聚焦解决模式联合放松训练在老年肺癌患者围术期中的应用效果  

Application effect of solution-focused mode combined with relaxation training in elderly patients with lung cancer during perioperative period

作　　者：王丹 何爽 丁倩 WANG Dan;HE Shuang;DING Qian(Henan People's Hospital(Henan Province Key Laboratory of Nursing Medicine,People's Hospital of Zhengzhou University),Zhengzhou,450003,China)

机构地区：[1]河南省人民医院胸外科(河南省护理医学重点实验室,郑州大学人民医院),河南省郑州市450003

出　　处：《护理实践与研究》2022年第21期3251-3255,共5页Nursing Practice and Research

摘　　要：目的分析聚焦解决模式联合放松训练在老年肺癌患者围术期中的应用效果。方法选取2020年6月—2021年12月河南省人民医院收治的110例老年肺癌患者,按照组间基线资料可比的原则,分为对照组和观察组,各55例。对照组围术期行常规护理,观察组在对照组基础上围术期予以聚焦解决模式联合放松训练。比较两组的情绪状态、疾病不确定感、自我效能感及训练积极度。结果护理干预前两组各项观察指标比较,差异均无统计学意义(P>0.05)。护理干预后,两组各项观察指标均有明显改善,其中观察组患者状态-特质焦虑问卷(STAI)中的分表评分均低于对照组(P<0.05);观察组的中文版Mishel疾病不确定感量表(MUIS)评分低于对照组(P<0.05);观察组的中文版癌症自我管理效能感量表(C-SUPPH)评分高于对照组(P<0.05);观察组的患者积极度量表(PAM)评分高于对照组(P<0.05),差异均有统计学意义。结论聚焦解决模式联合放松训练在老年肺癌患者围术期中的应用效果良好,可有效改善情绪状态,缓解疾病不确定感,并且促进患者的自我效能感,提高训练积极度。Objective To analyze the application effect of solution-focused mode combined with relaxation training in elderly patients with lung cancer during perioperative period.Methods 110 elderly patients with lung cancer admitted in Henan People’s Hospital from June 2020 to December 2021 were selected and divided into control group and observation group according to the principle of comparable baseline data between groups,with 55 cases in each group.The control group received routine nursing during perioperative period,and the observation group received solution focused mode combined with relaxation training on the basis of the control group.The emotional state,illness uncertainty,self-efficacy and training activity were compared between the two groups.Results There was no significant difference in the observation indexes between the two groups before nursing intervention(P>0.05).After nursing intervention,the observation indexes of the two groups were significantly improved,and the subscale scores of the Status-Trait Anxiety Inventory(STAI)in the observation group were lower than the control group(P<0.05).The score of Mishel Uncertainty in Illness Scale(MUIS)in the observation group was lower than the control group(P<0.05).The Chinese version of Cancer Self-Management Efficacy Scale(C-SUPPH)score in the observation group was higher than the control group(P<0.05).The Patient Activation Measure(PAM)score of the observation group was higher than the control group(P<0.05),the differences were statistically significant.Conclusion The application ef fect of solution-focused mode combined with relaxation training in elderly patients with lung cancer during perioperative period is good,which could ef fectively improve the emotional state,alleviate the uncertainty of disease,promote the self-efficacy of patients,and improve the positivity of training.

关 键 词：聚焦解决模式 放松训练 老年肺癌 围术期 情绪状态 疾病不确定感 自我效能感 

分 类 号：R47[医药卫生—护理学]