首页|焦点解决团体干预在急性髓系白血病患者中的应用效果

焦点解决团体干预在急性髓系白血病患者中的应用效果

Application effect of solution-focused group intervention in acute myeloid leukemia patients

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目的 探讨焦点解决团体干预在急性髓系白血病患者中的应用效果.方法 根据干预方式的不同将106例急性髓系白血病患者分为对照组(n=43)和观察组(n=63),对照组患者给予常规干预,观察组患者给予焦点解决团体干预.比较两组患者的负性情绪[广泛性焦虑障碍量表(GAD-7)、健康问卷抑郁症状群量表(PHQ-9)]、生活质量[生活质量综合评定问卷(GQOLI-74)]、血常规指标、不良反应发生情况及随访6个月的生存情况.结果 干预后,两组患者GAD-7、PHQ-9评分均低于本组干预前,观察组患者GAD-7、PHQ-9评分均低于对照组,差异均有统计学意义(P<0.05).干预后,两组患者GQOLI-74各维度评分均高于本组干预前,观察组患者GQOLI-74各维度评分均高于对照组,差异均有统计学意义(P<0.05).干预后,观察组患者白细胞计数低于对照组,血小板计数高于对照组,不良反应总发生率低于对照组,6个月生存率高于对照组,差异均有统计学意义(P<0.05).结论 焦点解决团体干预能够明显缓解急性髓系白血病患者的负性情绪,提高生活质量和生存率,降低不良反应发生率,改善白细胞计数和血小板计数,从而改善患者的预后.
Objective To explore the application effect of solution-focused group intervention in acute myeloid leuke-mia patients.Method A total of 106 patients with acute myeloid leukemia were divided into control group(n=43)and observation group(n=63)based on different intervention methods.The control group received routine intervention,while the observation group received solution-focused group intervention.The negative emotions[the generalized anxiety disor-der 7-item scale(GAD-7),patient health questionnaire-9(PHQ-9)],quality of life[generic quality of life inventory-74(GQOLI-74)],blood routine indicators,incidence of adverse reactions,and survival rate of 6 months follow-up were com-pared between the two groups.Result After intervention,the GAD-7 and PHQ-9 scores of both groups were lower than those before intervention,the GAD-7 and PHQ-9 scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of all dimensions of GQO-LI-74 in both groups were higher than those before intervention,the scores of all dimensions of GQOLI-74 in the observa-tion group were higher than those in the control group,and the differences were statistically significant(P<0.05).After in-tervention,the white blood cell count of the observation group was lower than that of the control group,platelet count was higher than that of the control group,the total incidence of adverse reactions was lower than that of the control group,the 6-month survival rate was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Solution-focused group intervention can significantly alleviate negative emotional relief in patients with acute myeloid leukemia,improve quality of life and survival rate,reduce the incidence of adverse reactions,improve white blood cell and platelet counts,and thus improve patient prognosis.

solution-focused group interventionacute myeloid leukemianegative emotionquality of life

杨阳、张贝、吴慧敏、刘学静

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焦作市人民医院临床营养科,河南 焦作 454000

焦作市人民医院血液病科,河南 焦作 454000

焦作市人民医院健康促进办,河南 焦作 454000

焦点解决团体干预 急性髓系白血病 负性情绪 生活质量

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(12)