The Effects of Psychological Nursing Intervention for Patients Undergoing Initial Chemotherapy and/or Radiotherapy for Advanced Non-small Cell Lung Cancer Ai Okamoto 1 , Michiko Morimoto 2 1Tottori University Hospital 2Graduate School of Health Science Okayama University Keyword: 非小細胞肺がん , 心理的な介入 , 看護 , 効果量 , non-small cell lung cancer , psychological interventions , nursing , effect size pp.33-42
Published Date 2015/9/25
  • Abstract
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 Objective:The present study aimed to investigate the effects of psychological nursing intervention for patients undergoing initial non-small cell lung cancer treatment.

 Methods:A total of 18 men with stage III or IV non-small cell lung cancer were assigned to either the control or intervention group by stratified randomization using age and cancer stage. The intervention group received cognitive and emotional support from a certified palliative care nurse. The effects of intervention were measured using a cognitive appraisal scale, the mental adjustment to cancer scale, and the 30-item cancer quality of life questionnaire (QLQ-C30).

 Results:The control group (n=10) comprised four stage III and six stage IV patients while the intervention group (n=8) comprised three stage III and five stage IV patients. While mean scores for “threat” and “anxious preoccupation” 1 month after the start of treatment increased in the control group, scores decreased in the intervention group (effect size per category, 0.62 and 0.64, respectively; both p<0.05). Various items in “role functioning” observed on the QLQ-C30 improved in the intervention group (effect size, 0.59:p<0.05).

 Conclusion:The present findings suggest that psychological nursing intervention alters non-small cell lung cancer patients' appraisals of their situation and is effective for promoting illness acceptance and treatment initiatives.

Copyright © 2015, Japanese Society of Cancer Nursing All rights reserved.


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