焦点解决护理干预对非小细胞肺癌化疗患者心理痛苦、压力应对的影响研究  

Study on the impact of focus-based nursing intervention on the psychological distress and stress coping of patients undergoing chemotherapy for non-small cell lung cancer

作　　者：梅金连 施雪霏 姚萍丽[1] MEI Jinlian;SHI Xuefei;YAO Pingli(Department of Respiratory and Critical Care Medicine,Huzhou Central Hospital,Affiliated Hospital of Huzhou Normal University,Huzhou 313000,China)

机构地区：[1]湖州市中心医院湖州师范学院附属中心医院呼吸与危重症医学科,浙江湖州313000

出　　处：《中国现代医生》2021年第36期176-179,共4页China Modern Doctor

基　　金：国家自然科学基金委员会资助项目(81602003)。

摘　　要：目的探讨焦点解决护理干预于非小细胞肺癌化疗患者中应用,对其心理痛苦与压力应对的正向影响。方法选取2018年1月至2020年1月收治的156例非小细胞肺癌化疗患者,据随机数字抽取法进行组别划分,分别为对照组(n=78,常规护理)、观察组(n=78,焦点解决护理),就两者心理痛苦(DT)计分、压力应对方式、癌因性疲乏(PFS)测评分值展开比较。结果未行护理前,组间DT计分趋于相当水平,差异无统计学意义(P>0.05),予以护理后再行观测,观察组数据同比护理前、对照组处于更低水平,差异有统计学意义(P<0.05)。观察组应对方式更多为情感、支持、面对、乐观,差异有统计学意义(P<0.05)。在未予护理前,两组间PFS测评所得分值比较,差异无统计学意义(P>0.05),经各自护理,均处于下降趋势,且观察组下降幅度同比对照组更大,差异有统计学意义(P<0.05)。结论将焦点解决护理干预模式应用于接受化疗方案施治的非小细胞肺癌病患群体,可对其癌因性疲乏症状予以改善,并对心理痛苦程度予以良好调节,同时促使采取积极、正向的压力应对方式。Objective To explore the positive impact of focus-based nursing intervention on their psychological distress and stress coping in the patients undergoing chemotherapy for non-small cell lung cancer.Methods A total of 156 patients undergoing chemotherapy for non-small cell lung cancer were selected,and the treatment was between January 2018 and January 2020.According to the drawing method by random numbers,the patients were divided into groups,control group(n=78,routine nursing)and observation group(n=78,focus-based nursing intervention).The scores of the psychological distress,stress coping methods,and cancer-induced fatigue scale were compared.Results Before nursing,the DT scores between groups tended to be equivalent,there was no statistically significant difference(P>0.05).After nursing care,the observation was performed again.The data in the observation group was at a lower level than that before nursing and that in the control group,the difference was statistically significant(P<0.05).The coping styles in the observation group were more of emotional encouragement,support,facing up the problems,and acting optimistic,and the differences were statistically significant(P<0.05).Before nursing,there was no significant difference between the two groups in the scores of PFS test(P>0.05).After their respective care,the scores were all in a downward trend,and the decline in the observation group was greater than that in the control group.The difference was statistically significant(P<0.05).Conclusion The focus-based nursing intervention model is actively applied in the clinical treatment of non-small cell lung cancer patients undergoing chemotherapy,which can significantly improve the symptoms of cancer-related fatigue,and make good adjustments to the degree of psychological distress,and at the same time promote the adoption of optimistic and positive styles of pressure coping.

关 键 词：焦点解决护理干预 非小细胞肺癌 化疗 压力应对 心理痛苦 

分 类 号：R473.33[医药卫生—护理学]