|
|
Nursing Science 2023
激励性护理联合共情护理对肺癌化疗患者应用效果研究
|
Abstract:
目的：探讨激励性护理联合共情护理对肺癌化疗患者自我感受负担、护理依从性及生活质量的影响。方法：150例肺癌化疗患者依据随机数字表格法分为观察组与对照组，各75例，对照组采取常规护理，观察组在对照组基础上行激励性护理联合共情护理。应用焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我感受负担量表(SPBS)、生活质量量表(EORTC-QLQ-C30)和患者护理依从性评价两组干预后效果。结果：观察组干预后SAS、SDS、SPBS量表中情感负担、照护负担评分及总分均显著低于对照组(P < 0.05)；观察组患者护理总依从率85.33%，显著高于对照组的69.33% (P < 0.05)；观察组干预后EORTC-QLQ-C30量表中总体健康、功能(躯体、角色、情绪、认知、社会)评分均显著高于对照组，症状(疲劳、疼痛、恶心呕吐)评分显著低于对照组，差异有统计学意义(P < 0.05)。结论：激励性护理联合共情护理能明显减轻肺癌化疗患者自我感受负担及不良情绪，提高其护理依从性及生活质量，值得推广。
Objective: To explore the effect of encouraging nursing combined with empathy nursing on self-perceived burden, nursing compliance and quality of life of patients with lung cancer undergoing chemotherapy. Methods: 150 patients with lung cancer undergoing chemother-apy were randomly divided into the observation group and the control group by the random number table method, 75 cases in each group. The control group was given routine nursing, while the observation group was given encouraging nursing combined with empathy nursing on the basis of the control group. Scores of the Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), Self-perceived Burden Scale (SPBS) and quality of life EORTC-QLQ-C30 were compared between groups before and after intervention. Nursing compliance of patients was evaluated. Results: Scores of emotional burden and burden of caregivers in SAS, SDS and SPBS and the total score of the ob-servation group were significantly lower than those of the control group (P < 0.05). The total compliance rate of the observation group was significantly higher than that of the control group (85.33% vs 69.33%) (P < 0.05). After the intervention, scores of overall health and function (physical, role, emotional, cognitive, social) in EORTC-QLQ-C30 of observation group were significantly higher than those of control group, while scores of symptoms (fatigue, pain, nausea and vomiting) were significantly lower than those of the control group (P < 0.05). Conclusion: Incentive nursing combined with empathy nursing can significantly reduce the self-perceived burden and bad emotions of lung cancer patients undergoing chemotherapy, improve their nursing compliance and quality of life, which is worthy of promotion.
| [1] | Sung, H., Ferlay, J., Siegel, R.L., et al. (2021) Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71, 209-249.
https://doi.org/10.3322/caac.21660 |
| [2] | 任朝旭, 李沙沙, 胡宁, 等. 不同营养状况对乳腺癌术后化疗患者副反应和治疗费用的影响[J]. 卫生研究, 2023, 52(1): 157-159. |
| [3] | 龚卫静, 周涛, 徐佳强, 等. Pri-miR-378 rs1076064与肺癌铂类联合化疗毒副反应的相关性研究[J]. 中国药学杂志, 2022, 57(2): 149-153. |
| [4] | 杨柳, 范智蕊. 结构式团体心理治疗对晚期肺癌患者自我感受负担、负性情绪及生活质量的影响[J]. 中国健康心理学杂志, 2022, 30(4): 547-551. |
| [5] | 鲁茸竹玛, 吴若嘉, 杨娇, 等. 心理韧性在肺癌术后患者生命质量与负性情绪间的中介作用[J]. 云南医药, 2023, 44(4): 75-78. |
| [6] | 叶圣昌, 刘敏. 癌症患者自我感受负担相关影响因素调查及支持性心理治疗效果[J]. 中国医药导报, 2018, 15(31): 176-180. |
| [7] | 李燕, 王瑞凤, 顾丽莹. 基于时效性激励理论的情志护理干预对糖尿病足感染患者情绪状态、自我效能及自我管理行为的影响[J]. 吉林医学, 2023, 44(10): 2992-2996. |
| [8] | Hoffst？dt, H., Stouthard, J., Meijers, M.C., et al. (2020) Patients’ and Clinicians’ Perceptions of Clini-cian-Expressed Empathy in Advanced Cancer Consultations and Associations with Patient Outcomes. Palliative Medicine Reports, 1, 76-83. https://doi.org/10.1089/pmr.2020.0052 |
| [9] | Cousineau, N., McDowell, I., Hotz, S., et al. (2003) Measuring Chronic Patients’ Feelings of Being a Burden to Their Caregivers: Development and Preliminary Validation of a Scale. Medical Care, 41,110-118.
