生命关怀护理对哈尔滨市某医院青少年白血病患者认知情绪调节及心理弹性的影响  

Effect of Life Care Nursing on Cognitive Emotion Adjustment and Psychological Resilience of Adolescent Leukemia Patients in a Hospital in Harbin

作　　者：张佳丽 姜华[1] Zhang Jiali(Department of Hematology,Second Affiliated Hospital,Harbin Medical University,Harbin,150000)

机构地区：[1]哈尔滨医科大学附属第二医院血液内科,哈尔滨150000

出　　处：《医学与社会》2018年第12期67-68,82,共3页Medicine and Society

摘　　要：目的:探讨生命关怀护理对青少年白血病患者认知情绪调节及心理弹性的影响。方法:选取78例白血病患者,按照随机数字表法分为观察组和对照组各39例。对照组采取常规护理干预,观察组在对照组的基础上进行生命关怀护理。采用中文简化版心理弹性问卷、认知情绪调节量表和焦虑、抑郁自评量表比较两组患者的认知情绪调节、心理弹性指数和焦虑、抑郁水平。结果:干预3个月后观察组患者积极认知情绪评分为(70.24±4.75)分、消极认知情绪评分为(38.67±5.14)分,对照组患者积极认知情绪调节评分为(59.68±4.68)分、消极认知情绪调节评分为(48.57±4.98)分,两组差异有统计学意义(P<0.05)。干预3个月后观察组和对照组患者心理弹性评分分别为(105.47±6.12)分和(95.78±6.24)分,两组差异有统计学意义(P<0.05)。干预3个月后观察组的焦虑和抑郁评分分别为(60.56±4.74)分和(61.02±5.45)分,对照组的焦虑和抑郁评分分别为(72.34±4.69)分和(73.45±5.54)分,两组差异有统计学意义(P<0.05)。结论:生命关怀护理能够有效提高青少年白血病患者的认知情绪调节水平及心理弹性指数,值得临床推广。Objective:To explore the impact of life care on cognitive and emotional adjustment and psychological flexibility of juvenile leukemia patients.Methods:Seventy-eight leukemia patients admitted to our hospital were selected and divided into observation group and control group with 39 cases according to the random number table method.The control group took conventional nursing interventions.The observation group applied the theory of life care on the basis of the control group to carry out nursing intervention.A Chinese simplified version of the psycho-elasticity questionnaire,a cognitive-mood adjustment scale and an anxiety and depression self-assessment scale were used to compare the cognitive-mood adjustment scores,the psychological elasticity index,and the anxiety and depression levels of the two groups of patients.Results:The positive cognitive emotion scores of the observation group patients after 3 months intervention were(70.24±4.75)points and negative cognitive emotion scores(38.67±5.14)points.The positive cognitive emotions of the control group patients after 3 months intervention were observed.The scores were(59.68±4.68)points and negative cognitive emotion adjustment scores were(48.57±4.98)points.The difference between the two groups was statistically significant(P<0.05).The psychological elasticity scores of the observation group and the control group after 3 months of intervention were(105.47±6.12)points and(95.78±6.24)points respectively.The difference between the two groups was statistically significant(P<0.05).The anxiety and depression scores of the observation group and control group after 3 months of intervention were(60.56±4.74)points and(61.02±5.45)points,(72.34±4.69)points and(73.45±5.54)points,respectively.The data difference was statistically significant(P<0.05).Conclusion:The life care nursing can effectively improve the cognitive and emotional regulation level and mental elasticity index of juvenile leukemia patients,which is worthy of clinical promotion.

关 键 词：白血病 生命关怀 认知情绪调节 心理弹性 

分 类 号：R197.323.2[医药卫生—卫生事业管理]