| Objective1.To explore the application effects of psychological education priority in the multimedia health education for the caregivers of the pancreatic cancer patients with the first course chemotherapy.Adjusting the sequence of the health education and setting the psychological education first,then comparing the psychological education priority with the conventional sequence in multimedia health education,to evaluate the effect on the caregiver's anxiety,depression,coping style,satisfaction for health education and the quality of life of patients.2.Furthermore,we aim to provide practical evidence for the caregiver's physical and mental health of cancer patients with the first course chemotherapy and then to improve the quality of life of patients.Methods1.The caregivers of pancreatic cancer patients with the first course chemotherapy were chosen by a convenience sampling method from April to September in 2017.They all met the inclusion and exclusion criteria.2.They were divided into the control group and the test group according to the admission time of their patients.The control group accepted the routine sequence multimedia health education;and the test group accepted the psychological education priority of multimedia health education.The intervention time ranged from diagnosis to the end of the first course chemotherapy.All the caregivers were assessed by Zung Self-rating Anxiety Scale(SAS),Zung Self-rating Depression Scale(SDS),Simplified Coping Style Questionnaire(SCSQ)at the beginning and ending of intervention.All the patients were assessed by EORTC Quality of Life Questionnaire-Core 30(EORTC QOL-C30)at the beginning and ending of intervention.After all contents of the health education was finished,the caregivers were investigated how well they were satisfied with the health education.3.All data were analyzed by SPSS17.0 statistical software package.The statistical methods included descriptive analysis and statistical inference.Statistical inference was based on two independent samples t test,paired sample t test and c2test and Fisher's exact test.Results1.All the general demographic data and disease information showed no significant difference between the two groups(P>0.05).The data of caregiver's anxiety,depression and coping style showed no significant difference between the two groups before intervention(P>0.05).There was no significant difference in quality of life of patients before the intervention(P>0.05).2.The data of caregiver's anxiety,depression,positive coping and negative coping showed statistical significant difference between the two groups after intervention(P<0.05).For the quality of life in the two groups of patients after intervention,the overall health and function fields of role,emotional,cognitive,and social showed statistical significant difference(P<0.05);and symptom fields of fatigue,nausea and vomiting,constipation were statistically significant(P<0.05);physical function and symptom fields of pain,dyspnea,insomnia,diarrhea,loss of taste,economic difficulties were not statistically significant(P>0.05).For the satisfaction level,the results showed that two groups were statistically different on overall satisfaction,anxiety release,information form preference,practical,individual,and self-care behavior changes(P<0.05)after intervention;while no statistically significant difference on information about comprehensive,timeliness,easy to understand and easy to memorize,patient care behavior changes(P>0.05).3.The self contrast before and after showed that most data were statistically different,so the score differences between the two groups before and after intervention were made to further analysis.The contrast of score difference between the two groups before and after intervention: the scores of the two groups before and after intervention were statistically significant(P<0.05)in the aspects of anxiety,depression,positive and negative coping style,and the difference in the test group was greater than that of the control group.The difference of the general health status,role function,emotional function,cognitive function,social function,fatigue,nausea,vomiting and constipation between the two groups of caregivers before and after intervention were statistically significant(P<0.05).The difference between the test group was greater than that of the control group;There were no significant differencein body function,pain,dyspnea,insomnia,loss of taste,diarrhea and economic difficulties(P>0.05).Conclusion1.The priority of psychological education in multimedia education can effectively reduce caregiver's anxiety and depression of the pancreatic cancer patients with first course chemotherapy;strengthen their positive coping style and weaken their negative coping style;improve their satisfaction with health education and the quality of life of their patients.2.The research calls for the clinical nurses to pay more attention to the caregiver's physical and mental health of pancreatic cancer patients with the first course chemotherapy,so as to reduce their negative emotions,improve the effect of health education and their care level. |
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