首页|基于Peplau人际关系理论的系统化干预在淋巴瘤嵌合抗原受体T细胞治疗患者中的应用效果

基于Peplau人际关系理论的系统化干预在淋巴瘤嵌合抗原受体T细胞治疗患者中的应用效果

Application effect of systematic intervention based on Peplau's interpersonal relationship theory in lymphoma patients undergoing chimeric antigen receptor T cell therapy

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目的 探讨基于Peplau人际关系理论的系统化干预在淋巴瘤嵌合抗原受体T细胞治疗(CAR-T)患者中的应用效果.方法 依据干预方法的不同将135例淋巴瘤CAR-T治疗患者分为对照组(n=68)和观察组(n=67),对照组患者接受常规干预,观察组患者接受基于Peplau人际关系理论的系统化干预.比较两组患者对疾病的恐惧程度[癌症患者恐惧疾病进展简化量表(FoP-Q-SF)]、生活质量[世界卫生组织生存质量测定量表简表(WHOQOL-BREF)]和满意度[纽卡斯尔护理满意度量表(NSNS)].结果 干预后,两组患者生理健康、社会家庭评分均低于本组干预前,观察组患者生理健康、社会家庭评分均低于对照组,差异均有统计学意(P<0.05).干预后,两组患者WHOQOL-BREF各维度评分均高于本组干预前,观察组患者WHOQOL-BREF各维度评分均高于对照组,差异均有统计学意义(P<0.05).观察组患者的总满意度为97.01%,高于对照组患者的85.29%,差异有统计学意义(P<0.05).结论 基于Peplau人际关系理论的系统化干预可有效减轻淋巴瘤CAR-T治疗患者对疾病的恐惧程度,提高生活质量,改善满意度.
Objective To investigate the application effect of systematic intervention based on Peplau's interpersonal relationship theory in lymphoma patients undergoing chimeric antigen receptor T cell therapy(CAR-T).Method A total of 135 lymphoma CAR-T therapy patients were divided into control group(n=68)and observation group(n=67)based on different intervention methods.The control group received routine intervention,while the observation group received sys-tematic intervention based on Peplau's interpersonal relationship theory.The fear level of disease[fear of progression questionnaire-short form(FoP-Q-SF)],quality of life[World Health Organization quality of life-brief(WHOQOL-BREF)]and satisfaction[Newcastle satisfaction with nursing scale(NSNS)]were compared between the two groups.Re-sult After intervention,the physiological health and social family scores of both groups were lower than those before in-tervention,the physiological health and social family 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 dimensional scores of WHOQOL-BREF in both groups were higher than those before intervention,the dimensional scores of WHOQOL-BREF in the ob-servation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The satisfaction in the observation group was 97.01%,which was higher than 85.29%in the control group,and the differ-ence was statistically significant(P<0.05).Conclusion Systematic intervention based on Peplau's interpersonal relation-ship theory can effectively alleviate the fear of lymphoma CAR-T therapy patients towards the disease,improve quality of life,and enhance satisfaction.

lymphomachimeric antigen receptor T cell therapysystematic intervention based on Peplau's interper-sonal relationship theoryquality of life

郭辰、董蕾、王鹦君、胡丰阳

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郑州大学第一附属医院肿瘤科,郑州 450000

淋巴瘤 嵌合抗原受体T细胞治疗 基于Peplau人际关系理论的系统化干预 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(18)