基于压力与适应理论的护理干预在恶性肿瘤化疗患者中的应用  

Application of nursing intervention based on stress and adaptation theory in patients with malignant tumor chemotherapy

作　　者：戴丽丽[1] 张敏[1] 张玉花 焦䶮 邓自雅 DAI Lili;ZHANG Min;ZHANG Yuhua;JIAO Yan;DENG Ziya(Yangzhou Jiangdu People's Hospital,Yangzhou 225200,China)

机构地区：[1]江苏省扬州市江都人民医院肿瘤科,江苏省扬州市225200

出　　处：《护理实践与研究》2024年第7期1101-1106,F0003,共7页Nursing Practice and Research

摘　　要：目的探讨基于压力与适应理论的护理干预在恶性肿瘤化疗患者中的应用效果。方法选取医院2022年7月—2023年6月收治的92例恶性肿瘤化疗患者为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,每组46例。对照组接受常规护理干预,观察组在对照组基础上接受基于压力与适应理论的护理干预。比较两组患者压力应对能力量表(MSI)、心境状态量表(POMS)、癌症患者生命意义量表(MiLS)评分。结果干预前,两组患者变化、成熟、肯定、接受评分及压力应对能力量表总分比较差异无统计学意义(P>0.05);干预后,观察组变化、成熟、肯定、接受评分及压力应对能力量表总分高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者愤怒-敌意、疲乏-迟钝、抑郁-沮丧、迷惑-混乱、紧张-焦虑及精力-活力评分比较差异无统计学意义(P>0.05);干预后,观察组患者愤怒-敌意、疲乏-迟钝、抑郁-沮丧、迷惑-混乱、紧张-焦虑评分均低于对照组,精力-活力评分高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者癌症患者生命意义量表各维度评分及总分比较差异无统计学意义(P>0.05);干预后,观察组患者癌症患者生命意义量表各维度评分及总分高于对照组,差异有统计学意义(P<0.05)。结论基于压力与适应理论的护理干预能够提高恶性肿瘤化疗患者的压力应对能力,改善心境状态,提升生命意义水平。Objective To explore the application effect of nursing intervention based on stress and adaptation theory in patients with malignant tumor chemotherapy.Methods 92 cases of malignant tumor chemotherapy patients admitted to the hospital from July 2022 to June 2023 were selected as the study subjects,they were divided into a control group and an observation group according to the principle that the basic characteristics of the groups were comparable,with 46 cases in each group.The control group received routine nursing intervention,the observation group received nursing intervention based on stress and adaptation theory on the basis of the control group.The Mastery of Sires Instrument(MSI),Profile of Mood Status(POMS),and Meaning of Life Scale(MiLS)scores of cancer patients were compared between the two groups.Results Before the intervention,there was no statistically significant difference in the total scores of change,maturity,affirmation,acceptance score and stress coping ability scale between the two groups(P>0.05).After the intervention,the total scores of change,maturity,affirmation,acceptance score and stress coping ability scale in the observation group were higher than that in the control group,and the difference was statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in the scores of anger-hostility,fatigue-dullness,depressiondejection,confusion-disorder,nervousness-anxiety and energy-vigor between the two groups(P>0.05).After the intervention,the scores of anger-hostility,fatigue-dullness,depression-dejection,confusion-disorder,nervousnessanxiety in the observation group were lower than those in the control group,and the scores of energy-vigor were higher than those in the control group,and the differences were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in the scores and total scores of each dimension of the significance scale for cancer patients in the two groups(P>0.05),after the inte

关 键 词：压力与适应理论 恶性肿瘤 化疗 压力应对能力 心境状态 生命意义 

分 类 号：R473.73[医药卫生—护理学]