| ObjectiveTo measure the state of negative emotion, coping style and the life quality, and toexplore the effects of spiritual care on negative emotion, coping style and life qualityof patients with nasopharyngeal carcinoma cancer.MethodsFrom May2010to May2011,67patients with nasopharyngeal carcinoma fromthe department of Radiotherapy in a Third-grade A-class hospital in Hengyang city,and the patients were randomly divided into the experimented group (35cases)and thecontrol group(32patients). The control group were treated the conventional nursing,the experimented group were given spiritual care and conventional nursing for8weeks. The Hospital Anxiety Depression Scale, Medical Coping ModesQuestionnaire European Cancer Patients Quality of Life Core Questionnaire(QOL-C30) and Questionnaire European Cancer Patients Quality Of Life Head andNeck35Questionnaire (QOL-H&N35) were used to collect data before theintervention, the forth week and eighth week, after the intervention, each index wascompared by ANVOAN of Repeated Measure, then the intervention effects wereassessed.Results(1) Before the intervention, the anxiety scores of experimented group and thecontrolled group were10.09±2.12and10.25±2.14respectively, the depressionscores of the experimented group and the control group were10.23±2.20and 10.31±2.24respectively, there were no significant difference between two groups(P>0.05). At the forth week and eighth week after the intervention, the anxietyscores of the experimented group (9.17±2.04,8.40±1.79) were obviously lowerthan the control group (10.50±1.92,10.75±1.83)(P<0.05); the depression scoresof the experimented group(9.20±1.92,8.43±1.60) was also significantly lowerthan the control group(10.25±1.93,10.22±1.88)(P<0.05).(2) Before the intervention, the face scores of the experimented group and thecontrol group were18.71±1.69and18.13±1.84respectively, the avoiding scoresof the two groups were17.08±1.33and17.34±1.18respectively, the yield scoresof the two groups were13.77±1.96and13.09±1.87respectively, there were nosignificant difference between two groups (P>0.05). At the forth week andeighth week after the intervention, the face scores of experimentedgroup(19.94±1.70,21.11±1.73) were higher than the control group(17.72±1.80、17.38±1.60),(P<0.05); the yield scores of the experimented groupwere(12.94±1.50,10.60±1.52) were lower than the control group(12.94±1.50,12.84±1.44),(P<0.05); the avoiding scores of the experimentedgroup(17.17±1.38,17.34±1.47) and the controlled group(17.47±1.46,17.69±1.35) were not significantly different (P>0.05).(3) Before the intervention, all items of the life quality status between two groups,there were not significant difference (P>0.05). At the forth week and eighthweek after the intervention, the scores of function dimension in QOL-C30, thestatus of overall health, fatigue, nausea, vomiting, pain, loss of appetite,constipation, diarrhea, sleep disturbances and each dimension in QOL-H&N35between two groups were statistically different (P<0.05); the scores of breathingdifficulties and economic difficulties between the two groups were notsignificantly different(P>0.05).(4) Before the intervention, face was negatively correlative with anxiety, depression,nausea and vomiting, pain, financial difficulty, there were statisticaldifferent(P<0.05); face was positively correlative with body function, rolefunction, social function, the status of overall health,(P<0.05). Yield was positively correlated with anxiety, depression, nausea and vomiting, pain,financial difficulty (P<0.05); yield was negatively correlative with role function,cognitive function, social function, the status of overall health (P<0.05).Conclusions(1) The spiritual care could relieve the negative emotions of patients withnasopharyngeal carcinoma.(2) Spiritual care could enhance the positive response of patients withnasopharyngeal carcinoma.(3) Spiritual care could change the symptoms of patients with nasopharyngealcarcinoma, improve their life quality. |
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