赋能心理护理干预在青年乳腺癌患者及其配偶中的应用  

Application of empowering psychological nursing intervention in young patients with breast cancer and their spouses

作　　者：史倩倩 荆海红[1] 刘维 王芳[1] Shi Qianqian;Jing Haihong;Liu Wei;Wang Fang(First Ward,Second Department of Breast Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院乳腺外二科一病区,郑州450000

出　　处：《中华现代护理杂志》2022年第13期1773-1776,共4页Chinese Journal of Modern Nursing

基　　金：河南省卫生厅科技攻关项目(201702016)。

摘　　要：目的探讨赋能心理护理干预在青年乳腺癌患者及其配偶中的应用效果。方法采用便利抽样法,选取2018年1月—2020年12月郑州大学第一附属医院收治的乳腺癌患者及其配偶各240例为研究对象,按照随机数字表法将其分为观察组和对照组,各120例。观察组给予赋能心理护理干预,对照组给予常规心理护理干预。比较两组患者及其配偶干预前后的心理应激反应和负性情绪。结果干预前,两组患者及其配偶的成人心理弹性量表(RSA)、症状自评量表(SCL-90)、贝克焦虑量表(BAI)、贝克抑郁量表(BDI)评分比较,差异均无统计学意义(P>0.05);干预后,观察组患者及其配偶的RSA评分高于对照组,SCL-90、BAI、BDI评分均低于对照组,差异均有统计学意义(P<0.05)。结论赋能心理护理干预可有效减轻青年乳腺癌患者及其配偶的心理应激反应,缓解其负性情绪。Objective To explore the application effect of empowering psychological nursing intervention on young patients with breast cancer and their spouses.Methods Using the convenient sampling method,a total of 240 breast cancer patients and their spouses in the First Affiliated Hospital of Zhengzhou University from January 2018 to December 2020 were selected as the research objects.According to the random number table method,they were divided into the observation group and the control group,with 120 cases in each group.The observation group was given empowering psychological nursing intervention,while the control group was given routine psychological nursing intervention.The psychological stress response and negative emotion of the patients and their spouses in two groups before and after intervention were compared.Results Before intervention,there were no statistically significant differences in scores of Resilience Scale for Adults(RSA),Symptom Check List 90(SCL-90),Beck Anxiety Inventory(BAI)and Beck Depression Inventory(BDI)of patients and their spouses between the two groups(P>0.05).After the intervention,the RSA scores of patients and their spouses in the observation group were higher than those in the control group,and the scores of SCL-90,BAI and BDI were lower than those in the control group,and the differences were all statistically significant(P<0.05).Conclusions Empowering psychological nursing intervention can effectively relieve psychological stress reaction and alleviate negative emotions of young patients with breast cancer and their spouses.

关 键 词：乳腺肿瘤 青年 配偶 赋能心理护理 心理应激反应 负性情绪 

分 类 号：R473.73[医药卫生—护理学]