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心理护理干预对胃癌患者生活质量和认知功能的影响:一项随机对照试验。

Effect of a psychological nursing intervention on quality of life and cognitive function in patients with gastric carcinoma: A randomised controlled trial.

机构信息

Department of General Surgery, The Forth Affiliated Hospital of Harbin Medical University, Harbin, China.

出版信息

Eur J Cancer Care (Engl). 2020 Nov;29(6):e13292. doi: 10.1111/ecc.13292. Epub 2020 Jul 15.

Abstract

AIM

We aimed to evaluate the effect of a psychological nursing intervention on quality of life (QoL) and cognitive function in patients with gastric carcinoma (GC) and proposed that the intervention might improve the QoL and cognitive function of GC patients.

METHODS

Gastric carcinoma patients were randomly assigned into two groups: (a) intervention group: receiving proper psychological nursing intervention; (b) control group: receiving conventional care.

RESULTS

The QoL and Montreal Cognitive Assessment (MoCA) scores at each dimensionality between the intervention group and the control group at baseline showed no significant differences (p > .05). However, after the 6-month psychological nursing intervention, 5 of 10 dimensionalities in QoL and 5 of 6 dimensionalities in MoCA showed statistically differences between the intervention group and the control group (p < .05). In comparison with the scores at baseline, the QoL scores measured after the 6-month psychological nursing intervention showed remarkable improvement in multiple dimensionalities in the intervention group, but only appetite loss improved in the control group. MoCA scores in multiple dimensionalities in the intervention group also exhibited obvious improvement compared with those in control group.

CONCLUSION

A psychological nursing intervention benefits the QoL and cognitive function in GC patients, indicating the importance of a psychological nursing intervention.

摘要

目的

评估心理护理干预对胃癌患者生活质量(QoL)和认知功能的影响,并提出干预可能改善胃癌患者的 QoL 和认知功能。

方法

将胃癌患者随机分为两组:(a)干预组:接受适当的心理护理干预;(b)对照组:接受常规护理。

结果

干预组和对照组在基线时各维度的 QoL 和蒙特利尔认知评估(MoCA)评分无显著差异(p>.05)。然而,经过 6 个月的心理护理干预后,QoL 的 10 个维度中有 5 个和 MoCA 的 6 个维度中有 5 个在干预组和对照组之间存在统计学差异(p<.05)。与基线评分相比,干预组在多个维度的 QoL 评分在 6 个月的心理护理干预后显著改善,但对照组仅食欲减退得到改善。干预组在多个维度的 MoCA 评分也明显优于对照组。

结论

心理护理干预有益于胃癌患者的 QoL 和认知功能,表明心理护理干预的重要性。

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