以Snyder希望理论为指导的正念减压式行为干预模式对肺癌化疗患者的影响  

Effect of Behavioral Intervention Model of Mindfulness-based Stress Reduction Guided by Snyder′s Hope Theory on Lung Cancer Patients Undergoing Chemotherapy

作　　者：姜瑞娟 张群成 王月霞 李赛赛 Jiang Ruijuan;Zhang Quncheng;Wang Yuexia(Henan Provincial People′s Hospital,Henan Zhengzhou 450000,China)

机构地区：[1]河南省人民医院、河南省护理医学重点实验室、郑州大学人民医院,河南郑州450000

出　　处：《齐鲁护理杂志》2024年第22期21-24,共4页Journal of Qilu Nursing

摘　　要：目的:探讨以Snyder希望理论为指导的正念减压式行为干预模式对肺癌化疗患者的影响。方法:选取2021年8月1日~2022年8月31日收治的63例肺癌化疗患者,采用随机信封法分为参照组31例和干预组32例,参照组采用常规护理干预,干预组在参照组基础上实施以Snyder希望理论为指导的正念减压式行为干预模式;比较两组依从性、护理满意度、干预前后负性情绪[采用贝克焦虑量表(BAI)、贝克抑郁量表(BDI)]、希望水平[采用Herth希望指数量表(HHI)]、自我感受负担[采用自我感受负担量表(SPBS)]、癌因性疲乏[采用癌因性疲乏调查量表(RPFS)]、健康行为[采用健康促进生活方式量表(HPLP-Ⅱ)]、生活质量[采用肺癌患者生存质量测定量表(FACT-L)]。结果:干预组依从率、护理满意度均高于参照组(P<0.05);干预后,干预组BAI、BDI、SPBS、RPFS评分均低于参照组(P<0.01),HHI、HPLP-Ⅱ、FACT-L评分均高于参照组(P<0.01)。结论:以Snyder希望理论为指导的正念减压式行为干预模式可有效缓解肺癌化疗患者负性情绪,降低自我感受负担,改善患者癌因性疲乏感、健康行为及生活质量。Objective:To explore the effect of behavioral intervention model of mindfulness-based stress reduction guided by Snyder′s hope theory on lung cancer patients undergoing chemotherapy.Methods:A total of 63 patients with lung cancer undergoing chemotherapy,admitted from August 1,2021 to August 31,2022,were selected and divided into the reference group with 31 cases and the intervention group with 32 cases by the random envelope method.The reference group was given routine nursing intervention,and the intervention group was additionally provided the behavioral intervention model of mindfulness-based stress reduction guided by Snyder′s hope theory.The compliance and nursing satisfaction,negative emotion(BAI and BDI),hope level(HHI),self-perceived burden(SPBS),cancer-related fatigue(RPFS),health behavior(HPLP-Ⅱ)and quality of life(FACT-L)of the two groups were compared before and after the intervention.Results:The compliance rate and nursing satisfaction in the intervention group were higher than those in the reference group(P<0.05).After intervention,the BAI,BDI,SPBS and RPFS scores of the intervention group were lower than those of the reference group(P<0.01),and the HHI,HPLP-Ⅱand FACT-L scores were higher than those in the reference group(P<0.01).Conclusion:The behavioral intervention model of Mindfulness-based stress reduction guided by Snyder′s hope theory can effectively alleviate the negative emotions,self-perceived burden,cancer-related fatigue,and can improve health behavior and quality of life of lung cancer patients undergoing chemotherapy.

关 键 词：Snyder希望理论 正念减压式行为干预 肺癌 自我感受负担 希望水平 健康行为 

分 类 号：R473.73[医药卫生—护理学]