首页|健康教育联合个性化心理干预对肺癌化疗患者心理弹性及依从性的影响

健康教育联合个性化心理干预对肺癌化疗患者心理弹性及依从性的影响

Effect of health education combined with individualized psychological intervention on psychological resilience and compliance in patients with lung cancer undergoing chemotherapy

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目的 探讨健康教育联合个性化心理干预对肺癌化疗患者心理弹性及依从性的影响.方法 依据干预方式的不同将80例肺癌化疗患者分为观察组(n=39)和对照组(n=41),对照组患者在常规干预的基础上联合健康教育,观察组患者在对照组的基础上联合个性化心理干预.比较两组患者的心理弹性[Connor-Davidson心理弹性量表(CD-RISC)]、依从性、不良反应发生情况及满意度.结果 干预后,两组患者CD-RISC各维度评分均高于本组干预前,观察组患者CD-RISC各维度评分均高于对照组,差异均有统计学意义(P﹤0.05).观察组患者化疗周期、个人管理、日常护理评分均明显高于对照组,差异均有统计学意义(P﹤0.01).观察组患者的不良反应总发生率为17.95%,低于对照组患者的39.02%,观察组患者的满意度为100%,高于对照组患者的82.93%,差异均有统计学意义(P﹤0.05).结论 健康教育联合个性化心理干预能够提高肺癌化疗患者的心理弹性及依从性,降低不良反应发生率,提高患者的满意度.
Objective To investigate the effect of health education combined with individualized psychological inter-vention on psychological resilience and compliance in patients with lung cancer undergoing chemotherapy.Method Ac-cording to different intervention methods,80 patients with lung cancer who underwent chemotherapy were divided into observation group(n=39)and control group(n=41).Patients in the control group received routine intervention combined with health education,while patients in the observation group received individualized psychological intervention on the basis of the control group.The psychological resilience[Connor-Davidson resilience scale(CD-RISC)],compliance,inci-dence of adverse reactions and satisfaction were compared between the two groups.Result After intervention,the scores of all dimensions of CD-RISC in both groups were higher than those before intervention,the scores of all dimen-sions of CD-RISC in observation group were higher than those in control group,and the differences were statistically sig-nificant(P<0.05).The chemotherapy cycle,personal management,and daily nursing scores in observation group were sig-nificantly higher than those in control group,and the differences were statistically significant(P<0.01).The total inci-dence of adverse reactions in observation group was 17.95%,which was lower than 39.02%in control group,the satisfac-tion rate in observation group was 100%,which was higher than 82.93%in control group,and the differences were statis-tically significant(P<0.05).Conclusion Health education combined with individualized psychological intervention can improve the psychological resilience and compliance of lung cancer patients undergoing chemotherapy,reduce the inci-dence of adverse reactions,and improve overall satisfaction.

lung cancerindividualized psychological interventionhealth educationadverse reaction

贺海燕、张娟、张琳、黄洪娟

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河南省胸科医院(郑州大学附属胸科医院)呼吸内科,郑州 450000

肺癌 个性化心理干预 健康教育 不良反应

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(21)