护士主导的心理教育对接受放射成像的癌症患者知识水平和心理困扰的影响：一项随机对照试验。

Effectiveness of Nurse-Led Psychoeducation on Knowledge and Psychological Distress in Cancer Patients Undergoing Radiological Imaging: A Randomized Controlled Trial.

作者信息

Dahiya Anjali, Joshi Poonam, Tiwari Surya Kant, Garg Rakesh, Rastogi Sameer, Sharma Kamlesh Kumari

机构信息

Department of Nursing Services, All India Institute of Medical Sciences, New Delhi, India.

College of Nursing, All India Institute of Medical Sciences, Kalyani, West Bengal, India.

出版信息

Psychooncology. 2025 May;34(5):e70164. doi: 10.1002/pon.70164.

DOI:10.1002/pon.70164

PMID:40320568

Abstract

BACKGROUND

Patients with cancer undergoing radiological imaging often experience psychological distress due to procedural uncertainty and fear of unfavorable diagnoses.

AIMS

This study aimed to evaluate the effectiveness of a nurse-led psychoeducational intervention on knowledge and psychological distress among cancer patients undergoing imaging in India.

METHODS

A randomized controlled trial was conducted with 120 adult cancer patients who underwent radiological imaging. Participants were randomly assigned to the intervention group, receiving nurse-led psychoeducation, or the control group, receiving standard care. The primary outcomes were knowledge of radiological imaging, assessed using a validated questionnaire, and psychological distress, measured using the Depression Anxiety Stress Scale-21. Data were collected at the baseline and immediately after imaging.

RESULTS

The post-intervention knowledge scores significantly improved in the intervention group compared to the control group (10.48 ± 1.99 vs. 8.51 ± 2.14; p < 0.001). Anxiety levels decreased significantly in the intervention group, with the proportion of participants experiencing no anxiety increasing from 67.74% to 93.55% (p = 0.001). After adjusting for baseline anxiety, the intervention group had significantly lower odds of anxiety than the control group (OR = 0.09, 95% CI: 0.02, 0.35; p = 0.001). No significant differences were observed in depression or stress levels between the groups.

CONCLUSION

Nurse-led psychoeducation effectively improved knowledge and reduced anxiety in patients with cancer undergoing radiological imaging. Integrating such interventions into pre-imaging protocols can enhance patient preparedness and reduce psychological distress. Further research should explore the long-term effects and adaptability of this intervention in diverse healthcare settings.

TRIAL REGISTRATION

CTRI/2021/06/034458.

摘要

背景

接受放射影像学检查的癌症患者常因检查过程的不确定性和对不良诊断结果的恐惧而出现心理困扰。

目的

本研究旨在评估由护士主导的心理教育干预对印度接受影像学检查的癌症患者知识水平和心理困扰的效果。

方法

对120名接受放射影像学检查的成年癌症患者进行了一项随机对照试验。参与者被随机分配到干预组（接受护士主导的心理教育）或对照组（接受标准护理）。主要结局指标包括：使用经过验证的问卷评估的放射影像学知识，以及使用抑郁焦虑压力量表-21测量的心理困扰。在基线期和检查后立即收集数据。

结果

与对照组相比，干预组干预后的知识得分显著提高（10.48±1.99 vs. 8.51±2.14；p<0.001）。干预组的焦虑水平显著降低，无焦虑的参与者比例从67.74%增加到93.55%（p=0.001）。在调整基线焦虑水平后，干预组出现焦虑的几率显著低于对照组（OR=0.09，95%CI：0.02，0.35；p=0.001）。两组之间在抑郁或压力水平上未观察到显著差异。