家庭赋权护理干预方案在肺癌放疗患者中的应用  

Application of Family Empowerment Nursing Intervention Program in Patients with Lung Cancer Undergoing Radiotherapy

作　　者：张江 赵喜娟 吴江[1] 刘燕[1] 李丽娟[1] 陈晔[1] ZHANG Jiang;ZHAO Xi-juan;WU Jiang;LIU Yan;LI Li-juan;CHEN Ye(Dept.of Radiotherapy,The 3rd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650118;Dept.of Nursing,The 2nd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650101,China)

机构地区：[1]昆明医科大学第三附属医院放射治疗科,云南昆明650118 [2]昆明医科大学第二附属医院护理部,云南昆明650101

出　　处：《昆明医科大学学报》2021年第12期169-176,共8页Journal of Kunming Medical University

基　　金：云南省教育厅科学研究基金资助项目(2021J0271);昆明医科大学教研教改课题基金资助项目(2020-JY-Y-116);云南省肿瘤医院院内护理课题基金资助项目(2020-HL-Y-01)。

摘　　要：目的探讨家庭赋权干预方案对肺癌放疗患者及家庭照顾者的影响。方法选取昆明市某三级甲等肿瘤专科医院放射治疗科2020年6月至2021年6月入院接受放疗的60名肺癌患者及家庭照顾者作为研究对象,运用抓阄法将其分为对照组和试验组,每组各30例,对照组给予放射治疗科常规护理,试验组接受家庭赋权干预+放射治疗科常规护理,采用医学应对方式问卷和心理韧性量表评价患者,照顾者准备度量表和癌症患者家属生活质量量表,评价患者家庭照顾。结果干预后试验组患者医学应对方式回避、面对、屈服评分,心理韧性总分及坚韧、乐观、自强各维度评分,差异有统计学意义(P<0.05);家庭照顾者照顾者准备度评分、生活质量评分,差异有统计学意义(P<0.05)。结论家庭赋权干预方案可改善肺癌放疗患者心理韧性水平,帮助患者建立更加积极的医学应对方式,也可显著提升患者家庭照顾者照顾能力和生活质量。Objective To explore the effect of family empowerment intervention program on patients with radiotherapy for lung cancer and family caregivers.Methods A total of 60 patients with lung cancer who were hospitalized for radiotherapy from June 2020 to June 2021 and their family caregivers were selected as the research objects.They were divided into control group and experimental group by drawing lots,with 30 patients in each group.The control group was given routine care in radiotherapy department.The experimental group received routine nursing in the department of Family empowerment intervention plus radiotherapy.The patients were evaluated by the medical coping style questionnaire and Psychological Resilience Scale,caregiver readiness scale and cancer patient family Quality of life scale,and the family care of the patients was evaluated.Results After intervention,there were statistically significant differences in the scores of medical coping style avoidance,confronting and yielding,total score of mental toughness and scores of tenacity,optimism and self-strengthening in the experimental group(P<0.05).There were statistically significant differences in caregiver readiness score and quality of life score among family caregivers(P<0.05).Conclusion Family empowerment intervention program can significantly improve the level of psychological resilience of lung cancer patients undergoing radiotherapy,help patients establish a more active medical coping style,and significantly improve the care ability and quality of life of family caregivers.

关 键 词：家庭赋权 肺癌 医学应对方式 心理韧性 生活质量 

分 类 号：R473.73[医药卫生—护理学]