以量化评估策略为视角分析的心理护理在老年肺癌化疗患者中的应用  

Application of Psychological Nursing in Elderly Patients with Lung Cancer Chemotherapy from the Perspective Analysis of Quantitative Evaluation Strategy

作　　者：吴杏尧[1] 曹慧娇[1] 刘明慧[1] Wu Xingyao;Cao Huijiao;Liu Minghui(Sun Yat-sen University Cancer Center,Guangzhou Guangdong 510060,China)

机构地区：[1]中山大学肿瘤防治中心,广东广州510060

出　　处：《齐鲁护理杂志》2023年第21期17-20,共4页Journal of Qilu Nursing

摘　　要：目的:探讨以量化评估策略为视角分析的心理护理在老年肺癌化疗患者中的应用效果。方法:选取2020年1月1日~2023年1月31日收治的老年肺癌化疗患者90例,按照随机数字表法分为对照组和观察组各45例,对照组采用常规护理,观察组在常规护理基础上实施以量化评估策略为视角分析的心理护理,两组均护理2个月;比较两组护理前后情绪状态[采用简式心境评估量表(POMS-SF)]、应对方式[采用医学应对问卷(MCMQ)]、生活质量[采用癌症患者生命质量测定量表(EORTC QLQ-30)]、负性情绪[采用抑郁自评量表(SDS)和焦虑自评量表(SAS)],护理满意度。结果:护理后,两组POMS-SF中抑郁-沮丧、疲乏-迟钝、紧张-抑郁、愤怒-敌意、迷惑-混乱5项评分、SDS评分和SAS评分均低于护理前(P<0.05),POMS-SF中精力-活力评分高于护理前(P<0.05),且观察组优于对照组(P<0.01);护理后,两组MCMQ中回避、屈服评分及EORTC QLQ-30中症状、特异性评分均低于护理前(P<0.05),EORTC QLQ-30中功能、总体健康评分及MCMQ中面对评分均高于护理前(P<0.05),且观察组优于对照组(P<0.01);观察组护理总满意度高于对照组(P<0.05)。结论:对老年肺癌化疗患者应用以量化评估策略为视角分析的心理护理,可有助于改善患者情绪状态、生活质量,纠正疾病及化疗应对方式,消除不良情绪,提升护理满意度。Objective:To explore the effect of psychological nursing in elderly patients with lung cancer chemotherapy from the perspective analysis of quantitative evaluation strategy.Methods:A total of 90 elderly patients with lung cancer treated with chemotherapy admitted during January 1,2020 to January 31,2023 were selected and divided by the random number table method into the control group and the observation group with 45 cases in each group.The control group was given routine nursing,and the observation group was given psychological nursing from the perspective of quantitative evaluation strategy on the above basis,and both groups were given nursing care for 2 months.Emotional state scores by POMS-SF,coping styles by MCMQ,quality of life scores by EORTC QLQ-30,and negative emotions by SAS and SDS and nursing satisfaction before and after nursing were compared between the two groups.Results:After nursing,the depression-despirit,fatigue-slowness,stress-depression,fury-intension,and puzzle-confusion in POMS-SF were lower in both groups than those before nursing(P<0.05).The SDS and SAS scores were lower in both groups than those before nursing(P<0.05).The energy-vitality scores were higher in both groups than those before nursing(P<0.05),and those in the observation group were higher than those in the control group(P<0.05).After nursing,the avoidance and yielding scores in MCMQ,symptom and specificity scores in EORTC QLQ-30 were higher in both groups than those before nursing(P<0.05),the function and overall health scores in EORTC QLQ-30 and face in MCMQ in both groups were higher than those before nursing(P<0.05),and better in the observation group than those in the control group(P<0.01).The nursing satisfaction was higher in the observation group than that in the control group(P<0.05).Conclusion:Application of psychological nursing in elderly patients with lung cancer chemotherapy from the perspective analysis of quantitative evaluation strategy can improve their emotional state,quality of life,correct the coping styl

关 键 词：心理护理 量化评估策略 肺癌 老年 化疗 情绪状态 生活质量 

分 类 号：R473.73[医药卫生—护理学]