Effects of motivational interviewing on anxiety and depression in patients with lung cancer undergoing initial chemotherapy_West China Medical Journal

Authors：

MENG Na , LI Yimin ,  YU Chunhua , FU Yan , LI Junying

Department of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

YU Chunhua, Email: 18980601765@126.com

Keywords：

Motivational interviewing; Lung cancer; Initial chemotherapy; Anxiety and depression

DOI：

10.7507/1002-0179.201608217

Video：

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Objective To explore the effect of motivational interviewing (MI) on anxiety and depression in patients with lung cancer undergoing initial chemotherapy. Methods From May 2015 to April 2016, patients with lung cancer who underwent initial chemotherapy after operation were collected and randomly divided into the control group and the MI group. The patients in the control group received traditional health education, psychological care, and post-discharge follow up; while the patients in the MI group were given routine nursing cares and three motivational interviews and one telephone follow up. At the admission and one month after chemotherapy, all patients were evaluated by the Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and Distress Thermometer (DT). Results At the admission, the SAS, SDS, and DT scores of patients in the two groups had no significant differences (P>0.05). After one month of chemotherapy, the SAS, SDS, and DT scores in the MI group were much better compared to the admission (P<0.05). The differences in the SAS, SDS, and DT scores between the two groups were significant (P<0.05). Conclusion MI can significantly alleviate anxiety and depression of patients with lung cancer undergoing initial chemotherapy.

Citation： MENG Na, LI Yimin, YU Chunhua, FU Yan, LI Junying. Effects of motivational interviewing on anxiety and depression in patients with lung cancer undergoing initial chemotherapy. West China Medical Journal, 2017, 32(9): 1419-1422. doi: 10.7507/1002-0179.201608217 Copy

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11.	Murray MD, Young J, Hoke S, et al. Pharmacist intervention to improve medication adherence in heart failure: a randomized trial. Ann Intern Med, 2007, 146(10): 714-725.
12.	Rollnick S, Miller W. Motivatioml interviewing. 2nd ed. New York: Gtlilford Press, 2001: 33-35, 179-198.
13.	葉利云, 宋其爭. 從自我決定論看動機訪談法療效機理. 心理學探新, 2010, 30(2): 19-22.
14.	李燕. 謝玉麗. 動機性訪談對高風險孕婦產前診斷依從性及負性情緒的影響. 臨床護理雜志, 2015, 14(3): 11-13.
15.	牟利寧, 邊苗苗, 牟利鳳. 動機訪談路線圖提高糖尿病患者自我效能的效果研究. 中華護理雜志, 2012, 47(10): 892-895.
16.	韋新苗. 肺癌患者抑郁癥發生情況及相關危險因素 Logistic 回歸分析. 醫學綜述, 2013, 19(24): 4552-4554.
17.	趙彩萍, 方建群, 李媛, 等. 胃癌患者希望水平與人格特征、焦慮抑郁情緒的相關性研究. 中華護理雜志, 2012, 47(1): 65-67.
18.	徐曉燕, 陳悅霞. 動機性訪談對腦卒中患者家屬抑郁和焦慮情緒的影響. 中國實用護理雜志, 2013, 29(6): 33-34.

1. Torre LA, Bray F, Siegel RL, et al. Global cancer statistics, 2012. CA Cancer J Clin, 2015, 65(2): 87-108.
2. 牟倩倩, 余春華, 李俊英. 肺癌初治患者心理痛苦的現狀調查及相關因素分析. 北京大學學報: 醫學版, 2016, 3: 507-514.
3. 朱微. 抑郁對胃癌患者化療依從性的影響. 中華現代護理雜志, 2015, 21(36): 4402-4404.
4. 冀福林. 肺癌化療病人抑郁的護理干預現狀. 護理研究, 2014, 28(4C): 1419-1420.
5. 駱宏, 許百華. 動機性訪談: 一種以咨客為中心的行為改變咨詢技術. 應用心理學, 2005, 11(1): 85-89.
6. 汪向東, 王希林, 馬弘, 等. 心理衛生評定量表手冊. 北京: 中國心理衛生雜志社, 1999: 94-196.
7. 唐麗麗, 張葉寧, 張海偉, 等. 心理痛苦溫度計的信度和效度研究及在中國癌癥患者中的應用//中國抗癌協會癌癥康復與姑息治療專業委員會. 第六屆中國癌癥康復與姑息醫學大會大會論文集和專題講座 . 北京: 中國抗癌協會, 2010: 61-62.
8. Miller W, Rollnick S. Motivational interviewing: preparing people for change. New York: Guilford Press, 2002: 315-324.
9. 閆江楠, 金昌德, 段曉佳. 動機性訪談的研究及應用現狀. 護理研究, 2015, 29(1B): 147-150.
10. 劉諄諄, 顧保娣, 張蘭鳳. 動機訪談干預模式在癌癥病人中的應用研究進展. 護理研究, 2015, 29(2A): 395-397.
11. Murray MD, Young J, Hoke S, et al. Pharmacist intervention to improve medication adherence in heart failure: a randomized trial. Ann Intern Med, 2007, 146(10): 714-725.
12. Rollnick S, Miller W. Motivatioml interviewing. 2nd ed. New York: Gtlilford Press, 2001: 33-35, 179-198.
13. 葉利云, 宋其爭. 從自我決定論看動機訪談法療效機理. 心理學探新, 2010, 30(2): 19-22.
14. 李燕. 謝玉麗. 動機性訪談對高風險孕婦產前診斷依從性及負性情緒的影響. 臨床護理雜志, 2015, 14(3): 11-13.
15. 牟利寧, 邊苗苗, 牟利鳳. 動機訪談路線圖提高糖尿病患者自我效能的效果研究. 中華護理雜志, 2012, 47(10): 892-895.
16. 韋新苗. 肺癌患者抑郁癥發生情況及相關危險因素 Logistic 回歸分析. 醫學綜述, 2013, 19(24): 4552-4554.
17. 趙彩萍, 方建群, 李媛, 等. 胃癌患者希望水平與人格特征、焦慮抑郁情緒的相關性研究. 中華護理雜志, 2012, 47(1): 65-67.
18. 徐曉燕, 陳悅霞. 動機性訪談對腦卒中患者家屬抑郁和焦慮情緒的影響. 中國實用護理雜志, 2013, 29(6): 33-34.

West China Medical Journal

Effects of motivational interviewing on anxiety and depression in patients with lung cancer undergoing initial chemotherapy

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