拓展型舒适护理联合阶梯式心理护理对肺癌患者心理弹性、癌因疲乏、应对方式及希望水平的影响

doi:10.3969/j.issn.1671-7171.2024.09.018

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摘要【目的】探讨拓展型舒适护理联合阶梯式心理护理对肺癌患者心理弹性、癌因疲乏、应对方式及希望水平的影响。【方法】选取2022年1月至2024年1月本院收治的150例肺癌患者,采用摸球法分组,奇数为对照组,偶数为观察组,每组75例。对照组给予常规护理,观察组给予拓展型舒适护理联合阶梯式心理护理,比较两组干预前后心理弹性[心理弹性量表(CD-RISC)]、癌因疲乏[Piper疲乏量表(PFS)]、应对方式[简易应对方式量表(SCSQ)]、希望水平[Herth希望量表(HHI)]评分。【结果】干预后,观察组CD-RISC各维度评分高于对照组(P<0.05);观察组PFS各维度评分低于对照组(P<0.05);观察组SCSQ中积极应对评分高于对照组(P<0.05),消极应对评分低于对照组(P<0.05);观察组HHI各维度评分高于对照组(P<0.05)。【结论】拓展型舒适护理联合阶梯式心理护理能有效提高肺癌患者的心理弹性、希望水平评分,降低疲乏感评分,并可促使患者采取更多积极的应对方式,对改善肺癌患者的心理及生理状态具有显著效果。

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	刘芳
	张丹
	罗珊珊

关键词 ：肺肿瘤/护理, 肺肿瘤/心理学, 心理护理, 疲劳/病因学

Abstract：【Objective】To explore the effects of extended comfort care combined with tiered psychological care on the psychological resilience, cancer-related fatigue, coping strategies, and hope levels of lung cancer patients. 【Methods】A total of 150 lung cancer patients admitted to our hospital from January 2022 to January 2024 were selected and divided into two groups using the touch ball method:odd numbered control group and even numbered observation group, with 75 patients in each group. The control group received routine care, while the observation group received extended comfort care combined with tiered psychological care. The psychological resilience (CD-RISC), cancer-related fatigue [Piper Fatigue Scale (PFS)], coping strategies [Simplified Coping Style Scale (SCSQ)], and Hope Level [Herth Hope Scale (HHI)] scores were compared between the two groups before and after intervention. 【Results】After intervention, the observation group had higher scores in all dimensions of CD-RISC than the control group (P<0.05); The PFS scores in the observation group were lower than those in the control group in all dimensions (P<0.05); The positive coping score in the observation group SCSQ was higher than that in the control group (P<0.05), and the negative coping score was lower than that in the control group (P<0.05); The HHI scores in the observation group were higher than those in the control group in all dimensions (P<0.05). 【Conclusion】The combination of extended comfort care and tiered psychological care can effectively improve the psychological resilience and hope level scores of lung cancer patients, reduce fatigue scores, and encourage patients to adopt more positive coping strategies. It has a significant effect on improving the psychological and physiological status of lung cancer patients.

Key words： Lung Neoplasms/NU Lung Neoplasms/PX Psychological Nursing Fatigue/ET

收稿日期: 2024-07-11

中图分类号:

R734.2

引用本文:

刘芳, 张丹, 罗珊珊. 拓展型舒适护理联合阶梯式心理护理对肺癌患者心理弹性、癌因疲乏、应对方式及希望水平的影响[J]. 医学临床研究, 2024, 41(9): 1346-1349.
LIU Fang, ZHANG Dan, LUO Shanshan. The Impact of Extended Comfort Care Combined with Tiered Psychological Care on the Psychological Resilience, Cancer-related Fatigue, Coping Strategies, and Hope Levels of Lung Cancer Patients. JOURNAL OF CLINICAL RESEARCH, 2024, 41(9): 1346-1349.

链接本文:

http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2024.09.018 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2024/V41/I9/1346

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