精神卫生干预联合传统告知-演示-操作综合行为管理技术对肺癌患者心理状态及治疗依从性的影响  

Effects of mental health intervention combined with traditional informed,demonstration-operated integrated behavior management techniques on mental state and medical treatment compliance in patients with lung cancer

作　　者：王燕[1] 朱梦影 贾慧 吴云江 WANG Yan;ZHU Mengying;JIA Hui(Affiliated Hospital of Yangzhou University,Yangzhou 225000,China)

机构地区：[1]扬州大学附属医院胸外科,扬州225000

出　　处：《国际精神病学杂志》2024年第4期1328-1331,1339,共5页Journal Of International Psychiatry

摘　　要：目的应用精神卫生干预联合传统告知-演示-操作综合行为管理技术,并分析该方法对肺癌患者心理状态及就诊行为的影响。方法本研究为前瞻性随机对照研究,采用随机数字表法选择不同护理方法。选取2022年6月~2023年6月本院收治的80例进行治疗的肺癌患者,按照护理干预方法不同将其分为观察组(n=40)和对照组(n=40)。对照组接受常规护理干预,观察组在对照组的基础上,增加精神卫生干预联合传统告知-演示-操作综合行为管理技术。对比两组患者的心理状态评分,负面情绪,不良反应发生率,治疗依从性。结果干预后,观察组的焦虑性情绪障碍筛查表(GAD-7)评分较对照组更低,差异有统计学意义(P<0.05)。观察组的不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。干预后,观察组的行为评估量表(Frankl)评分和患者Houpt行为量表(Houpt)评分优于对照组,差异有统计学意义(P<0.05)。结论精神卫生干预联合传统告知-演示-操作综合行为管理技术对肺癌患者进行干预,不仅可降低患者对于治疗的恐惧心理和不良反应发生率,改善负面情绪,还可有效提高患者的依从性和治疗效果,值得在临床推广应用。Objective To apply mental health intervention combined with traditional informed,demonstrationoperated integrated behavior management technique,and analyze the effect of this method on mental state and treatment behavior of patients with lung cancer.Methods This is a prospective randomized controlled study,using random number table method to select different nursing methods.80 patients with lung cancer treated in our hospital from June 2022 to June 2023 were selected and divided into observation group(n=40)and control group(n=40)according to different nursing intervention methods.The control group received routine nursing intervention,and the observation group was supplemented with mental health intervention combined with traditional tell-demonstration-operation integrated behavior management techniques.The scores of mental state,negative emotions,incidence of adverse reactions,compliance and treatment effect were compared between the two groups.Results After intervention,the score of GAD-7 in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The total incidence of adverse reactions in observation group was lower than that in control group,and the difference was statistically significan(t P<0.05).After the intervention,the Frankl score and Houpt score of the observation group were better than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Mental health intervention combined with traditional informed,demonstration-operated integrated behavior management technique can not only reduce patients'fear of treatment and incidence of adverse reactions,improve negative emotions,but also effectively improve patients'compliance and treatment effect,which is worthy of clinical application.

关 键 词：告知-演示-操作综合行为管理技术 肺癌 心理状态 治疗依从性 

分 类 号：R740.05[医药卫生—神经病学与精神病学]