身心并重共护延伸护理在弥漫大B细胞淋巴瘤化疗患者中的应用  

Body-mind extended nursing for patients with diffuse large B-cell lymphoma underwent chemotherapy

作　　者：徐辉 张丽[1] Xu Hui;Zhang Li(Second Inpatient Ward of Hematology Department,The First Affiliated Hospital of Nanyang Medical College,Nanyang Henan 473000,China)

机构地区：[1]南阳医学高等专科学校第一附属医院血液内科二病区,河南南阳473000

出　　处：《保健医学研究与实践》2023年第3期84-87,共4页Health Medicine Research and Practice

基　　金：河南省医学科技攻关计划项目(LHGJ20191525)。

摘　　要：目的 探讨身心并重共护延伸护理在弥漫大B细胞淋巴瘤化疗患者中的应用效果。方法选取2019年10月—2021年6月在南阳医学高等专科学校第一附属医院接受化疗治疗的92例弥漫大B细胞淋巴瘤患者作为研究对象,采用随机数字表法分为对照组和研究组,每组46例。对照组患者给予常规护理干预,研究组患者在对照组基础上给予身心并重共护延伸护理干预,2组患者均干预3个月。比较2组患者干预前后的心理韧性量表(CD-RISC)、癌症自我管理效能感量表(SUPPH)及应对方式评定量表(MCSQ)评分。结果 2组患者干预前CD-RISC各维度评分比较,差异均无统计学意义(P>0.05);研究组患者干预3个月后CD-RISC中坚韧、力量、乐观3个维度评分均高于对照组,差异均有统计学意义(P<0.05)。2组患者干预前SUPPH各维度评分比较,差异均无统计学意义(P>0.05);研究组患者干预3个月后SUPPH中正面态度、自我减压、自我决策3个维度评分均高于对照组,差异均有统计学意义(P<0.05)。2组患者干预前MCSQ各维度评分比较,差异均无统计学意义(P>0.05);研究组患者干预3个月后MCSQ中屈服、回避维度评分低于对照组,面对维度评分高于对照组,差异均有统计学意义(P<0.05)。结论 身心并重共护延伸护理干预用于弥漫大B细胞淋巴瘤患者护理中,有助于患者采取积极应对方式,提升患者心理韧性及自我管理能力。Objective This study attempted to explore the application of body-mind extended nursing for patients with diffuse large B-cell lymphoma who underwent chemotherapy.Methods From October 2019 to June 2021,92 patients with diffuse large B-cell lymphoma who received chemotherapy at the First Affiliated Hospital of Nanyang Medical College were selected and randomly assigned to a control group(n=46)and a study group(n=46)using a random number table.Patients in the control group received routine nursing interventions;while patients in the study group received body-mind extended nursing in addition to routine nursing interventions for 3 months.Changes in scores on the Connor-Davidson Resilience Scale(CDRISC),Strategies Used by People to Promote Health(SUPPH),and Medical Coping Style Questionnaire(MCSQ)were compared between the two groups before and after the intervention.Results Before the intervention,there were no statistically significant differences in the CD-RISC scores between the two groups(P>0.05).After 3 months of intervention,the study group had significantly higher scores on the resilience,strength,and optimism dimensions of the CD-RISC than the control group(P<0.05).Before the intervention,there were no statistically significant differences in the SUPPH scores between the two groups(P>0.05).After 3 months of intervention,the study group had significantly higher scores on the positive attitude,stress reduction,and making decisions dimensions of the SUPPH than the control group(P<0.05).Before the intervention,there were no statistically significant differences in the MCSQ scores between the two groups(P>0.05).After 3 months of intervention,the study group had significantly lower scores on the resignation and avoidance dimensions of the MCSQ than the control group,and significantly higher scores on the confrontation dimension than the control group(P<0.05).Conclusion Body-mind extended nursing interventions are helpful in promoting active coping strategies,enhancing psychological resilience,and improving self-man

关 键 词：弥漫大B细胞淋巴瘤 化疗 身心并重共护延伸护理服务 心理韧性 自我管理效能 

分 类 号：R473.73[医药卫生—护理学]