基于健康理念与音乐疗法的综合干预模式对乳腺癌化疗患者的影响  

Effect of integrated intervention mode based on health concept and music therapy on breast cancer chemotherapy patients

作　　者：孙婧 梁越 马欣妍 徐静[1] SUN Jing;LIANG Yue;MA Xinyan;XU Jing(Department of Thyroid Gland Breast Surgery,the Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University,Jiangsu Province,Huaian223000,China;Gastrointestinal Surgery,the Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University,Jiangsu Province,Huaian223000,China)

机构地区：[1]南京医科大学附属淮安第一医院甲乳外科,江苏淮安223000 [2]南京医科大学附属淮安第一医院胃肠外科,江苏淮安223000

出　　处：《中国医药导报》2024年第20期181-185,共5页China Medical Herald

基　　金：江苏省自然科学基金面上项目(BK20190126)。

摘　　要：目的观察基于健康理念与音乐疗法的综合干预模式对乳腺癌化疗患者的影响。方法选择2020年1月至2022年12月南京医科大学附属淮安第一医院诊治的92例女性乳腺癌化疗患者为研究对象,以随机数字表法将其分为对照组和试验组,每组46例。对照组给予常规护理,试验组在对照组的基础上给予基于健康理念与音乐疗法的综合干预模式,两组干预时间均为2周。比较两组护理前后心理痛苦度评分、Connor-Davidson心理弹性量表(CD-RISC)评分、疾病不确定感量表(MUIS)评分、健康行为状态评分、癌症疲乏量表(CFS)评分。结果护理后,两组心理痛苦度评分低于护理前,且试验组低于对照组,差异有统计学意义(P<0.05)。护理后,两组坚韧、乐观、自强评分高于护理前,且试验组高于对照组,差异有统计学意义(P<0.05)。护理后,两组不明确性、复杂性、信息缺乏、不可预测性评分低于护理前,且试验组低于对照组,差异有统计学意义(P<0.05)。护理后,两组正性态度、自我压力、自我决策评分高于护理前,且试验组高于对照组,差异有统计学意义(P<0.05)。护理后,两组躯体疲乏、情感疲乏、认知疲乏评分低于护理前,且试验组低于对照组,差异有统计学意义(P<0.05)。结论基于健康理念与音乐疗法的综合干预模式有利于改善乳腺癌化疗患者的心理状态、降低疾病不确定感、提升健康行为状态、控制癌因性疲乏。Objective To observe the effect of integrated intervention mode based on health concept and music therapy on breast cancer chemotherapy patients.Methods A total of 92 breast cancer chemotherapy patients treated in the Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University from January 2020 to December 2022 were selected as observation objects,and they were divided into the control group and the experimental group by random number table method,with 46 cases in each group.The control group was given routine nursing,and the experimental group was given integrated intervention mode based on health concept and music therapy,and the intervention time of both groups was two weeks.The psychological distress score,Connor-Davidson resilience scale,Mishel uncertainty in illness scale(MUIS)score,health behavior status score,and cancer fatigue scale(CFS)score were compared between the two groups before and after nursing.Results After nursing,the psychological distress scores between the two groups were lower than before nursing,and the experimental group was lower than the control group,the differences were statistically significant(P<0.05).After nursing,the tenacity,optimism,and self-reliance scores of two groups were higher than before intervention,and the experimental group was higher than the control group,the differences were statistically significant(P<0.05).After nursing,the uncertainty,complexity,lack of information,and unpredictability scores of the two groups were lower than before intervention,and the experimental group was lower than the control group,the differences were statistically significant(P<0.05).After nursing,the positive attitude,self-stress,and self-decision making scores of the two groups were higher than before nursing,and the experimental group was lower than the control group,the differences were statistically significant(P<0.05).After nursing,the physical fatigue,emotional fatigue,and cognitive fatigue scores of the two groups were lower than before intervention,and the experimen

关 键 词：健康理念 细节护理 音乐疗法 乳腺癌 心理弹性 

分 类 号：R473[医药卫生—护理学]