Research On Emotional Characteristics And Intervention Of Hospitalized Cancer Patients

Since the 20th century, cancer became one of the diseases that threaten human health. In recent years, with the increasing of cancer there are about 635 million new cases each year worldwide. Cancer became the second largest cause of death disease. With the medical model from a simple biomedical model to the bio-medical model of a psychological change in a society, the mental health of cancer patients and the quality of life have become an increasing concern. Psychosocial Oncology say that the incidence of cancer, development, prognosis and outcome are closely related with the social and psychological factors. So concerned about the mental health of cancer patients and its influencing factors, implementation of effective means to improve their mental health is important. This study aimed to:1. To explore the emotional characteristics of hospitalized patients with cancer and its influencing factors 2. Explore the simple and effective method of psychological intervention to improve the emotional health of cancer patients.Study I:Emotional characteristics of hospitalized cancer patients and its influencing factorsMethods:a survey have been conducted in a large hospitals that contained a random sample of 71 hospitalized cancer patients and their relatives, by application of non-psychiatric inpatient mental state evaluation (MSSNS), depression self-test questionnaire (SDS), medical response Style Questionnaire (MCMQ) Needs Assessment Questionnaire (NEQ), and the Cancer Communication Assessment Tool for Patient (CCAT-P), measuring the characteristics of patients with mood, coping style, communication with the relative and emotional characteristics of relative caregivers, caregiver subjective burden.Us descriptive statistics to describe the emotional characteristics of patients.Us Pearson correlation analysis to study the correlations between patient characteristics and the relevance of measured variables. The use of multiple regression analysis is to study the measurement of variables on the contribution of emotional changes in patients.Results:1.47.8%of the cancer patients have higher than the norms of the SDS scores; The cancer patients scored higher than general medical and surgical patient in anger of MSSNS other than anxiety, depression and loneliness. The factor scores of cancer patient in MSSNS from high to low were loneliness, anxiety, depression and anger.2. Depression, anxiety, anger, loneliness and other negative emotions, respectively, associated with sex, educational level, residence, family income and other characteristics of the general sociology, but also on their unmet need, family communication and coping.3. The age, disease duration, emotional and care need, family communication and coping style of yield and avoid, respectively, come to the significant of the conditions of patient negative emotions.StudyⅡ:Exploratory cognitive intervention to enhance the patient's mental HealthMethods:Referring to the patients'psychological problem, extracting the relevant knowledge into a knowledge-bound manual as the main intervention tool. The patients were randomly divided into experimental and control group, experimental group get 2-time intervention, the control group was only given diet manual. The data of two groups were collected before and after intervention survey.Results:The baseline data of two groups were unequal before intervention; SDS score, MSSNS loneliness scores of the intervention group were higher than the control group, avoidance scores was lower than the control group, the difference was statistically significant; After the intervention, the two groups had no significant differences in SDS scores, MSSNS scores and coping; The intervention group has decreasing scores in SDS and increasing scores in avoidance after the intervention while the control group had no significant difference.Conclusion:1. Nearly half of the cancer patients had depression problems; The anger of the cancer patients was higher than general medical and surgical patients in anger;. The loneliness of the cancer patients was the most highest compared with anxiety, depression and anger.2. With compared to the support or care needs, material needs and psychosocial support needs, the patient's information needs and relation needs were in a prominent position,3. The patients with mood disorders were influenced by gender, educational level, residence, family income, illness, and patients'unmet need patients, patient-family communication and patient coping styles. Women, low educational level, residence in remote, low family income, longer duration of disease occur in patients had increased risk of mood disorders.4. Patients'unmet need, patient-family communication and patient coping style could influence mental health, when which come unmet would increase the risk of depression, anger and anxiety; ill patient-family communication had the same influence on the patient's level of depression and anger; compared to the previous two, the role of coping styles are more prominent. The patients in distress who not positive in getting psychological help need active attention.5. A brief cognitive intervention on cognition of the cancer patients to alleviate their negative emotions is feasible.