基于积极心理学的心理护理对多发性骨髓瘤患者癌因性疲乏的干预效果  

Intervention effect of psychological nursing based on positive psychology on cancer-induced fatigue in patients with multiple myeloma

作　　者：周利玲 张虎田[1] 左琳琳 ZHOU Liling;ZHANG Hutian;ZUO Linlin(Donghai People's Hospital,Lianyungang City,Jiangsu Province,Lianyungang 222300,China)

机构地区：[1]东海县人民医院,江苏连云港222300

出　　处：《心理月刊》2025年第1期181-183,195,共4页

摘　　要：目的分析基于积极心理学的心理护理对多发性骨髓瘤患者癌因性疲乏的干预效果。方法纳入2022年2月~2024年1月江苏省连云港市东海县人民医院收治的多发性骨髓瘤患者80例,依照随机数字表法将其分为对照组(n=40)、观察组(n=40),对照组采用常规护理,观察组在对照组基础上,给予积极心理学的心理护理。两组均干预2周,于干预前、干预2周后比较两组患者的癌因性疲乏、心理状态、自我效能、应对方式。结果干预2周后,观察组中文版多维疲乏症状量表-短表(MFSI-SF)量表中整体情况、活力、心理状态、躯体症状、情绪疲乏的维度的评分显著低于对照组(P<0.05)。干预2周后,观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分显著改善程度优于对照组(P<0.05)。干预2周后,观察组癌症自我管理效能感量表(SUPPH)评分中积极应对、自我决策、自我减压三个维度的评分显著改善程度优于对照组(P<0.05)干预2周后,观察组医学应对量表(MCMQ)量表中面对维度的评分较对照组明显升高(P<0.05),而回避、屈服的评分显著低于对照组(P<0.05)。结论基于积极心理学的心理护理在干预多发性骨髓瘤中有显著优势,可明确改善癌因性疲乏症状,改善心理状态,提高自我效能,促使患者以积极的心态面对疾病。Objective To analyze the specific advantages of positive psychology based psychological nursing in cancer-related fatigue in patients with multiple myeloma.Methods Eighty patients with multiple myeloma admitted to Donghai County People's Hospital in Lianyungang City,Jiangsu Province from February 2022 to January 2024 were randomly divided into a control group(n=40)and an observation group(n=40)using a random number table method.The control group received routine care,while the observation group received positive psychological care on the basis of the control group.Both groups were intervened for 2 weeks,and their cancer-related fatigue,psychological status,self-efficacy,and coping strategies were compared before and after the intervention.Results After 2 weeks of intervention,the scores of overall situation,vitality,mental state,physical symptoms and emotional fatigue in the Chinese version of multidimensional fatigue symptom inventory-short form(MFSI-SF)were significantly lower in the observation group than in the control group(P<0.05).After 2 weeks of intervention,the scores of self rating anxiety scale(SAS)and self rating depression scale(SDS)in the observation group were significantly improved than those in the control group(P<0.05).After 2 weeks of intervention,the scores of positive coping,self-decision-making and self-decompression in strategies used by people to promote health(SUPPH)in the observation group were significantly improved compared with those in the control group(P<0.05).After 2 weeks of intervention,the scores of facing dimensions in medical coping modes questionnaire(MCMQ)in the observation group were significantly higher than those in the control group(P<0.05).The scores of avoidance and submission were significantly lower than those of control group(P<0.05).Conclusion Positive psychological nursing has significant advantages in the intervention of multiple myeloma,which can clearly improve the symptoms of cancer-related fatigue,improve the psychological state,improve self-efficacy,and prom

关 键 词：积极心理学 心理护理 多发性骨髓瘤 癌因性疲乏分析 自我效能 

分 类 号：R47[医药卫生—护理学]