The Effect of a Nurse-Led Family Involvement Program on Anxiety and Depression in Patients with Advanced-Stage Hepatocellular Carcinoma

Psychological distress is commonly reported in patients with advanced cancer. Family is considered a psychological supporter for patients during their cancer journey. This study aimed to examine the effect of a nurse-led family involvement program on anxiety and depression in patients with advanced...

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Main Authors: Sukhuma Klankaew, Suthisa Temthup, Kittikorn Nilmanat, Margaret I. Fitch
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/4/460
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author Sukhuma Klankaew
Suthisa Temthup
Kittikorn Nilmanat
Margaret I. Fitch
author_facet Sukhuma Klankaew
Suthisa Temthup
Kittikorn Nilmanat
Margaret I. Fitch
author_sort Sukhuma Klankaew
collection DOAJ
description Psychological distress is commonly reported in patients with advanced cancer. Family is considered a psychological supporter for patients during their cancer journey. This study aimed to examine the effect of a nurse-led family involvement program on anxiety and depression in patients with advanced hepatocellular cancer. This is a quasi-experimental study with a two-group, pre–post-test design. Forty-eight participants were recruited at a male medical ward in a university hospital in Southern Thailand, and assigned to either the experimental or the control group. The experimental group received the nurse-led family involvement program, while the control group received only conventional care. Instruments included a demographic data form, clinical data form, and the Hospital Anxiety and Depression Scale. Data analyses were performed using descriptive statistics, chi-square, Fisher’s exact test, and <i>t</i>-test. The results revealed that the mean scores of anxiety and depression in the experimental group at post-test were significantly lower than on the pretest and significantly lower than those of the control group. The results indicate that a nurse-led family involvement program has a short-term effect on the reduction of anxiety and depression in male patients with advanced HCC. The program can be useful for nurses to encourage family caregivers to engage in patient care during hospitalization.
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spelling doaj.art-3493489962ac42d68a16f3f47578d8f22023-11-16T20:45:35ZengMDPI AGHealthcare2227-90322023-02-0111446010.3390/healthcare11040460The Effect of a Nurse-Led Family Involvement Program on Anxiety and Depression in Patients with Advanced-Stage Hepatocellular CarcinomaSukhuma Klankaew0Suthisa Temthup1Kittikorn Nilmanat2Margaret I. Fitch3Songklanagarind Hospital, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, ThailandSongklanagarind Hospital, Faculty of Medicine, Prince of Songkla University, Songkhla 90110, ThailandFaculty of Nursing, Prince of Songkla University, Songkhla 90110, ThailandBloomberg Faculty of Nursing, University of Toronto, Toronto, ON M4C 4V9, CanadaPsychological distress is commonly reported in patients with advanced cancer. Family is considered a psychological supporter for patients during their cancer journey. This study aimed to examine the effect of a nurse-led family involvement program on anxiety and depression in patients with advanced hepatocellular cancer. This is a quasi-experimental study with a two-group, pre–post-test design. Forty-eight participants were recruited at a male medical ward in a university hospital in Southern Thailand, and assigned to either the experimental or the control group. The experimental group received the nurse-led family involvement program, while the control group received only conventional care. Instruments included a demographic data form, clinical data form, and the Hospital Anxiety and Depression Scale. Data analyses were performed using descriptive statistics, chi-square, Fisher’s exact test, and <i>t</i>-test. The results revealed that the mean scores of anxiety and depression in the experimental group at post-test were significantly lower than on the pretest and significantly lower than those of the control group. The results indicate that a nurse-led family involvement program has a short-term effect on the reduction of anxiety and depression in male patients with advanced HCC. The program can be useful for nurses to encourage family caregivers to engage in patient care during hospitalization.https://www.mdpi.com/2227-9032/11/4/460anxietydepressionfamily involvementhepatocellular carcinomapalliative care
spellingShingle Sukhuma Klankaew
Suthisa Temthup
Kittikorn Nilmanat
Margaret I. Fitch
The Effect of a Nurse-Led Family Involvement Program on Anxiety and Depression in Patients with Advanced-Stage Hepatocellular Carcinoma
Healthcare
anxiety
depression
family involvement
hepatocellular carcinoma
palliative care
title The Effect of a Nurse-Led Family Involvement Program on Anxiety and Depression in Patients with Advanced-Stage Hepatocellular Carcinoma
title_full The Effect of a Nurse-Led Family Involvement Program on Anxiety and Depression in Patients with Advanced-Stage Hepatocellular Carcinoma
title_fullStr The Effect of a Nurse-Led Family Involvement Program on Anxiety and Depression in Patients with Advanced-Stage Hepatocellular Carcinoma
title_full_unstemmed The Effect of a Nurse-Led Family Involvement Program on Anxiety and Depression in Patients with Advanced-Stage Hepatocellular Carcinoma
title_short The Effect of a Nurse-Led Family Involvement Program on Anxiety and Depression in Patients with Advanced-Stage Hepatocellular Carcinoma
title_sort effect of a nurse led family involvement program on anxiety and depression in patients with advanced stage hepatocellular carcinoma
topic anxiety
depression
family involvement
hepatocellular carcinoma
palliative care
url https://www.mdpi.com/2227-9032/11/4/460
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