School of Nursing, College of Nursing, Taipei Medical University, Taipei 110301, Taiwan.
Taipei Cancer Center, Taipei Medical University, Taipei 110301, Taiwan.
Curr Oncol. 2024 Jul 20;31(7):4105-4122. doi: 10.3390/curroncol31070306.
In this study, we investigated the prevalence of mental health problems among patients with cancer and whether oncology nurse navigation improved their mental health outcomes and medical experience. In this randomized controlled clinical trial, we recruited 128 outpatients with cancer via purposive sampling from a teaching hospital in northern Taiwan. Participants were randomly assigned to the navigation group ( = 61) or the usual care group ( = 67). Data were collected from January 2019 to July 2020 using questionnaires, including the self-reported Distress Thermometer, Hospital Anxiety and Depression Scale, Demoralization Scale, and Patient Assessment of Chronic Illness Care. Data were collected at baseline and after three and six months of the intervention. Descriptive and analytical statistical analyses were performed. The prevalence rates of anxiety, depression, distress, and demoralization were 17.9%, 15.7%, 29.7%, and 29.7%, respectively. After three months, the participants in the navigation group exhibited significantly reduced levels of anxiety, demoralization, and emotional distress (reduced by 92%, 75%, and 58%, respectively) and reported a better medical experience (odds ratio = 1.40) than those in the usual care group.
在这项研究中，我们调查了癌症患者心理健康问题的患病率，以及肿瘤护士导航是否改善了他们的心理健康结果和医疗体验。在这项随机对照临床试验中，我们通过目的性抽样从台湾北部的一家教学医院招募了 128 名癌症门诊患者。参与者被随机分配到导航组（n=61）或常规护理组（n=67）。研究数据于 2019 年 1 月至 2020 年 7 月间通过问卷调查收集，包括自我报告的苦恼温度计、医院焦虑抑郁量表、沮丧量表和患者慢性病护理评估。数据在干预前和干预后 3 个月和 6 个月收集。采用描述性和分析性统计分析。焦虑、抑郁、苦恼和沮丧的发生率分别为 17.9%、15.7%、29.7%和 29.7%。三个月后，与常规护理组相比，导航组患者的焦虑、沮丧和情绪困扰水平显著降低（分别降低 92%、75%和 58%），且医疗体验更好（比值比=1.40）。
