回忆疗法-参与式护理对减轻焦虑或抑郁的老年宫颈癌术后患者的心理负担和提高其生活质量有良好效果

IF 1.7 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Tohoku Journal of Experimental Medicine Pub Date : 2024-12-25 Epub Date: 2024-07-04 DOI:10.1620/tjem.2024.J060
Wei Wei, Ping Fu, Lei Ju, Li Chen, Hongyu Hui
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引用次数: 0

摘要

回忆疗法是治疗老年人精神障碍的有效心理干预手段。然而,对老年宫颈癌术后并发焦虑或抑郁的患者评价不足。因此,本研究旨在探讨RT-engaged care (RTEC)对这一人群的影响。本研究共纳入112例老年宫颈癌术后焦虑或抑郁患者,采用单中心随机对照研究,随机分为RTEC组(N = 56)和常规护理组(N = 56),进行为期12周的干预。在基线和干预开始后第4周(W4)、第8周(W8)和第12周(W12)进行评估。与常规护理组相比,RTEC组医院焦虑抑郁量表(HADS)-焦虑评分W12 (P = 0.028)、HADS-抑郁评分W8 (P = 0.028)和W12 (P = 0.017)均降低。而两组在W4、W8、W12的精神状态测试得分差异无统计学意义(P均为0.050)。在生活质量(QoL)方面,RTEC组在W12时EuroQol 5维度得分低于常规护理组(P = 0.010)。与常规护理组相比,RTEC组生活质量问卷Core 30 (QLQ-C30)整体健康状态评分和W8、W12时QLQ-C30功能评分均显著升高(P均< 0.050)。而两组在这些时间点的QLQ-C30症状评分无差异(P均为0.050)。综上所述,RTEC减轻了老年宫颈癌术后焦虑或抑郁患者的心理负担,改善了患者的生活质量,而对认知功能的增强作用不明显。
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Reminiscence Therapy-Engaged Care Exhibits a Pleasing Effect on Attenuating Psychological Burden and Bolstering Quality of Life in Elderly Postoperative Cervical Cancer Patients with Anxiety or Depression.

Reminiscence therapy (RT) is an effective psychological intervention to address mental disorders in the elderly; however, it is insufficiently appraised in elderly postoperative cervical cancer patients complicated with anxiety or depression. Hence, this study aimed to explore the effect of RT-engaged care (RTEC) on this population. Totally, 112 elderly postoperative cervical cancer patients with anxiety or depression were enrolled in this single-center, randomized, controlled study, and randomized into RTEC group (N = 56) or usual care group (N = 56) for a 12-week intervention. Evaluations were performed at baseline and the 4 th week (W4), 8th week (W8), and 12th week (W12) after intervention initiation.Hospital anxiety and depression scale (HADS)-anxiety score at W12 (P = 0.028) as well as HADS-depression score at W8 (P = 0.028) and W12 (P = 0.017) were reduced in RTEC group compared to usual care group. However, the mini-mental state examination score at W4, W8, and W12 was not different between the two groups (all P > 0.050). Concerning quality of life (QoL), EuroQol 5-dimensions score at W12 was reduced in RTEC group than in usual care group (P = 0.010). Both quality of life questionnaire Core 30 (QLQ-C30) global-health-status score and QLQ-C30 function score at W8 and W12 were elevated in RTEC group compared to usual care group (all P < 0.050). Whereas no difference was seen in QLQ-C30 symptom score at these timepoints between the two groups (all P > 0.050). In conclusion, RTEC alleviates psychological burden and improves QoL in elderly postoperative cervical cancer patients with anxiety or depression, while the effect in enhancing cognitive function is not obvious.

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期刊介绍: Our mission is to publish peer-reviewed papers in all branches of medical sciences including basic medicine, social medicine, clinical medicine, nursing sciences and disaster-prevention science, and to present new information of exceptional novelty, importance and interest to a broad readership of the TJEM. The TJEM is open to original articles in all branches of medical sciences from authors throughout the world. The TJEM also covers the fields of disaster-prevention science, including earthquake archeology. Case reports, which advance significantly our knowledge on medical sciences or practice, are also accepted. Review articles, Letters to the Editor, Commentary, and News and Views will also be considered. In particular, the TJEM welcomes full papers requiring prompt publication.
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