Effect of individualized mental nursing intervention on anxiety, depression symptoms and treatment compliance for patients with malignant lung tumor
Abstract
To evaluate the effect of individualized mental nursing intervention on anxiety, depression, treatment compliance and functional status of patients with malignant lung tumor. Methods: A total of 106 patients with malignant lung tumor who were diagnosed and treated in our hospital from January 2022 to June 2024 were selected and randomly divided into observation group and control group according to the random number table, with 53 cases in each group. The observation group received individualized mental nursing intervention on the basis of routine treatment, while the control group only received routine treatment. Self-rating anxiety scale (SAS), self-rating depression scale (SDS), treatment compliance scale [8-item Morisky medication adherence scale (MMAS-8)], serum cortisol and C-reactive protein (CRP) levels, and Karnofsky performance status score (KPS) were assessed at 4, 8, and 12 weeks after treatment. Results: The SAS and SDS scores of the observation group at 4, 8 and 12 weeks were significantly lower than those of the control group (p < 0.05). The MMAS-8 score in the observation group was also significantly higher than that in the control group, particularly at week 12, the scores in the observation group and the control group were (7.86 ± 0.91) points and (6.78 ± 0.89) points (p < 0.05). Serum cortisol and CRP levels were significantly reduced in the observation group, particularly at week 12, serum cortisol and CRP levels in the observation group were (298.45 ± 24.56) nmol/L and (8.98 ± 1.65) mg/L, lower than those in the control group (p < 0.05). The KPS score of the observation group was significantly higher than that of the control group, particularly at week 12, the KPS score of the observation group was (89.78 ± 5.03) points, and that of the control group was (79.45 ± 5.64) points (p < 0.05). Cox regression analysis showed that the time required for improvement of treatment compliance in the observation group was significantly shorter than that in the control group (HR = 0.48, p < 0.001). Conclusion: Individualized mental nursing intervention can effectively improve anxiety and depression symptoms, treatment compliance, reduce serum cortisol and CRP levels of patients with malignant lung tumor and significantly improve the functional status of patients. This indicates that the application of individualized mental nursing intervention has important clinical value in tumor treatment.
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