MPNFS理论指导下多方位护理在肺癌化疗患者的应用及对心理困扰、希望水平的影响  

Application of multi-directional nursing based on MPNFS theory in patients undergoinglung cancer chemotherapy and its influences on psychological distress and hope level

作　　者：汪志青 汪静雯 任继红 WANG Zhiqing;WANG Jingwen;REN Jihong(Anqing City 116 Hospital,Anqing 246003,China)

机构地区：[1]安徽省安庆市116医院,246003

出　　处：《中国健康心理学杂志》2023年第7期1031-1035,共5页China Journal of Health Psychology

基　　金：安徽省科技攻关项目(编号:1804h08020276)。

摘　　要：目的:观察MPNFS理论指导下多方位护理在肺癌化疗患者的应用效果及对心理困扰、希望水平的影响。方法:选取某院60例肺癌化疗患者,按照数字表法随机分为两组,各30例,对照组予以常规护理干预,观察组在常规基础上予以MPNFS理论指导下多方位护理干预,比较两组干预前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、心理困扰评分、Herth希望量表(HHI)评分、癌症患者生命质量量表(ORTCQLQ-C30)评分及患者护理满意度。结果:观察组干预后SAS评分(t=-3.284,P<0.05)、SDS评分(t=-2.272,P<0.05)均显著低于对照组;观察组干预后困扰温度计评分(t=-4.189,P<0.001)及问题列表评分(t=-3.483,P<0.01)均显著低于对照组;观察组干预后HHI评分(t=3.188,P<0.01)显著高于对照组;观察组干预后ORTCQLQ-C30躯体功能(t=2.642,P<0.05)、社会功能(t=3.633,P<0.01)、情感功能(t=2.530,P<0.05)及角色功能评分(t=4.433,P<0.001)显著高于对照组;观察组护理满意度显著优于对照组(Z=6.095,P<0.05)。结论:MPNFS理论指导下多方位护理能够有效改善肺癌化疗患者负性情绪,减少心理困扰,提高希望水平及生活质量,获得患者满意。Objective:To observe the application effect of multi-directional nursing based on MPNFS theory in patients undergoing lung cancer chemotherapy and its influences on psychological distress and hope level.Methods:According to random number table method,60 patients undergoing lung cancer chemotherapy in the hospital were enrolled and divided into control group(routine nursing)and observation group(multi-directional nursing based on MPNFS theory on basis of control group),30 cases in each group.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),psychological distress,Herth hope index(HHI)and Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30(ORTCQLQ-C30),and nursing satisfaction were compared between the two groups before and after intervention.Results:After intervention,SAS score(t=-3.284,P<0.05)and SDS score(t=-2.272,P<0.05)were significantly lower in observation group than control group,scores of distress thermometer(t=-4.189,P<0.001)and problem lists(t=-3.483,P<0.01)were significantly lower in observation group,HHI score(t=3.188,P<0.01)was significantly higher in observation group,scores of physical function(t=2.642,P<0.05),social function(t=3.633,P<0.01),emotional function(t=2.530,P<0.05)and role function(t=4.433,P<0.001)in ORTCQLQ-C30 were significantly higher in observation group,and nursing satisfaction was significantly better in observation group(Z=6.095,P<0.05).Conclusion:Multi-directional nursing based on MPNFS theory can effectively relieve negative emotions,reduce psychological distress,improve hope level and quality of life in patients undergoing lung cancer chemotherapy,with high patients’satisfaction.

关 键 词：肺癌 化疗 MPNFS理论 心理困扰 希望水平 

分 类 号：R749.92[医药卫生—神经病学与精神病学]