焦点式心理护理联合接纳、承诺理念护理对乳腺癌术后患者癌因性疲乏、自我效能及心理状况影响  

Effect of Focused Psychological Nursing Care Combined with Acceptance and Commitment Concept Nursing Care on Cancer-related Fatigue,Self-Efficacy and Psychological Status of Postoperative Breast Cancer Patients

作　　者：何秀 张莹莹 肖珍 朱菊花 姚梦玲 祝甜 HE Xiu;ZHANG Yingying;XIAO Zhen;ZHU Juhua;YAO Mengling;ZHU Tian(Macheng Second People's Hospital,Macheng 438307,China;不详)

机构地区：[1]麻城市第二人民医院,湖北麻城438307

出　　处：《中外医学研究》2024年第27期95-99,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨焦点式心理护理联合接纳、承诺理念护理对乳腺癌术后患者癌因性疲乏、自我效能及心理状况影响。方法:选取2021年2月—2022年2月麻城市第二人民医院收治的76例乳腺癌术后患者作为研究对象,采用便利抽样法分为对照组与观察组,每组各38例。对照组采用常规护理干预,观察组在对照组基础上采用焦点式心理护理联合接纳、承诺理念护理干预。分别于干预前后收集两组癌症疲乏量表(CFS)、一般自我效能量表(GSES)、医院焦虑抑郁量表(HADS)得分情况并进行分析。结果:干预前,两组CFS、GSES、HADS得分情况比较,差异无统计学意义(P>0.05);干预后,两组CFS和HADS得分均低于干预前,且观察组得分低于对照组,差异有统计学意义(P<0.05);干预后,两组GSES得分均高于干预前,且观察组得分高于对照组,差异有统计学意义(P<0.05)。结论:焦点式心理护理联合接纳、承诺理念护理可改善乳腺癌术后患者的癌因性疲乏和心理状况,提高患者的自我效能。Objective:To explore the effects of focused psychological care combined with acceptance and commitment nursing on cancer-related fatigue,self-efficacy and psychological status of postoperative breast cancer patients.Method:A total of 76 postoperative patients with breast cancer treated in Macheng Second People's Hospital from February 2021 to February 2022 were selected as the study objects,and were divided into control group and observation group by convenient sampling method,with 38 cases in each group.The control group was treated with routine nursing intervention,and the observation group was treated with focused psychological nursing joint acceptance and commitment concept nursing intervention on the basis of the control group.The scores of Cancer Fatigue Scale(CFS),General Self-efficacy Scale(GSES)and Hospital Anxiety and Depression Scale(HADS)were collected and analyzed before and after the intervention.Result:There was no significant difference in the scores of CFS,GSES and HADS between the two groups of patients before intervention(P>0.05).The scores of CFS and HADS were lower than those before intervention in both groups,and the scores in observation group were lower than those in control group,with statistical significance(P<0.05).While scores of GSES were higher than those before intervention in both groups,and the scores in observation group were higher than those in control group,with statistical significance(P<0.05).Conclusion:Focused psychological care combined with acceptance and commitment concept care can effectively improve cancer-caused fatigue and psychological status of postoperative breast cancer patients,and enhance patients'self-efficacy.

关 键 词：焦点式心理护理 乳腺癌术后 接纳、承诺理念护理 癌因性疲乏 自我效能 

分 类 号：R473.73[医药卫生—护理学]