The Intervention Effect Of Psychological Intervention For The Cervical Cancer Patients After Surgery Treated With Radiotherapy On Cancer Related Fatigue

Background: Cancer Related Fatigue(CRF) is a high incident event,seriously affected the quality of Life of cancer patients,the study for the mitigation measures related to CRF is a hot spot for the domestic and international scholars. Psychological regulation and intervention is considered as a promising method for caner treatment and nursing care, but the intervention effect of psychological regulation for CRF is not clearly. Because of the gender and sick site, psychological problems and CRF is serious. Objective: Given the psychological intervention to the cervical cancer patients treated with radiotherapy who has the symptoms of CRF(about six to seven weeks), as to detect the effect of psychological intervention on CRF.Methods: The research is based on lots of literature review, by the quasi-experimental research methods, the research objects are the cervical cancer patients who treated with radiotherapy in the department of radiation oncology at a GradeⅢhospital. Chronological, thirty-one patients who has the CRF symptoms were selected and separated to two groups as the control group and the intervention group. The control group treated with general nursing care, the intervention group treated with general nursing care and psychological intervention system including educational intervention,cognitive intervention,behavioral intervention, psychological counseling,confidence therapy and so on. Handout the questionnaire (RPSF questionnaire and QLQ-C30 questionnaire)to the research objects before the radiotherapy, during the radiotherapy and at the end of radiotherapy, in order to measure the patients, fatigue condition and quality of life.Results:At the end of phychological intervention, the intervention group lost one patient, same as the control group. Sixty patients finish this research. The results show:(1)Before the intervention, there was no statistical significance between the intervention group and the control group on general Information, fatigue score, quality of life. And the number of people with moderate or severe fatigue accounted for the total number of subjects is 53.3% and 16.7%.(2)Interim radiotherapy questionnaire scores, there was a statistical significance on differences in some of the projects. And in the intervention group, the number of patient with moderate or severe fatigue is twenty-three and four, accounting 76.67% and 13.33% for the total number of intervention group. But in the control group, the number of patient with moderate or severe fatigue is fourteen and thirteen, accounting 46.67% and 43.33% for the total number of control group, P = 0.03. There was a statistical significance on two groups, RPFS scores, cognitive / emotional scores﹝the value of P is 0.03 and 0.014. In the quality of life scores, there was a statistical significance on QLQ-C30 items and general physical function, emotional function, cognitive function and symptom sub-scales of fatigue, loss of appetite, diarrhea scores of these items, P<0.05.(3)After intervention at the end of radiotherapy, compare with two groups, there was a statistical significance on lots of projects, expect Overall quality of life, symptom subscale of nausea, vomiting, constipation. And in the intervention group, the number of patient with moderate or severe fatigue is fourteen and fifteen, accounting 46.67% and 50% for the total number of intervention group. But in the control group, the number of patient with moderate or severe fatigue is five and twenty-four, accounting 16.67% and 80% for the total number of control group, P = 0.04. There was a statistical significance on the scores of RPFS.(4)Intervention group itself before, during and after intervention comparison shows that there was no statistical significance on Social function, symptoms subscale of the breathing difficulties, constipation, economic hardship P> 0.05, and there was a statistical significance on other objects. Control group itself before, during and after comparison shows that all items were significant differences in statistical significance. The two groups in fatigue after radiation therapy have increased in extent and quality of life have declined. However, the mean change, fatigue was more severe in the intervention group, quality of life than in the intervention group decreased significantly.Conclusion: Psychological intervention is effective on the CRF, radiotherapy in patients with cervical cancer can be greatly lessened the severity of fatigue, while the relative improve patient quality of life.