0.05）。然而，干预组的疗效和感知痛苦在干预后显著降低（P<0.05）。结论：根据采用EMDR技术的居家护理对减轻胃肠道癌患者压力影响的研究结果，建议实施该干预措施并为患者提供教育，以将护理职责扩展至社区健康病房，同时改善患者的健康状况。
