不同阶段心理特征护理对肺癌患者病耻感的康复效果及社会功能的影响  

Effects of Targeted Psychological Care on Stigma Sense and Social Functions of Lung Cancer Patients in Different Stages

作　　者：杜微 陈蕾[1] 胡子春[1] DU Wei;CHEN Lei;HU Zichun(Forth Cadre Ward, First Affiliated Hospital of Harbin Medical University, Harbin 150000, China)

机构地区：[1]哈尔滨医科大学附属第四医院急诊内科

出　　处：《中国健康心理学杂志》2018年第5期671-674,共4页China Journal of Health Psychology

基　　金：国家自然科学基金资助项目(编号:81571736)

摘　　要：目的：探讨针对不同阶段心理特征的护理模式对肺癌患者病耻感及社会功能的影响。方法：选择我院2016年1-12月期间收治的肺癌患者80例,根据随机数字表法分为两组,对照组40例,给予常规的护理干预;观察组40例,在常规护理干预的基础上给予针对性心理护理。两组患者的疗程均为3个月。采用日常生活能力（ADL）量表评估患者的生活能力,健康状况调查问卷（SF-36）评估生存质量,中文版肺癌患者病耻感量表（Cataldo LungCancer Stigma Scale）评价病耻感康复效果,社会功能缺陷筛选量表（SDSS）评价社会功能。结果：两组患者干预前社会功能、羞耻感评分、生活质量评分无统计学差异（P〉0.05）。干预后,观察组患者耻辱（t=-2.019）、歧视（t=-2.142）、吸烟（t=-2.639）、社会孤立感（t=-2.376）等病耻感评分低于对照组;社会功能缺陷评分（t=-3.019）低于对照组;日常生活能力（U=2.869）明显优于对照组;总体生活质量（t=9.003）优于对照组,以上差异均有统计学意义（P〈0.05）。结论：对肺癌患者实施针对性心理特征护理,可更好地提高患者的病耻感康复效果、日常生活能力、社会功能,对患者生存质量的改善具有重要的临床意义。Objective：To investigate the impact of targeted psychological care on stigma sense and social functions for patients with lung cancer.Methods：A total of 80 cases of lung cancer patients admitted in our hospital from January to December in 2016 were randomly divided into two groups according to the random number table method.The control group（n=40）patients received only routine nursing intervention;The observation group（n=40）were given targeted psychological care based on routine care intervention.The patients in two groups were treated for 3 months.Activity of Daily Living Scale（ADL）was used to evaluate the activity of daily living.Health Status Questionnaire（SF-36）was used to assess the quality of life.The Chinese version of the Cancer Cancer Scale（Cataldo Lung Cancer Stigma Scale）was used to evaluate the sense of shame.The Social Function Deficiency Screening Scale（SDSS）was used to assess the social function.Results：There was no significant difference in social function,shame sense and quality of life scores between two groups.After intervention,shame sense（t=-2.019）,discrimination（t=-2.142）,smoking（t=-2.639）,and social isolation（t=-2.376）in observation group were lower than those in the control group.The social function deficit score in the observation group（t=-3.019）were lower than that in the control group.The daily living ability of the observation group（U=2.869）was significantly better than that of the control group.The overall quality of life of the observation group（t=9.003）was superior to that of the control group,the differences were statistically significant（P〉0.05）.Conclusion：For patients with lung cancer,the implementation of targeted psychological care,can improve patient rehabilitation stigma,activities of daily living,social function,has important clinical implications for improving the quality of life for patients.

关 键 词：肺癌 不同阶段 心理特征 社会功能 病耻感 

分 类 号：R395.6[哲学宗教—心理学]