基于焦点解决取向团体辅导模式的护理干预在青年鼻咽癌患者中的应用  

Nursing intervention based on solution-focused group therapy in young patients with nasopharyngeal carcinoma

作　　者：李星丹[1] 底瑞青[2] 叶琳[3] Li Xingdan;Di Ruiqing;Ye Lin(Department of Pediatrics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Nursing Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Rhinology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院儿科,郑州450000 [2]郑州大学第一附属医院护理部,郑州450000 [3]郑州大学第一附属医院鼻科,郑州450000

出　　处：《中华现代护理杂志》2023年第22期3033-3038,共6页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20190203);河南省医学教育研究项目(Wjlx2020528)。

摘　　要：目的探讨焦点解决取向团体辅导护理干预对青年鼻咽癌患者身体意象及焦虑、抑郁的影响。方法采用便利抽样法,选取在郑州大学第一附属医院2020年12月—2021年12月住院的60例青年鼻咽癌患者为研究对象,采用随机数字表法分为观察组和对照组,各30例。对照组接受常规护理,观察组患者在对照组的基础上实行焦点解决取向团体辅导护理干预。干预前后比较两组身体意象量表(BIS)、医院焦虑抑郁量表(HADS)得分情况。结果干预前,两组患者的BIS、HADS得分比较,差异无统计学意义(P>0.05)。干预后,观察组BIS总分及各维度得分、HADS得分均低于对照组,差异有统计学意义(P<0.05)。结论焦点解决取向团体辅导的护理干预能有效缓解青年鼻咽癌患者的身体意象失调状况,降低其焦虑,抑郁水平。ObjectiveTo explore the effects of solution-focused group therapy nursing intervention on body image and anxiety and depression in young patients with nasopharyngeal carcinoma.MethodsUsing a convenience sampling method,60 young patients with nasopharyngeal carcinoma hospitalized in the First Affiliated Hospital of Zhengzhou University from December 2020 to December 2021 were selected as the study subjects,and were divided into an observation group and a control group using the random number table method,with 30 cases each.The control group received conventional care,and the patients in the observation group implemented a focal solution-oriented group counselling nursing intervention on the basis of the control group.The scores on the Body Image Scale(BIS)and the Hospital Anxiety and Depression Scale(HADS)were compared between the two groups before and after the intervention.ResultsBefore the intervention,there were no statistically significant differences between the BIS and HADS scores of the two groups(P>0.05).After the intervention,the total score of BIS and each dimension in the observation group and the score of HADS were lower than those in the control group,and the differences were statistically significant(P<0.05).ConclusionsThe nursing intervention of solution-focused group therapy can effectively alleviate the body image dysregulation condition and reduce the level of anxiety and depression in young patients with nasopharyngeal carcinoma.

关 键 词：鼻咽肿瘤 身体意象 焦虑 抑郁 

分 类 号：R473.73[医药卫生—护理学]