积极心理干预联合综合运动训练对中年肺癌患者化疗依从性 焦虑抑郁情绪及希望水平的影响  

Effects of positive psychological intervention combined with comprehensive exercise training on chemotherapy compliance, anxiety, depression and hope level in middle-aged lung cancer patients

作　　者：杨英[1] 孙丹 徐璐[1] Yang Ying;Sun Dan;Xu Lu(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《临床心身疾病杂志》2022年第5期77-81,共5页Journal of Clinical Psychosomatic Diseases

摘　　要：目的 探讨积极心理干预联合综合运动训练对中年肺癌患者化疗依从性、焦虑抑郁情绪及希望水平的影响。方法 将101例中年肺癌患者按照随机数字表法分为研究组50例,对照组51例。两组均给予常规护理干预,研究组在此基础上给于积极心理干预联合综合运动训练,比较两组化疗依从性,干预前后采用Herth希望水平量表评定两组希望水平,焦虑自评量表及抑郁自评量表评定两组焦虑、抑郁状况,自我护理能力量表评定两组自我护理能力,欧洲癌症治疗研究组织癌症患者生活质量评定量表评定两组生活质量。结果 研究组化疗总依从率显著高于对照组(P<0.05)。干预后两组焦虑自评量表及抑郁自评量表评分均较干预前显著降低(P<0.01),研究组显著低于对照组(P<0.01)。干预后两组Herth希望水平量表、自我护理能力量表评分均较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.01)。干预后除对照组认知功能维度外,两组欧洲癌症治疗研究组织癌症患者生活质量评定量表各维度评分均较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.01)。结论 积极心理干预联合综合运动训练可提高中年肺癌患者的化疗依从性,缓解焦虑抑郁情绪,提高患者的希望水平、自我护理能力及生活质量,值得推广应用。Objective To investigate the effect of positive psychological intervention combined with comprehensive exercise training on chemotherapy compliance,anxiety,depression and hope level in middle-aged lung cancer patients.Methods A total of 101 middle-aged lung cancer patients were divided into the study group(50 cases)and the control group(51 cases)according to random number table method.Both groups were given routine nursing intervention,and the study group was given positive psychological intervention combined with comprehensive exercise training on this basis.The chemotherapy compliance of the two groups was compared.Before and after the intervention,the hope level of the two groups was assessed by the Herth hope index,the anxiety and depression status of the two groups were assessed by the self-rating anxiety scale(SAS)and self-rating depression scale(SDS),the self-care ability of the two groups was assessed by the exercise of self-care agency scale(ESCA),and the quality of life of the two groups was assessed by European Organization for Research and Treatment of Cancer quality of life questionnaire-core 30(EORTC QLQ-C30).Results The overall compliance rate of chemotherapy in the study group was significantly higher than that in the control group(P<0.05).After the intervention,the SAS and SDS scores of the two groups were significantly lower than those before the intervention(P<0.01),and the study group was significantly lower than the control group(P<0.01).After the intervention,the scores of Herth hope index and ESCA in the two groups were significantly higher than those before the intervention(P<0.01),and the study group was significantly higher than the control group(P<0.01).After the intervention,except for the cognitive function dimension of the control group,the scores of each dimension of EORTC QLQ-C30 in both groups were significantly higher than those before intervention(P<0.01),and the study group was significantly higher than the control group(P<0.01).Conclusions Positive psychological intervention c

关 键 词：肺癌 积极心理干预 综合运动训练 焦虑 抑郁 化疗依从性 希望水平 生活质量 

分 类 号：R734.2[医药卫生—肿瘤]