Effect of a family support nursing intervention on mood, negative psychology, quality of life, and illness perception among elderly patients with breast cancer after radical operation / 中华健康管理学杂志

ABSTRACT

Objective:To investigate the effect of a family support nursing intervention on mood, negative psychology, quality of life, and illness perception among elderly patients with breast cancer after radical operation.Methods:A total of 94 patients with breast cancer who had under gone radical mastectomy during the period from August 2016 to May 2019 at the Seventh People′s Hospital of Zhengzhou were randomly divided into two groups a regular care group (control group, 45 patients) and a family support group (49 patients). The regular care group was provided with routine follow-up care after discharge. The family support group was given a family support nursing intervention, along with routine follow-up care. Hamilton Anxiety Rating Scale (HAM-A), Hamilton Depression Rating Scale (HAM-D), quality of life, and illness perception scores were compared between the two groups before and after the intervention.Results:There were no statistically significant differences in HAM-A, HAM-D, quality of life (physical status, emotional status, functional status, breast cancer-specific module scores, and total score), and illness perception scores (cognitive, emotional, comprehension, and total scores) between the two groups before the intervention ( P>0.05). The HAM-A and the HAM-D scores in the family support group were lower than those in the regular care group after the intervention ［(15.2±1.7) vs. (19.3±2.0) points, (18.0±1.7) vs. (23.1±2.5) points］ ( t=8.061, 8.021; both P<0.001). Physical status, emotional status, functional status, breast cancer-specific module, and total scores in the family support group were higher than those in the regular care group ［(21.3±2.5) vs. (16.4±2.1) points, (18.4±2.0) vs. (15.1±1.7) points, (22.0±2.6) vs. (15.1±1.5) points, (28.8±3.6) vs. (24.8±2.6) points, (113.3±15.5) vs. (101.4±12.5) points］ ( t=10.126, 8.695, 15.508, 6.205, 4.091; all P<0.001). The cognitive, emotional, comprehension, and total scores in the family support group were lower than those in the regular care group ［(29.4±3.0) vs. (34.9±3.7) points, (10.3±1.7) vs. (13.0±1.4) points, (4.1±0.5) vs. (7.4±0.8) points, (48.9±5.3) vs. (59.0±6.1) points］ ( t= 8.063, 8.285, 24.456, 8.597; all P<0.001). Conclusion:Interventions that support the family can improve mood and quality of lifeand enhance illness perception among elderly patients with breast cancer after radical mastectomy.