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Randomized Controlled Trial
. 2024 Jul 20;31(7):4105-4122.
doi: 10.3390/curroncol31070306.

The Effect of Oncology Nurse Navigation on Mental Health in Patients with Cancer in Taiwan: A Randomized Controlled Clinical Trial

Wei-Zhen Yu  1 , Hsin-Fang Wang  2 , Yen-Kuang Lin  3 , Yen-Lin Liu  2   4   5 , Yun Yen  6 , Jacqueline Whang-Peng  2 , Tsai-Wei Huang  1   7 , Hsiu-Ju Chang  8   9
Affiliations
Randomized Controlled Trial

The Effect of Oncology Nurse Navigation on Mental Health in Patients with Cancer in Taiwan: A Randomized Controlled Clinical Trial

Wei-Zhen Yu et al. Curr Oncol. .

Abstract

In this study, we investigated the prevalence of mental health problems among patients with cancer and whether oncology nurse navigation improved their mental health outcomes and medical experience. In this randomized controlled clinical trial, we recruited 128 outpatients with cancer via purposive sampling from a teaching hospital in northern Taiwan. Participants were randomly assigned to the navigation group (N = 61) or the usual care group (N = 67). Data were collected from January 2019 to July 2020 using questionnaires, including the self-reported Distress Thermometer, Hospital Anxiety and Depression Scale, Demoralization Scale, and Patient Assessment of Chronic Illness Care. Data were collected at baseline and after three and six months of the intervention. Descriptive and analytical statistical analyses were performed. The prevalence rates of anxiety, depression, distress, and demoralization were 17.9%, 15.7%, 29.7%, and 29.7%, respectively. After three months, the participants in the navigation group exhibited significantly reduced levels of anxiety, demoralization, and emotional distress (reduced by 92%, 75%, and 58%, respectively) and reported a better medical experience (odds ratio = 1.40) than those in the usual care group.

Keywords: anxiety; demoralization; depression; mental health; neoplasms; oncology nursing; psychological distress; randomized controlled trials.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Intervention flow-chart. (a) Oncology nurse navigator care. (b) Case management (usual care).
Figure 2
Figure 2
Study flow diagram.
Figure 3
Figure 3
Changes in the prevalence rate of suspected anxiety, anxiety, DS_MV, DT, and PACIC between the two groups at each timepoint. * p < 0.05. ** p < 0.01.
See this image and copyright information in PMC

References

    1. Sung H., Ferlay J., Siegel R.L., Laversanne M., Soerjomataram I., Jemal A., Bray F. Global cancer statistics 2020: Globocan estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA A Cancer J. Clin. 2021;71:209–249. doi: 10.3322/caac.21660. - DOI - PubMed
    1. World Health Organization [WHO] Partnering to Improve the Quality of Cancer Care: Who Teams Up with the World’s Leading Organization for Physicians and Oncology Professionals. [(accessed on 4 June 2022)]; Available online: https://www.who.int/news/item/04-06-2022-partnering-to-improve-the-quali....
    1. Chiang C.-J., Lo W.-C., Yang Y.-W., You S.-L., Chen C.-J., Lai M.-S. Incidence and survival of adult cancer patients in taiwan, 2002–2012. J. Formos. Med. Assoc. 2016;115:1076–1088. doi: 10.1016/j.jfma.2015.10.011. - DOI - PubMed
    1. Mehta R.D., Roth A.J. Psychiatric considerations in the oncology setting. CA A Cancer J. Clin. 2015;65:299–314. doi: 10.3322/caac.21285. - DOI - PubMed
    1. Linden W., Vodermaier A., Mackenzie R., Greig D. Anxiety and depression after cancer diagnosis: Prevalence rates by cancer type, gender, and age. J. Affect. Disord. 2012;141:343–351. doi: 10.1016/j.jad.2012.03.025. - DOI - PubMed

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