基于问题导向的干预对肺癌化疗患者负性情绪的影响  

Effect of problem-oriented intervention on negative emotion in lung cancer patients undergoing chemotherapy

作　　者：伏红芹 FU Hong-qin(First Department of Oncology,Suixi County People's Hospital,Huaibei 235000,China)

机构地区：[1]安徽省淮北市濉溪县人民医院肿瘤一科,安徽淮北235000

出　　处：《武警后勤学院学报（医学版）》2021年第10期72-73,76,共3页Journal of Logistics University of PAP（Medical Sciences）

摘　　要：【目的】探究基于问题导向的干预对肺癌化疗患者负性情绪的影响。【方法】回顾性分析本院收治的66例肺癌化疗患者的病历资料,根据化疗期间不同干预方式将其分为观察组及对照组,各33例。对照组予以常规心理干预,观察组予以问题导向干预,比较两组患者心理弹性、负性情绪、生活质量。【结果】干预后,两组患者心理弹性量表(CD-RISC)评分较干预前提升,观察组高于对照组(P<0.05);两组焦虑自评表(SAS)、抑郁自评表(SDS)评分均较干预前降低,观察组低于对照组(P<0.05);两组情感职能、健康状况、社会功能、生理功能评分均较干预前提升,观察组高于对照组(P<0.05)。【结论】肺癌化疗期间予以问题导向干预可明显提升患者心理弹性,促进负性情绪的改善及生活质量的提升,临床应用价值较高。【Objective】To explore the effect of problem-oriented intervention on negative emotions in lung cancer patients undergoing chemotherapy.【Methods】The medical records of 66 patients with lung cancer treated in our hospital were analyzed retrospectively.According to different intervention methods during chemotherapy,they were divided into observation group and control group,with 33 cases in each group.The control group was given routine psychological intervention and the observation group was given problem-oriented intervention.The psychological elasticity,negative emotion and quality of life of the two groups were compared.【Results】After the intervention,the score of Connor Davidson Resilience Scale(CD-RISC)in the two groups was higher than that before the intervention,and the score in the observation group was higher than that in the control group(P<0.05);The scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the two groups were lower than those before the intervention,and the scores in the observation group were lower than those in the control group(P<0.05);The scores of emotional function,health status,social function and physiological function in the two groups were higher than those before the intervention,and the scores in the observation group were higher than those in the control group(P<0.05).【Conclusion】Problem-oriented intervention during lung cancer chemotherapy can significantly improve the psychological elasticity of patients,promote the improvement of negative emotions and the improvement of quality of life.It has high clinical application value.

关 键 词：问题导向 肺癌 化疗 负性情绪 心理弹性 

分 类 号：R473.73[医药卫生—护理学]