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Psychological distress is a common psychological health problem in patients with cancer during receiving chemotherapy. They may express their psychological distress through depression, anxiety, fear, and uncertainty. Psycho-neuro-immunological imbalance caused this problem. Patients with psychological distress require a specific approach. Psychological screening through interaction, observation and/or using 2Q or the Hospital Anxiety and Depression Scale (Thai HADS) is the first step in identifying such problems. Nurses play crucial roles in supporting patients from the early stage of illness. Key nursing interventions include giving information, education, offering encouragement, and applying evidence-based care programs such as psycho-educational support programs and mindfulness/meditation-based programs relevant to the patients’ preference. Providing early nursing care for patients experiencing psychological distress during receiving chemotherapy would enhance their psychological well-being.
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