归因训练对肺癌术后患者癌性疲乏、生存质量及心理状态的影响  

Effects of attribution training on cancer-related fatigue, quality of life and psychological state of patients after lung cancer surgery

作　　者：赵艳红[1] 王丽梅[1] 赵阳[1] 李桂萍[1] 王彭[1] 邵笑[1] Zhao Yanhong;Wang Limei;Zhao Yang;Li Guiping;Wang Peng;Shao Xiao(International Medical Department,Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]北京协和医院国际医疗部,100730

出　　处：《中华现代护理杂志》2021年第36期5000-5003,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨归因训练对肺癌术后患者癌性疲乏、生存质量及心理状态的影响。方法采用便利抽样法,选取2019年7月—2020年7月北京协和医院收治的89例肺癌术后患者,采用随机数字表法将其分为对照组(n=44)及观察组(n=45)。对照组给予常规护理干预,观察组在对照组基础上给予归因训练干预。收集两组患者一般资料,比较两组患者癌性疲乏量表(CFS)、世界卫生组织生存质量测定量表(WHOQOL-100)及医院焦虑抑郁量表(HADS)评分。结果干预后1、3个月观察组患者WHOQOL-100评分高于对照组,差异均有统计学意义(P<0.05);干预后两组患者CFS评分低于干预前,且观察组CFS评分低于对照组,差异均有统计学意义(P<0.05);干预后1、3个月观察组患者HADS评分低于对照组,差异均有统计学意义(P<0.05)。结论归因训练能有效改善肺癌患者癌性疲乏及焦虑抑郁症状,提高患者生存质量,值得临床推广。Objective To explore the effect of attribution training on cancer-related fatigue,quality of life and psychological state of patients after lung cancer surgery.Methods From July 2019 to July 2020,convenience sampling was used to select 89 postoperative patients with lung cancer who were admitted to Peking Union Medical College Hospital.Patients were divided into the control group(n=44)and the observation group(n=45)with random number table method.The control group conducted routine nursing,and the observation group carried out attribution training on the basis of the control group.The general information of the two groups of patients was collected,and the Cancer Fatigue Scale(CFS),WHO Quality of Life Scale-100(WHOQOL-100)and Hospital Anxiety and Depression Scale(HADS)scores were compared between the two groups.Results The WHOQOL-100 scores of the observation group were higher than those of the control group at one and three months after the intervention,and the differences were statistically significant(P<0.05).After the intervention,the CFS scores of the two groups of patients were lower than those before the intervention,and the CFS scores of the observation group was lower than that of the control group,and the differences were statistically significant(P<0.05).The HADS scores of the observation group were lower than those of the control group at one and three months after the intervention,and the differences were statistically significant(P<0.05).Conclusions Attribution training can effectively improve the cancer-related fatigue,anxiety and depression in patients with lung cancer,and improve the quality of life of patients.It is worthy of clinical promotion.

关 键 词：肺肿瘤 癌性疲乏 生存质量 焦虑 抑郁 归因训练 

分 类 号：R473.73[医药卫生—护理学]