Department of Health Psychology, School of Nursing, Shandong University, No.44 Wenhua Xi Road, Jinan, Shandong Province, 250012, China.
School of Health Care Management of Shandong University, No. 44 Wenhua Xi Road, Jinan, Shandong Province, 250012, China.
Eur J Oncol Nurs. 2019 Oct;42:1-6. doi: 10.1016/j.ejon.2019.07.003. Epub 2019 Jul 10.
This study investigated the levels of depression, subjective prospective memory (PM), and subjective retrospective memory (RM) among Chinese glioma patients and explored the bi-directional relationships between depression and memory impairment, including subjective PM and RM.
Seventy-one participants with glioma were assessed for depression, PM, and RM at two time points (Time 1: within 48 h of being hospitalized; Time 2: two weeks after surgery). A cross-lagged path analysis was conducted to examine the bi-directional relationships between depression and memory.
Depression at T1 predicted memory impairment total scores (β = 0.22, P = 0.011) and RM (β = 0.29, P < 0.001) at T2. However, depression at TI could not predict PM at T2 (β = 0.15, P = 0.090). Memory, whether PM or RM, at T1 could not predict depression at T2 (β = 0.07, P = 0.497; β = 0.00, P = 0.978; β = 0.06, P = 0.321).
Depression can affect RM memory impairment among glioma patients. Oncology nurses should preoperatively screen for depression in glioma patients to identify high-risk groups, for whom emotional interventions and memory training should be carried out to reduce postoperative RM memory impairment.
本研究调查了中国胶质瘤患者的抑郁水平、主观前瞻性记忆(PM)和主观回溯性记忆(RM),并探讨了抑郁与记忆障碍之间的双向关系,包括主观 PM 和 RM。
71 名胶质瘤患者在两个时间点(时间 1:住院后 48 小时内;时间 2:手术后两周)接受抑郁、PM 和 RM 评估。采用交叉滞后路径分析考察抑郁与记忆之间的双向关系。
T1 时的抑郁预测了 T2 时的记忆总评分(β=0.22,P=0.011)和 RM(β=0.29,P<0.001)。然而,T1 时的抑郁不能预测 T2 时的 PM(β=0.15,P=0.090)。T1 时的记忆,无论是 PM 还是 RM,都不能预测 T2 时的抑郁(β=0.07,P=0.497;β=0.00,P=0.978;β=0.06,P=0.321)。
抑郁会影响胶质瘤患者的 RM 记忆障碍。肿瘤护士应在术前对胶质瘤患者进行抑郁筛查,以识别高危人群,对其进行情绪干预和记忆训练,以减少术后 RM 记忆障碍。