カンゴ ニ オケル ジョウホウ テイキョウ ト カンジャ カンゴシ カンケイ ト ノ カンレン ニ ツイテ

Nurses usually provide explanations to patients planned for surgery as a form of preoperative guidance. In the present study, providing this information was considered part of the preoperative nursing plan. The aim of the study was to examine the relationship between patients\u27 acceptance of this preoperative guidance and the patient\u27s reliance on the nurses themselves. Patients who believed they had received adequate preoperative guidance had more trust in their nurses. Patients who rated the attitudes of the nurses in charge of preoperative guidance highly tended to be more likely to believe that they had received adequate preoperative guidance from their nurses, and they tended to have more trust in their nurses. These results suggest that establishing trust between the patient and the nurse is greatly affected by the patient\u27s receiving trustworthy information concerning the nursing plan. This highlights the importance of reviewing how preoperative patient guidance is given

Estimation of anxiety and depression in patients with early stage breast cancer before and after radiation therapy.

Background\nMost previous studies about anxiety and depression in patients undergoing radiotherapy have only measured the quantity of general depression and anxiety and have not studied specific periods of involvement. The aim of this study was to assess anxiety and depression among early breast cancer patients, and the anxiety experienced immediately before and after radiotherapy.Methods\nWomen who started radiotherapy for stage I or II breast cancer (n = 172) were asked to answer two questionnaires: the Hospital Anxiety and Depression Scale (HADS) and Radiotherapy Categorical Anxiety Scale immediately before and after radiation therapy.Results\nThe results showed that the mean scores of anxiety and depression (HADS and Radiotherapy Categorical Anxiety Scale) decreased after radiotherapy. The mean score of depression (HAD-D) in the group receiving conventional radiotherapy was higher than in those receiving hypofractionated radiotherapy before and after radiotherapy. The mean scores of anxiety and depression (HADS) in the endocrine therapy group were lower than in the group without endocrine therapy before treatment. However, the scores after treatment of both groups were not significant.Conclusion\nSome intervention may be needed to decrease the temporary anxiety and depression raised during radiotherapy for early stage breast cancer patients. This is especially so for patients who do not receive concurrent endocrine therapy and choose the conventional radiotherapy course