Clinical Nursing·Oncology Nursing
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
Published 2017-03-11
Cite as Chin J Prac Nurs, 2017, 33(8): 602-607. DOI: 10.3760/cma.j.issn.1672-7088.2017.08.011
Abstract
ObjectiveTo understand the correlation between psychological counseling behaviors of accompanying family members and anxiety and depression of inpatients with hepatocellular carcinoma.
MethodsUsed 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.
ResultsAmong 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 and χ2=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.
ConclusionsThe 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.
Key words:
Liver neoplasms; Anxiety; Depression; Accompanying family members; Psychological counseling
Contributor Information
Yuqun Wei
Anhua Li
Yingfan Huang
Xinhua Zhao
Juan Tang
Zhangyang Mo
Yonghui Pang
Department of NursingSpecialist Supervision, Affiliated Tumor Hospital of Guangxi Medical University, Nanning 530021, China