{"title":"护士主导的心理教育对接受放射成像的癌症患者的知识和心理困扰的有效性：一项随机对照试验。","authors":"Anjali Dahiya, Poonam Joshi, Surya Kant Tiwari, Rakesh Garg, Sameer Rastogi, Kamlesh Kumari Sharma","doi":"10.1002/pon.70164","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Patients with cancer undergoing radiological imaging often experience psychological distress due to procedural uncertainty and fear of unfavorable diagnoses.</p><p><strong>Aims: </strong>This study aimed to evaluate the effectiveness of a nurse-led psychoeducational intervention on knowledge and psychological distress among cancer patients undergoing imaging in India.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted with 120 adult cancer patients who underwent radiological imaging. Participants were randomly assigned to the intervention group, receiving nurse-led psychoeducation, or the control group, receiving standard care. The primary outcomes were knowledge of radiological imaging, assessed using a validated questionnaire, and psychological distress, measured using the Depression Anxiety Stress Scale-21. Data were collected at the baseline and immediately after imaging.</p><p><strong>Results: </strong>The post-intervention knowledge scores significantly improved in the intervention group compared to the control group (10.48 ± 1.99 vs. 8.51 ± 2.14; p < 0.001). Anxiety levels decreased significantly in the intervention group, with the proportion of participants experiencing no anxiety increasing from 67.74% to 93.55% (p = 0.001). After adjusting for baseline anxiety, the intervention group had significantly lower odds of anxiety than the control group (OR = 0.09, 95% CI: 0.02, 0.35; p = 0.001). No significant differences were observed in depression or stress levels between the groups.</p><p><strong>Conclusion: </strong>Nurse-led psychoeducation effectively improved knowledge and reduced anxiety in patients with cancer undergoing radiological imaging. Integrating such interventions into pre-imaging protocols can enhance patient preparedness and reduce psychological distress. Further research should explore the long-term effects and adaptability of this intervention in diverse healthcare settings.</p><p><strong>Trial registration: </strong>CTRI/2021/06/034458.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 5","pages":"e70164"},"PeriodicalIF":3.3000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of Nurse-Led Psychoeducation on Knowledge and Psychological Distress in Cancer Patients Undergoing Radiological Imaging: A Randomized Controlled Trial.\",\"authors\":\"Anjali Dahiya, Poonam Joshi, Surya Kant Tiwari, Rakesh Garg, Sameer Rastogi, Kamlesh Kumari Sharma\",\"doi\":\"10.1002/pon.70164\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Patients with cancer undergoing radiological imaging often experience psychological distress due to procedural uncertainty and fear of unfavorable diagnoses.</p><p><strong>Aims: </strong>This study aimed to evaluate the effectiveness of a nurse-led psychoeducational intervention on knowledge and psychological distress among cancer patients undergoing imaging in India.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted with 120 adult cancer patients who underwent radiological imaging. Participants were randomly assigned to the intervention group, receiving nurse-led psychoeducation, or the control group, receiving standard care. The primary outcomes were knowledge of radiological imaging, assessed using a validated questionnaire, and psychological distress, measured using the Depression Anxiety Stress Scale-21. Data were collected at the baseline and immediately after imaging.</p><p><strong>Results: </strong>The post-intervention knowledge scores significantly improved in the intervention group compared to the control group (10.48 ± 1.99 vs. 8.51 ± 2.14; p < 0.001). Anxiety levels decreased significantly in the intervention group, with the proportion of participants experiencing no anxiety increasing from 67.74% to 93.55% (p = 0.001). After adjusting for baseline anxiety, the intervention group had significantly lower odds of anxiety than the control group (OR = 0.09, 95% CI: 0.02, 0.35; p = 0.001). No significant differences were observed in depression or stress levels between the groups.</p><p><strong>Conclusion: </strong>Nurse-led psychoeducation effectively improved knowledge and reduced anxiety in patients with cancer undergoing radiological imaging. Integrating such interventions into pre-imaging protocols can enhance patient preparedness and reduce psychological distress. Further research should explore the long-term effects and adaptability of this intervention in diverse healthcare settings.</p><p><strong>Trial registration: </strong>CTRI/2021/06/034458.</p>\",\"PeriodicalId\":20779,\"journal\":{\"name\":\"Psycho‐Oncology\",\"volume\":\"34 5\",\"pages\":\"e70164\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psycho‐Oncology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/pon.70164\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psycho‐Oncology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/pon.70164","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
Effectiveness of Nurse-Led Psychoeducation on Knowledge and Psychological Distress in Cancer Patients Undergoing Radiological Imaging: A Randomized Controlled Trial.
Background: Patients with cancer undergoing radiological imaging often experience psychological distress due to procedural uncertainty and fear of unfavorable diagnoses.
Aims: This study aimed to evaluate the effectiveness of a nurse-led psychoeducational intervention on knowledge and psychological distress among cancer patients undergoing imaging in India.
Methods: A randomized controlled trial was conducted with 120 adult cancer patients who underwent radiological imaging. Participants were randomly assigned to the intervention group, receiving nurse-led psychoeducation, or the control group, receiving standard care. The primary outcomes were knowledge of radiological imaging, assessed using a validated questionnaire, and psychological distress, measured using the Depression Anxiety Stress Scale-21. Data were collected at the baseline and immediately after imaging.
Results: The post-intervention knowledge scores significantly improved in the intervention group compared to the control group (10.48 ± 1.99 vs. 8.51 ± 2.14; p < 0.001). Anxiety levels decreased significantly in the intervention group, with the proportion of participants experiencing no anxiety increasing from 67.74% to 93.55% (p = 0.001). After adjusting for baseline anxiety, the intervention group had significantly lower odds of anxiety than the control group (OR = 0.09, 95% CI: 0.02, 0.35; p = 0.001). No significant differences were observed in depression or stress levels between the groups.
Conclusion: Nurse-led psychoeducation effectively improved knowledge and reduced anxiety in patients with cancer undergoing radiological imaging. Integrating such interventions into pre-imaging protocols can enhance patient preparedness and reduce psychological distress. Further research should explore the long-term effects and adaptability of this intervention in diverse healthcare settings.
期刊介绍：
Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology.
This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues.
Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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