感恩干预在尊严受损淋巴瘤化疗患者中的应用研究  

Effect of gratitude intervention in patients with dignity impairment of lymphoma chemotherapy

作　　者：叶金婵 朱娓[2] 孔维蕾[2] 何婷[2] 苏建萍 YE Jinchan;ZHU Wei;KONG Weilei;HE Ting;SU Jianping(School of Nursing,Xinjiang Medical University,Urumqi 830017,Xinjiang,China;Cancer Hospital Affiliated to Xinjiang Medical University,Urumqi 830002,Xinjiang,China)

机构地区：[1]新疆医科大学护理学院,新疆乌鲁木齐830017 [2]新疆医科大学附属肿瘤医院,新疆乌鲁木齐830002

出　　处：《护士进修杂志》2022年第12期1061-1065,共5页Journal of Nurses Training

基　　金：新疆维吾尔自治区自然科学基金项目(编号:2018D01C244)。

摘　　要：目的探讨感恩干预在淋巴瘤尊严受损患者中的应用效果。方法应用便利抽样法,选取新疆维吾尔自治区肿瘤医院2020年12月-2021年8月维持化疗的淋巴瘤住院患者作为研究对象,其中2020年12月-2021年4月的患者作为对照组,2021年5-8月的患者作为观察组。对照组采用常规护理,观察组采用基于感恩拓延-建构理论的感恩干预方案。于干预前、干预后及干预后1个月比较2组患者尊严量表(PDI)与心理痛苦温度计(DI)得分情况。结果干预后和干预后1个月观察组尊严受损水平与心理痛苦得分均低于对照组,差异有统计学意义(P<0.05)。重复测量方差分析结果显示,2组患者的尊严受损水平与心理痛苦得分的时间效应、组间效应及交互效应均有统计学差异(P<0.001)。结论基于感恩拓延-建构理论的感恩干预可以有效减少淋巴瘤化疗患者的心理痛苦、提高患者尊严体验。Objective To observe the effect of gratitude intervention in patients with lymphoma with dignity impairment.Methods The convenience sampling method was used to select lymphoma inpatients who maintained chemotherapy in Cancer Hospital of Xinjiang Uygur Autonomous Region from December 2020 to August 2021 as the study subjects,including patients from December 2020 to April 2021 as the control group,and patients from May 2021 to August 2021 as the observation group.The control group received routine nursing,and the observation group received gratitude intervention program based on gratitude extension and construction theory.The scores of Patient Dignity Inventory(PDI)and Distress Thermometer(DI)were compared between the two groups before intervention,after intervention and 1 month after intervention.Results After intervention and 1 month after intervention,the level of impaired dignity and psychological pain scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The results of repeated measures ANOVA showed that the time effect,inter-group effect and interaction effect of the level of impaired dignity and psychological pain scores between the two groups were statistically different(P<0.001).Conclusion Gratitude intervention based on gratitude extension and construction theory can effectively reduce the psychological pain of lymphoma patients undergoing chemotherapy and improve their experience of dignity.

关 键 词：淋巴瘤 抗肿瘤联合化疗方案 感恩干预 尊严 应激 心理学 

分 类 号：R473.73[医药卫生—护理学]