压力接种训练在癌症患者中的应用效果  

Application Effect of Stress Inoculation Training in Cancer Patients

作　　者：侯方方[1] 郑蔚[2] 张佳迪 宋亚楠[3] 张苇[4] 张会[5] 汪丹丹[3] HOU Fangfang;ZHENG Wei;ZHANG Jiadi;SONG Yanan;ZHANG Wei;ZHANG Hui;WANG Dandan(Department of Infectious Diseases,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China;Department of Nursing,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China;Department of Oncology,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China;Disinfection Supply Center,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China;Department of Neurological Rehabilitation,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China)

机构地区：[1]郑州大学第二附属医院感染性疾病科,河南郑州450014 [2]郑州大学第二附属医院护理部,河南郑州450014 [3]郑州大学第二附属医院肿瘤科,河南郑州450014 [4]郑州大学第二附属医院消毒供应中心,河南郑州450014 [5]郑州大学第二附属医院神经康复科,河南郑州450014

出　　处：《河南医学研究》2024年第22期4190-4194,共5页Henan Medical Research

摘　　要：目的观察压力接种训练(SIT)对癌症患者的干预效果。方法采用随机数字表法将2020年7月至2022年1月在郑州大学第二附属医院治疗的72例癌症患者随机分为对照组(36例)和观察组(36例)。给予对照组患者常规的相关心理护理与健康教育,观察组则在对照组基础上给予压力接种训练。在干预前以及干预后3个月、6个月采用知觉压力量表(CPSS)、心理弹性量表(CD-RISC)、焦虑自评量表(SAS)、抑郁自评量表(SDS)以及癌症患者生活质量测定量表(QLQ-C30)对两组患者心理状况及生活质量进行测量。结果干预后3个月,观察组患者的CPSS(36.38±3.72)、CD-RISC(56.27±6.64)、SDS(39.36±5.30)、QLQ-C30(58.33±5.78)评分均优于对照组[(39.28±3.13)、(46.17±4.36)、(50.72±7.35)、(67.89±7.32)](P<0.05),两组SAS评分差异无统计学意义(P>0.05);干预后6个月,两组之间各指标差异无统计学意义(P>0.05)。结论对癌症患者实施压力接种训练,可改善患者的知觉压力、心理弹性水平、抑郁状况以及生活质量,压力接种训练的干预效果约可持续3个月。Objective To observe of the application effect of stress inoculation training(SIT)in cancer patients.Methods From July 2020 to January 2022,a total of 72 cancer patients who were admitted to the Second Affiliated Hospital of Zhengzhou University were selected as study subjects and divided into control(36 cases)and observation(36 cases)groups using a random number table.The control group was given psychological nursing and health education,and on the basis of the same intervention as the control group,the observation group was given stress inoculation training.Before and 3 and 6 months after the intervention,the psychological status and quality of life of the patients in both groups were measured using Chinese version perceived stress scale(CPSS),Connor-Davidson resilience scale(CD-RISC),self-rating anxiety scale(SAS),self-rating depression scale(SDS),and the cancer patient quality of life questionnare-core 30(QLQ-C30).Results After 3 months of intervention,the CPSS(36.38±3.72),CD-RISC(56.27±6.64),SDS(39.36±5.30),and QLQ-C30(58.33±5.78)scores of the observation group patients were better than those of the control group[(39.28±3.13),(46.17±4.36),(50.72±7.35),and(67.89±7.32)](P<0.05).In terms of SAS scores,there were no differences between the two groups(P>0.05).Six months after the intervention,there was no difference between the two groups in the scores of each scale(P>0.05).Conclusion Stress inoculation training for cancer patients can improve their perceived stress,psychological resilience,anxiety,depression and quality of life.The effect of stress inoculation training can last for about 3 months.

关 键 词：压力接种训练 癌症 心理状况 生活质量 

分 类 号：R473.73[医药卫生—护理学]