Author Affiliations: Maternity Nursing Department (Dr Erfina and Ms Nurmaulid), Pediatric Nursing Department (Dr Hariati), and Mental Health Nursing Department (Ms Andriani), Faculty of Nursing, Hasanuddin University, Makassar, Indonesia; and College of Science Health and Engineering, La Trobe University (Prof McKenna), Bundoora, Australia.
Cancer Nurs. 2024;47(1):72-80. doi: 10.1097/NCC.0000000000001158. Epub 2022 Dec 11.
The use of nonpharmacological modalities in managing symptoms experienced by patients with cancer is increasingly important in providing holistic care. However, limited studies have reported on integrating nonpharmacological interventions to improve physical and psychological symptoms of women with gynecological cancer.
The aim of this study was to examine the effect of a multimodal nursing intervention (MNI) on sleep quality, fatigue, and level of depression among Indonesian women with gynecological cancer.
The quasi-experimental nonequivalent group design involved 50 patients in 2 groups and used convenience sampling. An experimental group (n = 25) received MNI including progressive muscle relaxation and a counseling session; the control group received routine hospital care (n = 25). Sleep quality was assessed by the Pittsburgh Sleep Quality Index (PSQI), depression levels by the Beck Depression Inventory-II, and fatigue by the Piper Fatigue Scale (PFS). Pretest data were collected after 3 days of hospital admission; posttest data were gathered after the intervention.
The PSQI ( P = .000), Beck Depression Inventory-II ( P = .008), and PFS ( P = .000) changed significantly in the intervention group; the PSQI ( P = .000) and PFS ( P = .000) in the control group changed significantly. The PSQI ( P = .00) and PFS ( P = .000) scores differed significantly between the 2 groups before and after the intervention. The effect size of the MNI for difference scores before and after the intervention was medium effect size.
The role of nonpharmacological modalities in managing symptoms experienced by patients with cancer is increasingly important to providing holistic care.
Gynecology nurses can lead the implementation of MNI to decrease patient fatigue and depression and to increase sleep quality.
在提供整体护理方面，越来越重视使用非药物模式来管理癌症患者的症状。然而，有限的研究报告了整合非药物干预措施以改善妇科癌症女性的身体和心理症状。
本研究旨在探讨多模式护理干预（MNI）对印度尼西亚妇科癌症女性睡眠质量、疲劳和抑郁水平的影响。
采用准实验非等同组设计，使用方便抽样，共纳入 50 例患者，分为 2 组。实验组（n=25）接受包括渐进性肌肉松弛和咨询的 MNI；对照组（n=25）接受常规医院护理。采用匹兹堡睡眠质量指数（PSQI）评估睡眠质量，贝克抑郁量表 II 评估抑郁水平，派珀疲劳量表（PFS）评估疲劳。入院后 3 天收集预测试数据，干预后收集测试数据。
干预组 PSQI（P=0.000）、贝克抑郁量表 II（P=0.008）和 PFS（P=0.000）均显著变化；对照组 PSQI（P=0.000）和 PFS（P=0.000）均显著变化。干预前后两组 PSQI（P=0.00）和 PFS（P=0.00）评分差异有统计学意义。干预前后 MNI 的差异评分的效应量为中等效应量。
非药物模式在提供整体护理方面管理癌症患者症状的作用越来越重要。
妇科护士可以主导 MNI 的实施，以降低患者的疲劳和抑郁程度，提高睡眠质量。
