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- W3029940461 abstract "ObjectiveTo promote the application of the best evidence for supportive care in the management of depression in patients with head and neck cancer, and to improve the quality of clinical care.MethodsFollow the three stages of clinical evidence practice of Joanna Briggs Institute (JBI) : baseline review, practice change and effect evaluation, the best evidence of supportive nursing in depression management for head and neck patients were retrieved, and 4 quality review indicators were developed. A total of 50 hospitalized head and neck patients and 12 nurses were selected to collect data by means of field observation, interviews and nursing records. The obstacles to the application of evidence were analyzed and a practical scheme was worked out.ResultsThe nurse's implementation rate of the four review indicators increased from 0-90% at the baseline review to 90%-100% after the evidence was applied. Except for Indicator 3 Indicators nurses introduced the pressure on patients and their families to face cancer , the implementation rates of the other three indicators were significantly improved (P<0.01) . After the application of evidence, the incidence of depression was decreased (P<0.05) . The score of Relaxation, Sleep and Fatigue Management Knowledge Questionnaire was (18.20±14.09) before the application of evidence, which was lower than that after the application of evidence (80.60±12.84) , and the difference was statistically significant (t=-23.14, P<0.01) . The nurses' score of Supportive Nursing Knowledge Questionnaire before the application of evidence was (63.83±10.78) , which was lower than that after the application of evidence (95.5±3.18) , and the difference was statistically significant (t=-9.76, P<0.01) .ConclusionsThe evidence-based application program can standardize nurses' supportive nursing behaviors for patients with depressive symptoms, reduce the severity of depression, improve the self-support knowledge level, and improve the quality of depression management in hospitalized patients with head and neck cancer.Key words: Evidence-based nursing; Head and neck neoplasms; Depression; Supportive care services" @default.
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- W3029940461 date "2018-09-16" @default.
- W3029940461 modified "2023-09-27" @default.
- W3029940461 title "Evidence-based practice of supportive nursing in depression management in hospitalized patients with head and neck cancer" @default.
- W3029940461 doi "https://doi.org/10.3760/cma.j.issn.1674-2907.2018.26.004" @default.
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