舒缓性治疗干预对白血病患者负性情绪和健康行为的影响  

Effect of soothing therapy on negative emotion and health behavior of patients with leukemia

作　　者：熊红霞[1] 党惠兵[1] 吴芳 袁芳芳[3] 王波涛[1] XIONG Hongxia;DANG Huibing;WU Fang;YUAN Fangfang;WANG Botao(Department of Hematology,The First Affiliated Hospital of Nanyang Medical College,Nanyang 473000,China;Department of Hematology,Zhengzhou City Central Hospital;Department of Hematology,Henan Province Cancer Hospital)

机构地区：[1]南阳医学高等专科学校第一附属医院血液内科,473000 [2]郑州市中心医院血液内科 [3]河南省肿瘤医院血液内科

出　　处：《中国健康心理学杂志》2024年第6期892-897,共6页China Journal of Health Psychology

基　　金：河南省卫生健康委员会(编号:232102310201)。

摘　　要：目的:探究舒缓性治疗干预对白血病患者负性情绪和健康行为的影响。方法:以2019年8月-2022年8月某院收治的86例白血病患者为研究对象,依据入院时间先后顺序分为对照组(n=43)和干预组(n=43)。对照组予以常规临床干预,干预组在对照组基础上予以舒缓性治疗干预。对比两组干预前后的负性情绪、健康行为、应对方式及生命质量,评价两组的治疗依从性。结果:干预后,干预组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组(t=-6.380,-5.431;P<0.05);干预后,干预组的健康促进生活量表(HPLP-Ⅱ)中人际关系、健康责任、舒缓治疗、营养、体育运动、精神成长评分均高于对照组(t=7.230,6.007,6.737,7.414,6.470,7.096;P<0.05);干预后,干预组的积极应对评分高于对照组,消极应对评分低于对照组(t=4.602,-8.949;P<0.05);干预后,两组生命质量量表(WHOQOL-BREF)中各维度评分均高于对照组(t=4.626,7.732,10.107,9.462;P<0.05);干预组的治疗依从性高于对照组(χ^(2)=5.460,P<0.05)。结论:舒缓性治疗干预对白血病患者的干预效果显著,能有效缓解患者的负性情绪状态,改善患者的健康行为及应对方式,提高患者的生命质量及治疗依从性。Objective:To explore the effect of soothing therapy on negative emotion and health behavior of leukemia patients.Methods:Eighty-six leukemia patients admitted to our hospital from August,2019 to August,2022 were divided into control group(n=43)and intervention group(n=43)according to the order of admission time.The control group was given routine clinical intervention,and the intervention group was given soothing treatment intervention based on the control group.The negative emotion,healthy behavior,coping style and quality of life were compared between the two groups before and after the intervention,and the treatment compliance was evaluated.Results:After intervention,the scores of SAS and SDS in the intervention group were lower than those in the control group(t=-6.380,-5.431;P<0.05).After intervention,the scores of interpersonal relationship,health responsibility,soothing therapy,nutrition,physical exercise and spiritual growth in the intervention group were higher than those in the control group(t=7.230,6.007,6.737,7.414,6.470,7.096;P<0.05).After intervention,the scores of positive coping in the intervention group were higher than those in the control group,and the scores of negative coping were lower than those in the control group(t=4.602,-8.949;P<0.05).After intervention,the scores of each dimension of WHOQOL-BREF in the two groups were higher than those in the control group(t=4.626,7.732,10.107,9.462;P<0.05).The treatment compliance of the intervention group was higher than that of the control group(χ^(2)=5.460,P<0.05).Conclusion:Soothing therapy intervention has significant effect on leukemia patients,which can effectively alleviate the negative emotional state of patients,improve the health behavior and coping style of patients,and improve the quality of life and treatment compliance of patients.

关 键 词：白血病 舒缓性治疗 负性情绪 健康行为 应对方式 生命质量 依从性 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]