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Purpose:The purpose of this study was to determine the effect of intervention by certified nurse specialist in psychiatric mental health nursing(PMHCNS)on depressive cancer patients.Method:The randomized controlled trial design was used.Inpatients from three hospitals were randomly allocated into the intervention(n=34)or control group(n=37). Participants in the former group received PMHCNS intervention while control participants were given a booklet about self-management of depressive symptoms.The primary outcome was scores of depression evaluated on the patient Health Questionnaire(PHQ)-9 scale before and after intervention. Results:PHQ-9 scores improved in both groups.As a result of 2-way ANOVA,there were significant interaction effects between the intervention and time in the scores.Conclusion:The result of the study provided evidence to support that PMHCNS intervention improves depression.目的:がん患者の抑うつ状態を改善するためのケア・パッケージを用いた精神看護専門看護師による介入の効果を検討する.方法:造血器腫瘍あるいは肺がんの診断を受け,化学療法目的で入院した患者を対象とした.うつ尺度(PHQ-9)によるスクリーニングで軽度から中等度の抑うつ状態にある対象者を介入群(n=34)と対照群(n=37)の2群に無作為に割り付けた.介入群には1回30分以上,週2回,合計4回の個別面接を実施し,対照群には心理教育パンフレットを手渡して,介入/観察前後の2時点で無作為化比較試験による評価を行った.結果:二元配置分散分析の結果,両群とも有意にPHQ-9得点が改善した.加えて介入と時間の交互作用が認められ,介入群の改善度が大きいことが示された.結論:ケア・パッケージを用いた精神看護専門看護師による介入は,がん患者の抑うつ状態の改善度を高めると考えられた

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Randomized Controlled Study Evaluating the Intervention Effect of Certified Nurse Specialist in Psychiatric Mental Health Nursing on Depressive Cancer Patients