基于网络认知行为疗法的癌症患者主要照顾者身心调节干预方案的构建  

Construction of intervention program for physical and mental adjustment for primary caregivers of cancer patients based on network cognitive behavior therapy

作　　者：王佩佩 李育玲[2] 仇丽霞[1] 侯晓雅 崔璨 Wang Peipei;Li Yuling;Qiu Lixia;Hou Xiaoya;Cui Can(School of Public Health,Shanxi Medical University,Taiyuan 030001,China;Nursing Department,First Hospital of Shanxi Medical University,Taiyuan 030001,China;Oncology Department,First Hospital of Shanxi Medical University,Taiyuan 030001,China;Operating Theatre,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Bejing 100005,China)

机构地区：[1]山西医科大学公共卫生学院,太原030001 [2]山西医科大学第一医院护理部,太原030001 [3]山西医科大学第一医院肿瘤科,太原030001 [4]中国医学科学院北京协和医院手术室,北京100005

出　　处：《中国实用护理杂志》2023年第11期815-821,共7页Chinese Journal of Practical Nursing

基　　金：中华医学会杂志社护理学科研究课题项目(CMAPH-NRG2021011)。

摘　　要：目的以认知行为疗法为理论基础,通过网络平台,构建癌症患者主要照顾者身心调节干预方案。方法以循证方法对2012年7月至2022年7月发表的文献进行筛选和评价,于2022年7—8月对10名癌症患者的主要照顾者进行质性访谈,初步拟订癌症患者主要照顾者身心调节干预方案。采用德尔菲法对15名专家进行2轮专家函询以确定干预方案。结果2轮专家函询均发放问卷15份,回收有效问卷15份,有效回收率均为100.00%;2轮函询的专家权威系数分别为0.89、0.90;Kendall协调系数分别为0.279、0.323(均P<0.01)。最终形成包括5个一级指标(基础知识、症状教育、家庭护理常识、放松训练、社会支持)、27个二级指标、54个三级指标的癌症患者主要照顾者身心调节干预方案。结论基于网络认知行为疗法的癌症患者主要照顾者身心调节干预方案具有必要性、科学性,可初步应用于癌症患者主要照顾者的心理调节,为改善其负性情绪提供指导工具。Objective Based on cognitive behavioral therapy,to construct a physical and mental adjustment intervention plan for the main caregiver of cancer patients through the network platform.Methods Through evidence-based literature published from July 2012 to July 2022 screening and evaluation,combined with qualitative interviews for 10 primary caregivers of cancer patients,the intervention plan for physical and mental adjustment of the main caregivers of cancer patients was preliminarily formulated.After consultation with Delphi experts(15 cases)through two rounds,the intervention plan was finally determined.Results In the two rounds of expert letter inquiries,15 questionnaires were distributed and 15 valid questionnaires were recovered.The effective recovery rate was 100.00%and the expert authority coefficient were 0.89 and 0.90 in the two rounds of expert letter inquiries respectively,the Kendall harmony coefficients were 0.279 and 0.323 respectively,and the differences were all statistically significant(P<0.01).The intervention plan for physical and mental adjustment ofthe main caregivers of cancer patients included 5 first-level indicators(basic knowledge,symptom education,home care knowledge,relaxation training,social support),27 second-level indicatorsand 54 third-level indicators.Conclusions The method of the psychosomatic regulation intervention program is scientific and practical,which can be initially applied to the psychological adjustment of the main caregivers of cancer patients,so as to provide a reference for improving their negative emotions.

关 键 词：肿瘤 网络认知行为疗法 照顾者 

分 类 号：R473.73[医药卫生—护理学]