摘要
目的 探讨个性化心理融入人文关怀干预对晚期肺癌患者心理痛苦程度及自尊水平的影响.方法 根据干预方案的不同将86例晚期肺癌患者分为对照组(n=42)和观察组(n=44),对照组患者给予常规护理干预,观察组患者给予个性化心理融入人文关怀干预.比较两组患者的心理痛苦程度[心理痛苦温度计(DT)]、焦虑状况[状态焦虑分量表(SAI)]、自尊水平[状态自尊量表(SSES)]、生活质量[生活质量综合评定问卷(GQOLI-74)]和护理满意度.结果 干预后,两组患者DT、SAI评分均低于本组干预前,观察组患者DT、SAI评分均低于对照组,差异均有统计学意义(P＜0.05).干预后,两组患者外表自尊、行为自尊、社会自尊评分均高于本组干预前,观察组患者外表自尊、行为自尊、社会自尊评分均高于对照组,差异均有统计学意义(P＜0.05).干预后,两组患者角色功能、社会功能、躯体功能、心理功能评分均高于本组干预前,观察组患者角色功能、社会功能、躯体功能、心理功能评分均高于对照组,差异均有统计学意义(P＜0.05).观察组患者护理满意度评分为(93.12±2.45)分,高于对照组患者的(87.62±1.58)分,差异有统计学意义(P＜0.05).结论 个性化心理融入人文关怀干预可改善晚期肺癌患者焦虑状况,提高自尊水平和生活质量,降低心理痛苦水平,有利于提高患者的临床护理满意度.
Abstract
Objective To observe the influence of personalized psychological integration with humanistic care inter-vention on the psychological pain and self-esteem of patients with advanced lung cancer.Method A total of 86 patients with advanced lung cancer were divided into control group(n=42)and observation group(n=44)according to different in-tervention methods.The control group received routine nursing intervention,while the observation group received person-alized psychological integration with humanistic care intervention.The psychological distress[distress thermometer(DT)],anxiety state[state anxiety inventory scale(SAI)],self-esteem level[state self-esteem scale(SSES)],quality of life[generic quality of life inventory-74(GQOLI-74)]and nursing satisfaction were compared between the two groups.Re-sult After intervention,the DT and SAI scores of both groups were lower than those before intervention,the DT and SAI scores of the observation group were lower than those of the control group,and the differences were statistically sig-nificant(P＜0.05).After intervention,the appearance self-esteem,behavioral self-esteem,and social self-esteem scores of the two groups were higher than those before intervention,the appearance self-esteem,behavioral self-esteem,and social self-esteem scores in the observation group were higher than those in the control group,and the differences were statisti-cally significant(P＜0.05).After intervention,the role function,social function,physical function,and psychological func-tion scores of the two groups were higher than those before intervention,the role function,social function,physical func-tion,and psychological function scores of the observation group were higher than those of the control group,and the dif-ferences were statistically significant(P＜0.05).The nursing satisfaction score of the observation group was(93.12±2.45)points,which was higher than(87.62±1.58)points of the control group,and the difference was statistically significant(P＜0.05).Conclusion The personalized psychological integration with humanistic care intervention can improve the anxiety state,self-esteem level and the quality of life,reduce psychological distress level of advanced lung cancer patients,which is beneficial for improving their clinical nursing satisfaction.
维普
万方数据