Bennet Raj, S (2014) Effectiveness of Guided Imagery on Anxiety among Head and Neck Cancer patients in selected hospital. Masters thesis, Annammal College of Nursing, Kuzhithurai.
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Abstract
INTRODUCTION: Guided imagery is also known as mind-body medicine, essentially because we are using our mind to affect the status of our body, this form of alternative therapy has two main objectives: Emotional conflicts due to negative life experiences can be shed from the conscious mind by teaching the individual to re-train their thoughts and feelings to a peaceful co-existence with the former bad experiences. Some commonly used types of guided imagery include; Relaxation imagery, which involves conjuring up pleasant, relaxing images that rest the mind and body. These may be experiences that have already happened, or new situations. In healing imagery, patients coping with diseases and injuries can imagine cancer cells dying, wound healing, and the body mending itself. Neel, C.et al. (2013) conducted a study on the “determinants of death anxiety in patients with advanced cancer”. The study design was cross-sectional analysis of baseline data from a phase 2 pilot intervention trial. Setting of this study was Princess Margaret Cancer Centre, University Health Network, Toronto, Canada. The main outcome of this study was death anxiety, as measured by the Death and Dying Distress Scale (DADDS). Thirty-two per cent of the sample reported death anxiety of at least moderate severity. The physical symptoms most strongly associated with death anxiety were changes in physical appearance. The findings suggest that death anxiety in patients with advanced cancer is common and determined by the interaction of individual factors, family circumstances and physical suffering. Gillies, L.C. (2005) had performed a study “to assess the effects of guided imagery and relaxation on patients receiving treatment for non-metastatic cancer”. This study was aimed at helping patients manage and cope with negative symptoms of cancer, could significantly reduce anxiety levels in patients with cancer receiving radiotherapy. The participant was requested to listen to this tape atleast once a day. A general conclusion to this pilot study suggests that guided imagery may contribute to a lowering of anxiety. STATEMENT OF THE PROBLEM: “A Quasi experimental study to assess the effectiveness of guided imagery on anxiety among head and neck cancer patients at International Cancer Centre, Neyyoor”. OBJECTIVES: 1. To assess the pretest and post test level of anxiety among head and neck cancer patients in experimental and control group. 2. To assess the effectiveness of guided imagery in reducing level of anxiety among patients with head and neck cancer between experimental group with control group. 3. To determine the association between the post test level of anxiety among head and neck cancer patient with their selected demographic variables in experimental group. HYPOTHESES: H1 : There will be a significant difference between the pre-test and post-test level of anxiety among head and neck cancer patients in experimental and control group. H2 : There will be a significant difference in post test level of anxiety among head and neck cancer patients between experimental and control group. H3 : There will be significant association between the post test level of anxiety among head and neck cancer patients with selected demographic variables in experimental group . RESEARCH METHODOLOGY: The study was conducted in order to assess the head and neck cancer patients with anxiety by using a Modified Zung Anxiety Assessment Scale for cancer patients by the investigator and also the demographic variables of head and neck cancer patients were gathered from the participant’s profile. After the conduction of pre-test and analyzing the score of head and neck cancer patients anxiety by using Modified Zung Anxiety Assessment Scale for cancer patients, the investigator found that 60 head and neck cancer patients had minimal to moderate and moderate to severe anxiety. All those 60 head and neck cancer patients were met the inclusion criteria and they were selected as 30 head and neck cancer patients were experimental group and 30 head and neck cancer patients were control group samples by using non probability convenient sampling technique. The intervention of guided imagery was given to head and neck cancer patients with anxiety for 30 minutes every day for 21 days. The head and neck cancer patients showed much interest in guided imagery, which was observed throughout the intervention period. After 4 weeks of intervention a post-test was conducted using the same tool by the investigator. DATA ANALYSIS: Paired t-test was used to compare pretest and posttest level of anxiety among head and neck cancer patient in experimental group and control group and unpaired t-test was used to compare post test level of anxiety among head and neck cancer patients in experimental group and control group. Chi square test was used to associate the posttest level of anxiety among head and neck cancer patient with selected demographic variables. FINDINGS OF THE STUDY: Findings related to comparison of the post test level of anxiety between experimental and control group. In experimental group, the pre test mean score is 59 with Standard deviation of 7.52, mean difference 51.48 and the post test mean score is 51.3 with Standard deviation of 7.27, mean difference 44.03. The calculated paired t-test score is 4.05. It is significant at p<0.05 level. On the other hand control group, the pre test mean score was 57.6 with Standard deviation of 7.8, mean difference 49.8 and the post-test mean score was 52.7 with Standard deviation of 6.57, mean difference 46.13. The calculated paired t-test score was 2.64. Findings related to association between the post-test level of anxiety among head and neck cancer patients with their selected demographic variables in experimental group. In experimental group the post test mean score is 51.3 with Standard deviation of 7.27, mean difference 44.03 and in control group post test mean score is 52.7 with Standard deviation of 6.57, mean difference 46.13 and the calculated unpaired t-test is 4.38 which was significant at p < 0.05 level. So the stated hypothesis (H3) is accepted. CONCLUSION: The study finding revealed that guided imagery helps to reduce the anxiety level among head and neck cancer patients. The overall experience of conducting the study was new experience for the investigator in the field of research. The constant encouragement and the direction of guides, co-operation of respondents to participate in the study contributed to the fruitful and successful completion of the study.
| Item Type: | Thesis (Masters) |
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| Additional Information: | (Reg.No.301231902) |
| Uncontrolled Keywords: | Effectiveness ; Guided Imagery ; Anxiety ; Head and Neck Cancer patients ; selected hospital. |
| Subjects: | NURSING > Psychiatric Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 24 Dec 2018 03:07 |
| Last Modified: | 24 Dec 2018 03:07 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/10188 |
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