| Objective:To apply the nostalgic therapy to the psychological pain management of patients with advanced lung cancer,to alleviate the psychological pain,anxiety,depression and other adverse emotions,and to improve the quality of life of patients.Methods:The subjects were 89 patients with advanced lung cancer who met the inclusion criteria and received treatment in a third-grade a hospital from October 2018 to December 2019.The patients were divided into the control group(44 cases)and the intervention group(45 cases)by using the random number table method.The control group received psychological pain management,and the intervention group received nostalgic therapy on the basis of the control group.Analyze and compare Distress Thermometer(DT)scores,Problem List(PL)ranking,Self-rating Anxiety Scale,Depression Scale,and Quality of Life Scale(EORTC QLQ-C30)scores of two groups of patients.Results:In the early stage of this study,95 cases were included.During the implementation of this study,44 cases were included in the control group,4 cases were lost due to death,and 45 cases were included in the intervention group,2 cases were lost,and 89 cases were finally included.1.Comparison of DT scores between the two groups There was no significant difference in DT scores between the two groups at admission and 3-5 symptoms(P>0.05),and there was a significant difference in DTscores between the two groups at discharge,2 weeks after discharge,and 4 weeks after discharge(P<0.05).2.Changes in the problem list(PL)of the two groups The worries in the control group(PL)were 79.5%,81.8%,79.5% and 77.2%,respectively,at the time of admission,discharge,2 weeks and 4 weeks,and 80%,55.6%,57.8% and 48.9%,respectively,in the intervention group.In the control group,fatigue in the problem list(PL)accounted for 61.4%,79.5%,61.3% and 66% at admission,discharge,2 weeks and 4 weeks respectively,and 44.4%,75.5%,48.9%and 44.4%,respectively,in the intervention group.In the control group problem list(PL),the treatment policies were 72.7%,93.2%,75%,68.2% and 68.2% respectively at the time of admission,3-5 symptoms,discharge,2 weeks and 4 weeks after discharge.The intervention group accounted for 75.6%,88.9%,62.0%,48.9% and66.7%,respectively.3.SAS and SDS scores of patients in the two groups SAS and SDS scores of the two groups were compared,and there were significant differences at discharge time,2 weeks after discharge,and 4 weeks after discharge(P<0.05).4.Depression symptom scores of the two groups The difference of psychiatric emotional symptoms was statistically significant at2 weeks and 4 weeks after discharge(P<0.05),and the difference was statistically significant at 3-5 symptoms,discharge time,2 weeks and 4 weeks after discharge Significance(P<0.05),the difference of psychomotor disorders at discharge time,2weeks after discharge,and 4 weeks after discharge was statistically significant(P<0.05),and the difference of psychological disorders with depression at 2 weeks after discharge was statistically significant(P<0.05).5.Comparison of quality of lifes cores between the two groups Upon admission: there was no significant difference between the two groups in cognitive function,total health status,shortness of breath,loss of appetite,constipation,financial difficulties,etc.(P>0.05).There were no significant differences in 3-5 symptoms: physical function,role function,emotional function,social function,nausea and vomiting,constipation,diarrhea,economic difficulties,etc.(P>0.05).At discharge,there were significant differences in emotional function,total health status,fatigue,pain,shortness of breath,insomnia,loss of appetite and other fields(P<0.05).2 weeks after discharge: there were significant differences in emotional function,cognitive function,total health status,fatigue,pain,shortness of breath,insomnia,loss of appetite,constipation and other fields(P<0.05).4 weeks after discharge: physical function,emotional function,cognitive function,social function,total health status,fatigue,pain,shortness of breath,insomnia,loss of appetite,constipation and other areas had significant differences(P<0.05).Conclusion:(1)By guiding the patients to review the past events of each stage of their life and experience the happiness,achievements and pleasure,the psychological pain of the patients after discharge was significantly relieved.(2)Anxiety,fatigue,treatment policies and insurance finance are the most prominent problems existing in patients at all stages,and patients’ worries about such problems have decreased after the implementation of nostalgia therapy.(3)After the implementation of nostalgia therapy,the anxiety and depression of patients were reduced.(4)While helping patients to review their experiences in different stages,nostalgic therapy can help them feel their contributions to the society and the value andsignificance of their survival,and improve the quality of life of patients to a certain extent. |
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