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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10.	刘谆谆, 顾保娣, 张兰凤. 动机访谈干预模式在癌症病人中的应用研究进展. 护理研究, 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.	叶利云, 宋其争. 从自我决定论看动机访谈法疗效机理. 心理学探新, 2010, 30(2): 19-22.
14.	李燕. 谢玉丽. 动机性访谈对高风险孕妇产前诊断依从性及负性情绪的影响. 临床护理杂志, 2015, 14(3): 11-13.
15.	牟利宁, 边苗苗, 牟利凤. 动机访谈路线图提高糖尿病患者自我效能的效果研究. 中华护理杂志, 2012, 47(10): 892-895.
16.	韦新苗. 肺癌患者抑郁症发生情况及相关危险因素 Logistic 回归分析. 医学综述, 2013, 19(24): 4552-4554.
17.	赵彩萍, 方建群, 李媛, 等. 胃癌患者希望水平与人格特征、焦虑抑郁情绪的相关性研究. 中华护理杂志, 2012, 47(1): 65-67.
18.	徐晓燕, 陈悦霞. 动机性访谈对脑卒中患者家属抑郁和焦虑情绪的影响. 中国实用护理杂志, 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, 余春华, 李俊英. 肺癌初治患者心理痛苦的现状调查及相关因素分析. 北京大学学报: 医学版, 2016, 3: 507-514.
3. 朱微. 抑郁对胃癌患者化疗依从性的影响. 中华现代护理杂志, 2015, 21(36): 4402-4404.
4. 冀福林. 肺癌化疗病人抑郁的护理干预现状. 护理研究, 2014, 28(4C): 1419-1420.
5. 骆宏, 许百华. 动机性访谈: 一种以咨客为中心的行为改变咨询技术. 应用心理学, 2005, 11(1): 85-89.
6. 汪向东, 王希林, 马弘, 等. 心理卫生评定量表手册. 北京: 中国心理卫生杂志社, 1999: 94-196.
7. 唐丽丽, 张叶宁, 张海伟, 等. 心理痛苦温度计的信度和效度研究及在中国癌症患者中的应用//中国抗癌协会癌症康复与姑息治疗专业委员会. 第六届中国癌症康复与姑息医学大会大会论文集和专题讲座 . 北京: 中国抗癌协会, 2010: 61-62.
8. Miller W, Rollnick S. Motivational interviewing: preparing people for change. New York: Guilford Press, 2002: 315-324.
9. 闫江楠, 金昌德, 段晓佳. 动机性访谈的研究及应用现状. 护理研究, 2015, 29(1B): 147-150.
10. 刘谆谆, 顾保娣, 张兰凤. 动机访谈干预模式在癌症病人中的应用研究进展. 护理研究, 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. 叶利云, 宋其争. 从自我决定论看动机访谈法疗效机理. 心理学探新, 2010, 30(2): 19-22.
14. 李燕. 谢玉丽. 动机性访谈对高风险孕妇产前诊断依从性及负性情绪的影响. 临床护理杂志, 2015, 14(3): 11-13.
15. 牟利宁, 边苗苗, 牟利凤. 动机访谈路线图提高糖尿病患者自我效能的效果研究. 中华护理杂志, 2012, 47(10): 892-895.
16. 韦新苗. 肺癌患者抑郁症发生情况及相关危险因素 Logistic 回归分析. 医学综述, 2013, 19(24): 4552-4554.
17. 赵彩萍, 方建群, 李媛, 等. 胃癌患者希望水平与人格特征、焦虑抑郁情绪的相关性研究. 中华护理杂志, 2012, 47(1): 65-67.
18. 徐晓燕, 陈悦霞. 动机性访谈对脑卒中患者家属抑郁和焦虑情绪的影响. 中国实用护理杂志, 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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