https://doi.org/10.1097/00005650-200301000-00013 |
| [10] | Fayers, P.M., Aaronson, N.K., Bjordal, K., et al. (1995) EORTC QLQ-C30 Scoring Manual. EORTC Study Group on Quality of Life, Brussels, 12. |
| [11] | Bade, B.C. and Dela Cruz, C.S. (2020) Lung Cancer 2020: Epidemiology, Etiology, and Prevention. Clinics in Chest Medicine, 41, 1-24. https://doi.org/10.1016/j.ccm.2019.10.001 |
| [12] | 刘桂霞, 张慧, 孟云. 化疗肺癌患者自我感受负担与疾病感知、疾病不确定感、心理弹性的关系[J]. 中国心理卫生杂志, 2019, 33(11): 816-821. |
| [13] | 王千心, 张彩云, 张志刚, 陈瑞睿, 柳陆, 张秀彩, 刘琦. 积极心理干预在癌症病人中的应用研究现状[J]. 护理研究, 2019, 33(6): 985-988. |
| [14] | 李佳梅, 成守珍, 张朝晖, 蔡卫, 刘琼慧, 谢碧珍, 汪牡丹. 延续护理对慢性阻塞性肺疾病患者生存质量的影响[J]. 中华护理杂志, 2012, 47(7): 603-606. |
| [15] | 莫雅楠. 正念短期放松训练对癌症患者术前焦虑的干预研究[D]: [硕士学位论文]. 昆明: 昆明医科大学, 2022. |
| [16] | 胥秀, 冯丹, 贾罄竹, 王道晓, 周俊, 陈萍. 心智觉知干预模式对肺癌化疗患者生活质量和心理状况的影响[J]. 中华肺部疾病杂志(电子版), 2017, 10(1): 50-54. |
| [17] | 怀宝华, 谢琳, 信晓森, 等. 激励式护理在中青年过渡期非小细胞肺癌患者中的应用[J]. 齐鲁护理杂志, 2021, 27(24): 131-133. |
| [18] | 卞龙艳, 陈晓玲. 激励式护理对直肠癌术后永久性结肠造口病人自我护理能力及生活质量的影响[J]. 护理研究, 2017, 31(1): 90-92. |
| [19] | Parker, P.A., Banerjee, S.C., Matasar, M.J., et al. (2020) Cancer Worry and Empathy Moderate the Effect of a Survivorship-Focused Intervention on Quality of Life. Psychoon-cology, 29, 1012-1018. https://doi.org/10.1002/pon.5371 |
| [20] | 李云, 桑海霞, 於亚红. 时效激励式护理干预对维持性血液透析患者自我感受负担与生活质量的影响[J]. 护理实践与研究, 2020, 17(3): 76-78. |
| [21] | Martinive, P. and Van Houtte, P. (2019) The Challenge of Brain Metastases from Non-Small Cell Lung Cancer Is Not Only an Eco-nomical Issue. Annals of Palliative Medicine, 8, 203-206. https://doi.org/10.21037/apm.2018.12.05 |
| [22] | 高毅, 司小萌, 袁小笋, 等. 正向激励干预在肿瘤内科住院患者的应用及对负性情绪、希望水平和应对方式的影响[J]. 中国健康心理学杂志, 2020, 28(2): 208-213. |
