Ding Ping, Zhou Qingbo, Hu Jiaying
Central Sterile Supply Department, Shaoxing Yuecheng People's Hospital, Shaoxing, China.
Resident Physician Standardized Training Base, Shaoxing People's Hospital, Shaoxing, China.
Medicine (Baltimore). 2025 Sep 5;104(36):e44148. doi: 10.1097/MD.0000000000044148.
This narrative review synthesizes evidence on effective nursing interventions aimed at mitigating the primary psychological challenges, particularly anxiety and depression, faced by patients with colorectal cancer. A literature search of key databases, including PubMed, Web of Science, and Google Scholar, was conducted for articles published between 2015 and 2024. The literature confirms that psychological distress is highly prevalent in colorectal cancer patients, with rates often ranging from 20% to 40%. Effective nursing interventions with demonstrated effectiveness include routine distress screening, patient education, psychological counseling, cognitive behavioral therapy, and promoting physical exercise, all of which are shown to significantly improve quality of life. Given that nurses play a central role in identifying and managing this distress, integrating structured screening and evidence-based supportive interventions into routine cancer care is critical. Future research should focus on developing personalized care protocols for high-risk subgroups, such as patients with ostomies or advanced disease.
本叙述性综述综合了有关有效护理干预措施的证据，这些措施旨在减轻结直肠癌患者面临的主要心理挑战，尤其是焦虑和抑郁。对包括PubMed、科学网和谷歌学术在内的关键数据库进行了文献检索，以查找2015年至2024年发表的文章。文献证实，心理困扰在结直肠癌患者中非常普遍，发生率通常在20%至40%之间。已证明有效的护理干预措施包括常规困扰筛查、患者教育、心理咨询、认知行为疗法以及促进体育锻炼，所有这些措施均显示可显著提高生活质量。鉴于护士在识别和管理这种困扰方面发挥着核心作用，将结构化筛查和循证支持性干预措施纳入常规癌症护理至关重要。未来的研究应侧重于为高危亚组，如造口患者或晚期疾病患者，制定个性化护理方案。
