1.Correlation analysis between psychological counseling behaviors of accompanying family members and anxiety and depression of inpatients with hepatocellular carcinoma
Yuqun WEI ; Anhua LI ; Yingfan HUANG ; Xinhua ZHAO ; Juan TANG ; Zhangyang MO ; Yonghui PANG
Chinese Journal of Practical Nursing 2017;33(8):602-607
Objective To understand the correlation between psychological counseling behaviors of accompanying family members and anxiety and depression of inpatients with hepatocellular carcinoma. Methods Used self-designed questionnaires to investigate the behaviors of 45 accompanying family members psychological counseling for their relative hospitalized patients with hepatocellular carcinoma, at the same time, evaluated the anxiety and depression among those 45 hospitalized patients with hepatocellular carcinoma, then analyzed the correlation between the accompanying family members' psychological counseling behaviors and hepatocellular carcinoma in patients' anxiety and depression. Results Among the accompanying family members,53.3%(24/45) were the spouses of the patients. During the accompanying nursing time, there were 20.0%(9/45) accompanying families told to their relative patients less than 2 hours per day, and 80.0%(36/45) told to the patients over 2 hours per day. The proportion of anxiety and depression in the hospitalized patients with hepatocellular carcinoma was 28.9%(13/45) and 77.8% (34/45) respectively. Whether the relationship between the accompanying family members and the patients with hepatocellular carcinoma were spouse relationship was related to the incidence of depression in the patients (χ2=10.470, P=0.005), and whether the time accompanying family members spent in talking with the patients over 2 hours every day was correlative with the incidence of anxiety and depression in the patients (χ2=7.012, P =0.030 andχ2=6.438, P=0.040). The patients who accompanying families told to them less than 2 hours per day suffered a higher depression rate (8/9), and among the patients who accompanying families told to them over 2 hours per day, the lowest rate of anxiety (1/12) was found in the patients who accompanying families told to them around 4.1-6.0 hours per day. Conclusions The patients who are accompanied and cared by their spouses have lower depression rate and lesser depression extent. The accompanying families talk to the patients total 4.1-6.0 hours per day could most favorably reduce the incidence of anxiety and depression in the hospitalized patients with hepatocellular carcinoma.
2.Correlation between uncertainty in illness and coping style among patients with cervical cancer
Rongquan WEI ; Lijun CHEN ; Yuling ZHAO ; Jinfang JIANG ; Ying CHEN ; Yingfan HUANG
Chinese Journal of Modern Nursing 2014;20(1):42-44
Objective To investigate the correlation between the uncertainty in illness and coping style among cervical cancer patients .Methods A total of 180 patients with cervical cancer were selected and investigated with Mishel ’ s uncertainty in illness scale-adult form ( MUIS-A ) and medical coping modes questionnaire ( MCMQ) .Pearson correlation analysis was used to analyze the correlation between uncertainty in illness and coping style.Results The MUIS-A total score of patients with cervical cancer was (78.91 ±9.34). The score of MCMQ facing factor, avoiding factor and yielding factor was (19.28 ±2.61), (17.56 ±2.12) and (12.90 ±1.43), respectively.The MUIS-A total score of patients with cervical cancer was positively correlated with the yielding factor (P<0.01), and negatively correlated with the facing and avoiding factors (P<0.05).Conclusions Correlation has been found between uncertainty in illness and coping style in patients with cervical cancer .Nurses should guide patients to adopt effective coping styles , in order to decrease their uncertainty in illness and improve their quality of life .
3.Effects of Kegel exercise combined with moxibustion acupuncture point therapy of postoperative bladder dysfunction of patients with cervical neoplasms
Yi LEI ; Yingfan HUANG ; Qianqian FENG ; Xin CHANG ; Ling YANG ; Ying QIN ; Ying CHEN
Chinese Journal of Modern Nursing 2020;26(11):1434-1439
Objective:To explore the application value of Kegel exercise combined with moxibustion acupuncture point therapy in preventing and treating bladder dysfunction of patients with cervical neoplasms.Methods:A total of 180 patients who underwent radical hysterectomy of cervical neoplasms in Department of Gynecologic Oncology in Tumor Hospital Affiliated to Guangxi Medical University from December 2017 to April 2019 were selected as research objects by the convenience sampling method. They were randomly divided into 3 groups, with 60 cases in every group. Patients in the control group were given routine nursing, the observation group one was given Kegel exercise training on the basis of the control group and the observation group two was given Kegel exercise combined with moxibustion acupuncture point therapy on basis of the control group. The incidence of urinary retention, bladder function recovery and postoperative quality of life after intervention were compared among the three groups.Results:There were statistically significant differences in indwelling time, residual urine volume, and urinary retention rate among the three groups of patients ( P<0.05) . The differences in postoperative bladder function among the three groups were statistically significant ( P<0.05) . The proportion of patients with bladder function ofⅢ-Ⅳ in the observation group 2 was lower than those in the control group and the observation group 1. In the comparison of Postoperative Quality of Life Scale scores, the differences between the scores of physiological scores, functional scores, cervical cancer subscales and the total Postoperative Quality of Life Scale scores of the three groups were statistically significant ( P<0.05) . Conclusions:Kegel exercise combined with moxibustion acupuncture point therapy can effectively reduce the incidence of postoperative urinary retention in patients with cervical neoplasms, promote the recovery of bladder function and improve the quality of life of patients after surgery.
4.Guiding-acupuncture for dry eye syndrome.
Wenzhang XIE ; Liang ZENG ; Ying TAO ; Yingfan ZHOU ; Ran ZHAO ; Xinyun HUANG ; Wenguang HOU ; Ren ZHANG ; Lei ZONG
Chinese Acupuncture & Moxibustion 2018;38(2):153-158
OBJECTIVETo observe the clinical efficacy differences between different needling methods for dry eye syndrome.
METHODSSixty patients of dry eye syndrome were randomly divided into an observation group and a control group, 30 cases (60 eyes) in each group. Shangjingming (Extra), Xiajingming (Extra), Tongziliao (GB 1), Cuanzhu (BL 2), Fengchi (GB 20), Hegu (LI 4), Sanyinjiao (SP 6), Taixi (KI 3) and Taichong (LR 3) were selected in the two groups. The control group was treated with conventional acupuncture, while the observation group was treated with guiding-acupuncture. Electroacupuncture (EA) was used at bilateral Tongziliao (GB1) and Cuanzhu (BL 2), 30 min per treatment. The treatment was given three times per week. Totally 1-month treatment (12 treatments) was given. The eye symptom score, breakup time of tear film (BUT), Schirmer Ⅰ test (SⅠT) and visual analogue scale (VAS) score were compared before and after treatment in the two groups. The clinical efficacy was compared between the two groups.
RESULTSCompared before treatment, the eye symptom score, BUT, SⅠT and VAS score were improved after treatment in the two groups (all<0.001); the improvements of eye symptom score and SⅠT in the observation group were superior to those in the control group (both<0.05). The differences of BUT and VSA score between the two groups were not significant (both>0.05). The total effective rate was 86.7% (52/60) in the observation group, which was superior to 73.3% (44/60) in the control group (<0.05). .
CONCLUSIONThe conventional EA and guiding-acupuncture combined with EA are both effective for dry eye syndrome, and the efficacy of guiding-acupuncture combined with EA is superior to that of conventional EA.