Psychological Intervention On Negative Emotions Of The Family Members Of Patienta With Advanced Cancer

Purpose:To investigate negative emotions,stress,fatigue of the familes of patients with advanced cancer, Understanding the relationship between the psycholog ical negative emotions,caregiver steress,fatigue condition of the families of patients with advanced cancer. By Control study,the role of comprehensive psychologicalintervenetio n on negative emotions of the families of cancer patients with advanced, and improve their quality of life.Object:In2012, from March to November dispensary family members of patients with Shanxi Tumor hospital.Conducted a questionnaire survey of218,and86met inclusion criteria.Method:1.Baseline survey:Face-to-face interviews and a questionnaire survey of218families of investigation,Structured questionnaire research tool has demographic data,the families of Anxiety Rating Scale(SAS),Self-Rating Depression Scale(SDS),pressure scale(CBI),caregiver fatigue scale(FAI).2.Intervention study:86were randomly divided into two groups of43people.For control group,no system of psuchological intervention.For intervention group,for example,Cognitive therapy.psychological support,body,mind and spirit mode groups.The group activities are divided into four events,each time for about60minutes. After the end of the intervention take the questionnaire measured.The control group did not participate in the system of psychological intervention take the questionnaire measured.The control group did not participate in the system of psychological intervention.after the first two months measured the result.Result:1.In the patient’s families,the proportion of women was65.1%,the percentage of men(34.9%);The proportion of education for primary school22.5%,junior high school44%,high school24.8%,University and above is8.3%. religious proportion (10.6%) is higher than that of no religion proportion (89.4%); the average income of less than300yuan monthly income ratio of34%, income is300-600yuan accounted for42.7%, income of600yuan accounted for24.4%; family roles, spouse’s proportion is33%, the proportion of children was56.9%, the ratio of6%siblings, parents at the rate of4.1%.2. In the families of patients, there is anxiety families for97people, accounted for44.5%.the number of family members of depression was121, accounted for55.5%. Mild anxiety families accounted for40.4%, score was53.23±2.20; moderate anxiety, family proportion is3.20%, score was62.71±2.36, severe anxiety families accounted for0.90%, score was70.50±0.71. Women and men have no anxiety in comparison, the difference was statistically significant (P<0.001); in the aspect of nationality, Han nationality and the minority nationalities have no anxiety in comparison, no significant difference (P=0.304); in the cultural level, primary school, middle school, high school and university and above in the difference was no anxiety there was no statistical significance (P=0.437); in religion have no anxiety comparison, no significant difference (P=0.584); in the economic income, the average monthly income of less than300yuan,300～600yuan,600yuan more than in the comparison difference has no anxiety had statistical significance (P<0.05); family the role of spouse, children, parents, brothers and sisters, the difference has statistical significance without anxiety (P<0.05).3. Mild depression families accounted for45.41%, score was55.67±2.18; the proportion of families with moderate depression was3.21%, score was64.57±2.15; the proportion of families with severe depression was1.38%, score was73.33±0.58. Women and men have no depression in comparison, the difference was statistically significant (P<0.05); in the aspect of nationality, Han nationality and the minority nationalities have no depression in comparison, no significant difference (P=0.391); in the cultural level, primary school, middle school, high school and university and above in comparison with and without depression the statistical significance (P<0.05); in religion is no depression in comparison, no significant difference (P=0.826); in the economic income, the average monthly income of less than300yuan,300-600yuan,600yuan more than in the difference was no depression was statistically significant (P=0.161); family the role of spouse, children, parents, brothers and sisters, the difference has statistical significance with and without depression (P<0.001).4. The pressure level of patients’ families, mild pressure ratio of4.59%, score25.30±8.67; moderate pressure ratio is86.24%, the score was50.48±7.29; severe pressure ratio is9.17%, the score was51.33±11.21. The degree of fatigue of family members of patients with mild fatigue, the proportion is5.05%, the fatigue score was59.55±11.35, moderate fatigue ratio is92.2%, the score was91.98±11.95; severe fatigue ratio is2.75%, the score was144.33±5.05. The economic situation is relatively poor economic situation of family pressure, fatigue level low.5. In correlation analysis, the presence of highly related to anxiety and depression (r=0.625, P<0.001); was highly correlated to anxiety, pressure (r=0.543, P<0.001); depression and fatigue were highly correlated (r=0.564, P<0.001). The effects of other factors on the partial phase, there are highly correlated to anxiety and depression (r=0.514, P<0.001); is highly related to anxiety and stress (r=0.522, P<0.001); is highly related to anxiety and fatigue (r=0.513, P<0.001).6. Investigation shows,218people were in the mood of anxiety and depression, there are86people, the incidence of anxiety and depression was39.45%. The intervention of anxiety patients their families emotional has been significantly improved, there was a significant difference between before and after the (t=4.225, P<0.001); the intervention group in relatives of patients with depression were improved, and there was significant difference in t=4.345, P<0.001).Conclusion:1.The family members of patients with advanced cancer prevalence of anxiety,depression,Higher levels of stress and fatigue.Affected by a variety of factors,gender,age,education level,caregiver role.2.Negative emotions of the families of patients with advanced cancer are associated with stress,fatigue level.3.Psychological intervention on negative emotions of the family members of patients with adcanced cancer.