幸福疗法对白血病患者化疗期疲乏和自我管理效能感的影响  

Effect of well-being therapy on fatigue and self-management efficacy of leukemia patients undergoing chemotherapy

作　　者：陈景莲[1] 王晓珍[1] 杨梓华 熊海霞[2] Chen Jinglian;Wang Xiaozhen;Yang Zihua;Xiong Haixia(Department of Hematology,the Third Affiliated Hospital,Sun Yat-sen University,Guangzhou 510630,China;Department of Nephrology,the Third Affiliated Hospital,Sun Yat-sen University,Guangzhou 510630,China)

机构地区：[1]中山大学附属第三医院血液内科,广州510630 [2]中山大学附属第三医院肾内科,广州510630

出　　处：《中国实用护理杂志》2021年第26期2028-2033,共6页Chinese Journal of Practical Nursing

摘　　要：目的:探讨幸福疗法对白血病患者化疗期间疲乏和自我管理效能感的影响。方法:选取2018年1月至2019年12月中山大学附属第三医院接受化疗的76例成年白血病患者作为研究对象,按照入组时间分为试验组和对照组,每组38例。对照组给予常规护理,试验组在常规护理基础上实施幸福疗法。在干预前和干预后,采用汉化版癌症疲乏量表和汉化自我管理效能感量表评价疗效。结果:干预后,试验组躯体疲乏、情感疲乏、认知疲乏维度得分和疲乏总分分别为(7.64±3.63)、(7.28±1.60)、(5.19±1.24)、(20.11±3.96)分,明显低于对照组的(9.57±3.52)、(8.76±2.60)、(6.08±1.62)、(24.41±3.86)分,差异有统计学意义(t值为2.307~4.689,均P<0.05);试验组正性态度、缓解压力、自我决策维度得分和自我管理效能感总分分别为(57.56±9.72)、(40.11±5.99)、(12.17±1.95)、(109.83±11.69)分,明显高于对照组的(50.54±10.80)、(36.70±7.62)、(10.86±2.10)、(98.11±14.13)分,差异有统计学意义(t值为2.119~3.856,P<0.05)。结论:幸福疗法能有效改善白血病患者化疗期疲乏程度,提高其自我管理效能感。Objective:To explore the effect of well-being therapy on fatigue and self-management efficacy of leukemia patients undergoing chemotherapy.Methods:From January 2018 to December 2019,totally 76 leukemia patients who undergoing chemotherapy were divided into experimental group and control group according to the enrolled time,with 38 cases in each group.Patients in the control group recieved routine nursing,the experimental group carried out well-being therapy.Before and after intervention,the effects were assessed by Cancer fatigue scale-Chinses version(CFS-C)and Strategies used by people to promote health-Chinses version(SUPPH-C),respectively.Results:After intervention,the physical fatigue,affective fatigue,cognitive fatigue,and total fatigue scores in CFS-C were 7.64±3.63,7.28±1.60,5.19±1.24 and 20.11±3.96 in the experimental group,significantly lower than those in the control group(9.57±3.52,8.76±2.60,6.08±1.62 and 24.41±3.86);the positive coping,stress reduction,making decisions,and total scores in SUPPH-C were 57.56±9.72,40.11±5.99,12.17±1.95 and 109.83±11.69 in the experimental group,significantly higher than in the control group(50.54±10.80,36.70±7.62,10.86±2.10 and 98.11±14.13),the difference was statistically significant(t value was 2.119-3.856,P<0.05).Conclusion:Well-being therapy can effectively allivate cancer fatigue and promote self-management efficacy of leukemia patients undergoing chemotherapy.

关 键 词：幸福疗法 白血病 化学治疗 疲乏 自我管理效能感 

分 类 号：R473.73[医药卫生—护理学]