远程多模式心理教育干预护理方案对肾细胞癌幸存者心理健康和生活质量的影响：一项回顾性研究。

Effects of a Remote Multimodal Psychoeducational Intervention Nursing Program on Mental Health and Quality of Life of Renal Cell Carcinoma Survivors: A Retrospective Study.

机构信息

Department of Nephropathy, The First Affiliated Hospital of Harbin Medical University, 150000 Harbin, Heilongjiang, China.

出版信息

Arch Esp Urol. 2024 Aug;77(7):789-795. doi: 10.56434/j.arch.esp.urol.20247707.110.

DOI:10.56434/j.arch.esp.urol.20247707.110

PMID:39238304

Abstract

BACKGROUND

Undergoing surgery for renal cell carcinoma can potentially compromise the mental well-being and overall quality of life of survivors. Long-term psychological education interventions that are delivered remotely through various modalities have shown promise in enhancing the psychological well-being and quality of life of cancer patients. This study investigates the effect of remote multimodal psychoeducational interventions on mental well-being and quality of life of renal cell carcinoma survivors.

METHODS

A retrospective study was conducted to compare patients receiving remote psychological interventions (exposure group) with those receiving standard care (control group). Following the interventions, various data sets including general demographic information, and assessments from the Hamilton anxiety scale (HAMA), Hamilton depression scale (HAMD), the Brief Fatigue Inventory-Chinese version (BFI-C), the Distress Thermometer (DT), and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) were gathered and analysed for comparison.

RESULTS

This study included 116 renal cell carcinoma survivors, with 52 in the exposure group and 64 in the control group. Baseline characteristics were not significantly different between the two groups ( > 0.05). After the intervention, the exposure group had significantly lower scores than the control group on HAMA (14.63 vs. 16.66, < 0.001), HAMD (13.63 vs. 16.36, < 0.001), BFI-C (52.31 vs. 57.65, < 0.001), and DT (3.94 vs. 4.98, < 0.001). Additionally, the exposure group had significantly higher total score of EORTC QLQ-C30 (69.22 vs. 65.59, < 0.001) than the control group.

CONCLUSIONS

Remote multimodal psychoeducational interventions demonstrate a notable impact in mitigating adverse emotions, exhaustion, and discomfort experienced by survivors of renal cell carcinoma. Such interventions should be actively promoted in clinical practice.

摘要

背景

接受肾细胞癌手术可能会影响幸存者的心理健康和整体生活质量。通过各种方式远程提供的长期心理教育干预措施已显示出改善癌症患者心理健康和生活质量的潜力。本研究调查了远程多模式心理教育干预对肾细胞癌幸存者心理健康和生活质量的影响。

方法

进行了一项回顾性研究，比较了接受远程心理干预（暴露组）的患者与接受标准护理（对照组）的患者。干预后，收集了一般人口统计学信息以及汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）、简明疲劳量表中文版（BFI-C）、痛苦温度计（DT）和欧洲癌症研究与治疗组织生活质量问卷核心 30 版（EORTC QLQ-C30）的评估数据，并进行了比较分析。

结果

本研究纳入了 116 例肾细胞癌幸存者，其中暴露组 52 例，对照组 64 例。两组患者的基线特征无显著差异（>0.05）。干预后，暴露组的 HAMA（14.63 与 16.66，<0.001）、HAMD（13.63 与 16.36，<0.001）、BFI-C（52.31 与 57.65，<0.001）和 DT（3.94 与 4.98，<0.001）评分均显著低于对照组。此外，暴露组的 EORTC QLQ-C30 总分（69.22 与 65.59，<0.001）显著高于对照组。