Effect of multidisciplinary collaborative continuous nursing on the psychological state and quality of life of patients with cervical cancer

• Published in: American journal of translational research Vol. 13; no. 6; pp. 6654 - 6661
• Main Authors: Han, Dongfang, Wang, Dajun, Yang, Jia, Li, Xiaomei
• Format: Journal Article
• Language: English
• Published: e-Century Publishing Corporation 01.01.2021
• Subjects: Original
• ISSN: 1943-8141

OBJECTIVETo explore the effect of multidisciplinary collaborative continuous nursing on the psychological state and quality of life of cervical cancer patients. METHODSA total of 132 patients with cervical cancer who were hospitalized in our hospital were selected as the research subjects, and they were randomized into the observation group (n=66) and the control group (n=66). The control group was given regular continuous nursing, while the observation group was given three-month multidisciplinary collaborative continuous nursing. It was conducted through WeChat, telephone follow-up, face-to-face consultation and lectures, giving guidance on diet, medication, pain control, psychological health, self-care, review time, recognition and processing of postoperative complications, daily activities, social behaviors and so on. Patients' anxiety, depression, quality of life, cancer-related fatigue, complication incidence, and sleep quality were compared between the two groups. RESULTSSelf-rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were applied for evaluation. The anxiety and depression scores of patients in the observation group were significantly lower than those in the control group (both P<0.001). The scores on physical functioning, general health, social role functioning, emotional role functioning, and mental health, in the observation group were higher than those in the control group (all P<0.01). Compared with patients in the control group, those in the observation group had higher scores on behavioral/severity, affective meaning, sensory and cognition/mood (all P<0.001). Patients in the observation group had lower complication incidence of postoperative nausea, abdominal pain, wound infection and intestinal obstruction (P<0.05). Besides, the sleep quality scores of patients in the observation group were also lower than those in the control group (all P<0.001). CONCLUSIONThe application of multidisciplinary collaborative continuous nursing for patients with cervical cancer is effective. It can improve patients' depression, anxiety, quality of life, cancer-related fatigue, sleep quality, and reduce the incidence of complications. Therefore, it is worthy of clinical application and promotion.