Evidence-based practice of supportive nursing in depression management in hospitalized patients with head and neck cancer
10.3760/cma.j.issn.1674-2907.2018.26.004
- VernacularTitle:住院头颈癌患者抑郁管理中支持性护理的循证实践
- Author:
Zhengrong PENG
1
;
Shuxin XI
;
Wei HUA
;
Jin FU
;
Jianfang WU
;
Qing YAO
;
Yang NI
Author Information
1. 复旦大学附属眼耳鼻喉科医院ICU暨术后观察室
- Keywords:
Evidence-based nursing;
Head and neck neoplasms;
Depression;
Supportive care services
- From:
Chinese Journal of Modern Nursing
2018;24(26):3113-3116
- CountryChina
- Language:Chinese
-
Abstract:
Objective To promote the application of the best evidence for supportive care in the management of depression in patients with head and neck cancer, and to improve the quality of clinical care.Methods Follow the three stages of clinical evidence practice of Joanna Briggs Institute (JBI): baseline review, practice change and effect evaluation, the best evidence of supportive nursing in depression management for head and neck cancer patients were retrieved, and 4 quality review indicators were developed. A total of 50 hospitalized head and neck cancer patients and 12 nurses were selected to collect data by means of field observation, interviews and nursing records. The obstacles to the application of evidence were analyzed and a practical scheme was worked out.Results The nurse's implementation rate of the four review indicators increased from 0-90％ at the baseline review to 90％-100％ after the evidence was applied. Except for Indicator 3 "Indicators nurses introduced the pressure on patients and their families to face cancer", the implementation rates of the other three indicators were significantly improved (P<0.01). After the application of evidence, the incidence of depression was decreased (P<0.05). The score of Relaxation, Sleep and Fatigue Management Knowledge Questionnaire was (18.20±14.09) before the application of evidence, which was lower than that after the application of evidence (80.60±12.84), and the difference was statistically significant (t=-23.14, P<0.01). The nurses' score of Supportive Nursing Knowledge Questionnaire before the application of evidence was (63.83±10.78), which was lower than that after the application of evidence (95.5±3.18), and the difference was statistically significant (t=-9.76,P<0.01).Conclusions The evidence-based application program can standardize nurses' supportive nursing behaviors for patients with depressive symptoms, reduce the severity of depression, improve the self-support knowledge level, and improve the quality of depression management in hospitalized patients with head and neck cancer.
