癌症进展2024,Vol.22Issue(15) :1679-1683.DOI:10.11877/j.issn.1672-1535.2024.22.15.15

集束化疼痛干预联合健康信念导向照顾策略对多发性骨髓瘤患者心理弹性及遵医行为的影响

Influence of cluster pain intervention combined with health belief-oriented care strategy on psychological resilience and compliance behavior of patients with multiple myeloma

孙丽媛 王耀美 王亚丹
癌症进展2024,Vol.22Issue(15) :1679-1683.DOI:10.11877/j.issn.1672-1535.2024.22.15.15

集束化疼痛干预联合健康信念导向照顾策略对多发性骨髓瘤患者心理弹性及遵医行为的影响

Influence of cluster pain intervention combined with health belief-oriented care strategy on psychological resilience and compliance behavior of patients with multiple myeloma

孙丽媛 1王耀美 1王亚丹1
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作者信息

  • 1. 郑州大学附属肿瘤医院/河南省肿瘤医院血液五病区,郑州 4500080
  • 折叠

摘要

目的 探讨集束化疼痛干预联合健康信念导向照顾策略对多发性骨髓瘤(MM)患者心理弹性及遵医行为的影响.方法 根据干预方案的不同将88例MM患者分为对照组(n=46)和观察组(n=42),对照组患者接受常规干预,观察组患者给予集束化疼痛干预联合健康信念导向照顾策略.比较两组患者的心理弹性[Connor-Davidson心理弹性量表(CD-RISC)]、遵医行为依从性、疼痛程度[视觉模拟评分法(VAS)]和满意度.结果 干预后,两组患者CD-RISC各维度评分均高于本组干预前,VAS评分均低于本组干预前,观察组患者CD-RISC各维度评分均高于对照组,VAS评分低于对照组,差异均有统计学意义(P﹤0.05).观察组患者的遵医行为总依从率为97.62%,明显高于对照组患者的73.91%,差异有统计学意义(P﹤0.01).观察组患者的干预技术、干预概念、干预质量、沟通技巧评分均明显高于对照组,差异均有统计学意义(P﹤0.01).结论 集束化疼痛干预联合健康信念导向照顾策略能有效改善MM患者的心理弹性,减轻疼痛程度,提高遵医行为依从性和满意度.

Abstract

Objective To explore the influence of cluster pain intervention combined with health belief-oriented care strategy on psychological resilience and compliance behavior of patients with multiple myeloma(MM).Method Ac-cording to different intervention methods,88 MM patients were divided into control group(n=46)and observation group(n=42).The control group received routine intervention,while the observation group received cluster pain intervention combined with health belief-oriented care strategy.The psychological resilience[Connor-Davidson resilience scale(CD-RISC)],compliance with medical behavior,pain level[visual analogue scale(VAS)],and satisfaction were compared be-tween the two groups.Result After intervention,the all dimension scores of CD-RISC in both groups were higher than those before intervention,and the scores of VAS were lower than those before intervention,the all dimension scores of CD-RISC in observation group were higher than those in the control group,and the VAS score was lower than that in the control group,and the differences were statistically significant(P<0.05).The total compliance rate in observation group was 97.62%,which was significantly higher than 73.91% in control group,and the difference was statistically significant(P<0.01).The intervention techniques,intervention concepts,intervention quality,and communication skills scores of the observation group were significantly higher than those of the control group,and the differences were statistically signifi-cant(P<0.01).Conclusion The cluster pain intervention combined with health belief-oriented care strategy can effective-ly improve the psychological resilience of MM patients,reduce pain levels,and enhance compliance and satisfaction with medical treatment.

关键词

集束化疼痛干预/健康信念导向照顾策略/多发性骨髓瘤/心理弹性

Key words

cluster pain intervention/health belief-oriented care strategy/multiple myeloma/psychological resilience

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出版年

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
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