摘要
目的 探讨积极心理学干预联合PDCA循环法在胃癌化疗患者中的应用效果.方法 将77例胃癌患者根据干预方式的不同分为对照组(n=31,常规干预)和观察组(n=46,常规干预+积极心理学干预+PDCA循环法干预),比较两组患者负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、生活质量[生活质量综合评定问卷(GQOLI-74)]、满意度、不良反应发生情况、依从性.结果 干预后,两组患者HAMA、HAMD量表评分均较干预前降低,且观察组患者HAMA、HAMD量表评分均低于对照组,差异均有统计学意义(P＜0.05).干预后,两组患者心理功能、社会功能、躯体功能、物质生活状态评分均较干预前升高,且观察组患者心理功能、社会功能、躯体功能、物质生活状态评分均高于对照组,差异均有统计学意义(P＜0.05).观察组患者满意度、总依从率均高于对照组,不良反应总发生率低于对照组,差异均有统计学意义(P＜0.05).结论 胃癌化疗患者应用积极心理学干预联合PDCA循环法,能够改善患者的负性情绪,提高患者生活质量、满意度和依从性,减少不良反应.
Abstract
Objective To investigate the application effect of positive psychology intervention combined with PDCA cycle method in patients with gastric cancer undergoing chemotherapy.Method A total of 77 patients with gastric can-cer were divided into control group(n=31,conventional intervention)and observation group(n=46,conventional inter-vention+positive psychology intervention+PDCA cycle method intervention)according to different intervention methods.Negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],quality of life[generic quali-ty of life inventory-74(GQOLI-74)],satisfaction,occurrence of adverse reactions and compliance were compared be-tween the two groups.Result After intervention,the HAMA and HAMD scales scores in both groups were lower than those before intervention,and the HAMA and HAMD scales scores in the observation group were lower than those in the control group,the differences were statistically significant(P＜0.05).After intervention,the scores of psychological func-tion,social function,physical function and material life status in two groups were higher than those before intervention,and the scores of psychological function,social function,physical function and material life status in observation group were higher than those in control group,the differences were statistically significant(P＜0.05).The satisfaction rate and to-tal compliance rate in observation group were higher than those in control group,and the total incidence of adverse reac-tions was lower than that in control group,the differences were statistically significant(P＜0.05).Conclusion The appli-cation of positive psychology intervention combined with PDCA cycle method can improve patients'negative emotions,improve patients'quality of life,satisfaction and compliance,and reduce adverse reactions.
维普
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