首页|基于循证理念的针对性干预对肺癌患者心理状态、自我效能和癌因性疲乏程度的影响

基于循证理念的针对性干预对肺癌患者心理状态、自我效能和癌因性疲乏程度的影响

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目的 分析基于循证理念的针对性干预对肺癌患者心理状态、自我效能和癌因性疲乏的影响.方法 选取2019年2月—2022年3月我院收治的 82例肺癌患者为研究对象,随机分为研究组(n=41)和常规组(n=41).常规组采用常规护理,研究组在常规组基础上采用基于循证理念的针对性干预护理.对比两组干预前后心理状态[贝克焦虑量表(BAI)、贝克抑郁量表 21 版项(BDI-21)、Herth希望量表(HHI)]、自我护理能力测定表(ESCA)、自我效能感量表(GSES)、核心症状及癌因性疲乏程度(PFS)评分和护理工作满意度.结果 干预后,研究组BAI、BDI-21 评分均较常规组低,HHI评分较常规组高,组间差异有统计学意义(P<0.05).干预后,研究组ESCA、GSES评分均较常规组高,组间差异有统计学意义(P<0.05).干预后,研究组核心症状及PFS评分均较常规组低,组间差异有统计学意义(P<0.05).研究组护理工作满意度为 97.56%,高于常规组的 82.93%,差异有统计学意义(P<0.05).结论 基于循证理念的针对性干预应用于肺癌患者的护理中,可缓解核心症状,改善心理状态,提高希望水平,增强自我效能,提高自我护理能力,减轻癌因性疲乏,提高患者的护理满意度.
Effect of Targeted Intervention Based on Evidence-Based Concept on Mental State,Self-Efficacy and Degree of Cancer-Related Fatigue in Patients with Lung Cancer
Objective To analyze the effect of targeted intervention based on evidence-based concept on mental state,self-efficacy and degree of cancer-related fatigue in patients with lung cancer.Methods 82 patients with lung cancer in our hospital from February 2019 to March 2022 were selected as the study objects,and randomly divided into a study group(n= 41)and a routine group(n=41).The routine group received routine nursing,and the study group received targeted intervention based on evidence-based concepts nursing on the basis of the routine group.The scores of psychological state(Beck Anxiety Scale(BAI),Beck Depression Scale 21(BDI-21),Herth Hope Scale(HHI)),Self-Care Ability Scale(ESCA),Self-Efficacy Scale(GSES),core symptom and cancer-related fatigue(PFS)and nursing job satisfaction of the two groups were compared before and after the intervention satisfaction.Results After intervention,the BAI and BDI-21 scores in the study group were lower than those in the routine group,and the HHI scores were higher than those in the routine group,the differences between the two groups were statistically significant(P<0.05).After intervention,the ESCA and GSES scores of the study group were higher than those of the routine group,the differences between the two groups were statistically significant(P<0.05).After intervention,the scores of core symptoms and PFS in the study group were lower than those in the routine group,the differences between the two groups were statistically significant(P<0.05).The nursing job satisfaction in the study group was 97.56%,which was higher than 82.93%in the routine group,the difference was statistically significant(P<0.05).Conclusion Targeted intervention based on evidence-based concept in the nursing of patients with lung cancer,can relieve core symptoms,improve mental state,raise hope level,enhance self-efficacy,improve self-care ability,reduce cancer-related fatigue and improve nursing satisfaction in patients with lung cancer.

Lung cancerEvidence-based conceptTargeted interventionMental stateCancer-related fatigueNursing job satisfaction

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巨野县人民医院胸外科,山东菏泽 274900

肺癌 循证理念 针对性干预 心理状态 癌因性疲乏 护理工作满意度

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(3)
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