基于感恩拓延-建构理论的护理干预对膀胱癌合并焦虑抑郁患者的影响  

The effect of nursing intervention based on gratitude extension construction theory on patients with bladder cancer complicated with anxiety and depression

作　　者：吴佳玲 徐宗源[1] 王恒兵[1] 仲兵 陈玉焕[1] WU Jialing;XU Zongyuan;WANG Hengbing(Department of Urology,Huai'an First Hospital Affiliated to Nanjing Medical University,Huai'an 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院泌尿外科,淮安223300

出　　处：《国际精神病学杂志》2024年第6期2011-2013,2016,共4页Journal Of International Psychiatry

基　　金：江苏省卫生健康委科研项目(编号:M2020100)。

摘　　要：目的 探讨在感恩拓延-建构理论基础上对膀胱癌合并焦虑抑郁患者行护理干预对其心理状态、自我管理能力的影响。方法 纳入膀胱癌合并焦虑120例,纳入时间2020年5月至2023年5月,按随机数表方式分观察、对照组,均60例。对照组做常规心理干预,观察组在对照组基础上接受基于感恩拓延-建构理论的护理干预。比较两组抑郁自评量表(Self-rating depression scale,SDS)、自我护理能力量表(Exercise of Self-Care Agency Scale,ESCA)、焦虑自评量表(Self-Rating Anxiety Scale,SAS)的评分。结果 对比干预前,干预后,两组SDS、SAS评分更低,且对比对照组,观察组更低(P<0.05);对比干预前,干预后,两组ESCA各项维度评分更高,且对比对照组,观察组更高(P<0.05)。结论 在感恩拓延-建构理论基础上对膀胱癌合并焦虑患者行护理干预可改善患者焦虑、抑郁情绪以及自我管理能力。Objective To explore the effect of clinical intervention on psychological status and self-management ability of patients with bladder cancer complicated with anxiety based on gratitude extension construction theory.Methods 120 cases of bladder cancer with anxiety were enrolled from May 2020 to May 2023.They were randomly divided into observation group and control group,with 60 cases in each group.The control group was performed conventional psychological intervention and the observation group received nursing interventions based on gratitude extension construction theory on the basis of the control group.Compare two groups of Self Rating Depression Scale(SDS),Exercise of Self Care Agency Scale(ESCA),and Self Rating Anxiety Scale(SAS) Results Compared with before intervention,after intervention,the SDS and SAS scores of the two groups were lower,and compared with the control group,the observation group was lower(P<0.05).Compared before and after intervention,the ESCA scores in all dimensions were higher in both groups,and compared to the control group,the observation group had a higher score(P<0.05).Conclusion On the basis of gratitude extension construction theory,clinical intervention for bladder cancer patients with anxiety can improve their anxiety,depression and self-management ability.

关 键 词：感恩拓延-建构 膀胱癌 焦虑 抑郁 自我管理能力 

分 类 号：R740.05[医药卫生—神经病学与精神病学]