Snyder希望理论联合集束化干预在脑胶质瘤术后化疗患者中的应用效果  

Application effect of Snyder’s hope theory combined with cluster intervention in postoperative chemotherapy patients with glioma

作　　者：王伟[1] 张鹏[1] 刘景云[1] 闫雯雯 WANG Wei;ZHANG Peng;LIU Jingyun;YAN Wenwen(Department of Neurosurgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450001,He’nan,China)

机构地区：[1]郑州大学第一附属医院神经外科,郑州4500010

出　　处：《癌症进展》2023年第20期2260-2263,2267,共5页Oncology Progress

摘　　要：目的探讨Snyder希望理论联合集束化干预在脑胶质瘤术后化疗患者中的应用效果。方法根据干预方法的不同将130例脑胶质瘤术后化疗患者分为单一集束化组(n=65,集束化干预)和联合希望组(n=65,Snyder希望理论联合集束化干预)。比较两组患者的负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、自我护理能力[自我护理能力测定量表(ESCA)]、癌因性疲乏[癌症疲乏量表(CFS)]、希望水平[Herth希望量表(HHI)]、住院时间、不良反应发生情况及家属满意度。结果干预后,两组患者HAMA、HAMD评分及CFS各维度评分均低于本组干预前,联合希望组患者HAMA、HAMD评分及CFS各维度评分均低于单一集束化组,差异均有统计学意义(P﹤0.05)。干预后,两组患者ESCA及HHI各维度评分均高于本组干预前,联合希望组患者ESCA及HHI各维度评分均高于单一集束化组,差异均有统计学意义(P﹤0.05)。联合希望组患者的住院时间明显短于单一集束化组(P﹤0.01)。两组患者不良反应总发生率比较,差异无统计学意义(P﹥0.05)。联合希望组家属总满意度高于单一集束化组(P﹤0.05)。结论Snyder希望理论联合集束化干预能够改善脑胶质瘤术后化疗患者的焦虑、抑郁情绪,缓解癌因性疲乏,提高自我护理能力和希望水平。Objective To explore the application effect of Snyder’s hope theory combined with cluster intervention in postoperative chemotherapy patients with glioma.Method A total of 130 glioma patients treated with chemotherapy after surgery were divided into the cluster intervention group(n=65,received cluster intervention)and combined group(n=65,received Snyder’s hope theory+cluster intervention)according to different intervention methods.The negative emotion[Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)],self-care ability[exercise of selfcare agency scale(ESCA)],cancer-related fatigue[cancer fatigue scale(CFS)],hope level[Herth hope index(HHI)],hospitalization time,adverse reactions and family satisfaction were compared between the two groups.Result After intervention,the HAMA and HAMD scores and dimensional scores of CFS in both groups were lower than those before intervention,with lower scores in the combined group than those in the cluster intervention group(P<0.05).After intervention,the dimensional scores of ESCA and HHI were higher than those before intervention,with higher scores in the combined group than those in the cluster intervention group(P<0.05).The hospitalization time in the combined group was shorter than that in the cluster intervention group(P<0.01).There was no significant difference for the total incidence of adverse reactions between the two groups(P>0.05).The family satisfaction in the combined group was higher than that in the cluster intervention group(P<0.05).Conclusion Snyder’s hope theory combined with cluster intervention can improve the anxiety and depression emotions,relieve cancer-related fatigue,and improve self-care ability and hope level in postoperative chemotherapy patients with glioma.

关 键 词：脑胶质瘤 Snyder希望理论 集束化干预 负性情绪 自我护理能力 癌因性疲乏 希望水平 

分 类 号：R739.41[医药卫生—肿瘤]