整合式心理干预联合阶段性认知行为护理对肺癌化疗患者癌因性疲乏、心理弹性与情绪的影响  

Effects of integrated psychological intervention combined with staged cognitive behavioral nursing on cancer-related fatigue,psychological resilience and emotion in patients undergoing chemotherapy for lung cancer dun

作　　者：孙雪洁 姚洁林 王慧如 韩杰[1] 刘淑珍[1] 赵文静 SUN Xuejie;YAO Jielin;WANG Huiru;HAN Jie;LIU Shuzhen;ZHAO Wenjing(Beijing Tsinghua Changgung Hospital Affiliated to Tsinghua University,Beijing,102218,China)

机构地区：[1]清华大学附属北京清华长庚医院,北京市102218

出　　处：《护理实践与研究》2023年第20期3130-3135,共6页Nursing Practice and Research

摘　　要：目的分析积极的情绪、投入、关系、意义和成就幸福模式(PERMA)整合式心理干预联合阶段性认知行为护理对肺癌化疗患者的影响。方法选取2019年6月—2022年6月医院行肺癌化疗的100例患者为研究对象,按照组间基本特征具有可比性的原则分为对照组与观察组,各50例。对照组实施常规护理,观察组在常规护理基础上实施PERMA模式整合式心理干预联合阶段性认知行为护理,比较两组患者癌因性疲乏、心理弹性及情绪状况。结果基于PERMA模式整合式心理干预前,两组患者行为、认知、躯体及情感疲乏评分比较差异无统计学意义(P>0.05);干预后,观察组行为、认知、躯体及情感疲乏评分均较对照组低,差异具有统计学意义(P<0.05)。干预前,两组患者心理弹性水平评分比较差异无统计学意义(P>0.05);干预后,观察组乐观、力量、坚韧及总评分均较对照组高,差异具有统计学意义(P<0.05)。干预前,两组患者SAS、SDS评分比较差异无统计学意义(P>0.05);干预后,观察组SAS、SDS评分均较对照组低,差异具有统计学意义(P<0.05)。结论基于PERMA模式整合式心理干预联合阶段性认知行为护理,能够降低肺癌化疗患者癌因性疲乏程度,提高心理弹性水平,患者焦虑、抑郁不良情绪得到有效缓解。Objective To analyze the impact of the positive emotions,engagement,relationships,meaning and achievement well-being(PERMA)model integrated psychological intervention combined with staged cognitive behavioral care on patients undergoing chemotherapy for lung cancer.Methods A total of 100 patients who underwent lung cancer chemotherapy in the hospital from June 2019 to June 2022 were selected as the research subjects.According to the principle of comparability of basic characteristics between groups,they were divided into a control group and an observation group,with 50 cases in each group.The control group received routine care,and the observation group received PERMA model integrated psychological intervention combined with staged cognitive behavioral care on the basis of routine care to compare the cancer-related fatigue,psychological resilience and emotional status of the two groups.Results Before the integrated psychological intervention based on the PERMA model,there was no statistically significant difference in the behavioral,cognitive,physical and emotional fatigue scores between the two groups of patients(P>0.05).After intervention,the behavioral,cognitive,physical and emotional fatigue scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Before intervention,there was no statistically significant difference in the psychological resilience level scores between the two groups(P>0.05).After intervention,the observation group's optimism,strength,tenacity and total scores were higher than those of the control group,the differences were statistically significant(P<0.05).Before intervention,there was no statistically significant difference in the SAS and SDS scores between the two groups(P>0.05).After intervention,the scores of SAS and SDS in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion Integrated psychological intervention based on the PERMA model co

关 键 词：PERMA模式 整合式心理干预 阶段性认知行为护理 肺癌 化学治疗 癌因性疲乏 

分 类 号：R47[医药卫生—护理学]