Résumé
ObjectiveTo discuss the effect of evidence-based nursing in improvement of unhealthy emotion and treatment compliance of patients undergoing painless gastroscopy. Methods134 patients from May 2008 to December 2010 undergoing painless gastroscopy were chosen as study object.According to voluntariness of the patients and their families,they were divided into the evidence-based nursing group (70 cases) and the routine psychological care group (68 cases).The satisfaction degree with nursing,unhealthy emotion,and the compliance during treatment process were evaluated with SAS and SDS.ResultsThe satisfaction degree of patients in the evidence-based nursing group was 92.86％,higher than 79.41％ in the routine psychological care group.No significant difference was shown in SAS and SDS score before treatment between two groups,but unhealthy emotion and treatment compliance after treatment significantly improved,and the improvement degree of the evidence-based nursing group was more evident. ConclusionsApplication of evidence-based care model in painless gastroscopy has more obvious advantages in improvement of unhealthy emotions and treatment compliance compared with routine nursing.It has more important value for clinical practice and is more conducive to improve the quality of life of patients.
Résumé
Objective:To study the role of selective psychological intervention on peripheral blood cytokine(interleukin-2,interleukin-4,tumor necrosis factor-?)(IL-2,IL-4,TNF-?)and unhealthy emotion in patients with chemotherapeutical breast cance.Methods:Randomized-control study method was adopted.Eighty chemotherapeutical inpatients with breast cancer were divided into intervention group and control group(40 patients in each group).Patients in both groups received mutine chemotherapy and health education,while the intervention group also received selective psychological intervention.The psychological and behavior rating were observated with Zung anxiety scale(SAS)/Zung depression scale(SDS)and symptom checklist(SCL-90)pre-and three month post-chemotherapy.Psychological intervention methods were selected independently and completed by patients.The effect of selective psychological intervention on unhealthy emotions were observed in breast cancer inpatients undergoing chemotherapeutics.The changes of IL-2/IL-4/TNF-?in peripheral blood were detemined by radioimmunity.Results:The breast cancer inpatients in both groups were noticeably depressed after chemotherapy(P0.05).Conclusion:The selective psychological intervention could inhibit the unhealthy emotion of breast cancer patients undergoing chemotherapy and increase the content of some cytokines in peripheral blood,which may be related with immunity enhancement.