首页|多维度驱动融合冰山理论对直肠癌化疗患者应对方式及心理弹性的影响

多维度驱动融合冰山理论对直肠癌化疗患者应对方式及心理弹性的影响

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目的 探究多维度驱动融合冰山理论对直肠癌化疗患者应对方式及心理弹性的影响.方法 研究对象为 2020 年 2 月至 2022 年 4 月化疗的直肠癌患者 82 例,随机分为对照组(实施常规护理)与研究组(实施多维度驱动融合冰山理论护理),每组 41 例.比较 2 组化疗依从性及干预前后心理弹性量表(CD-RISC)评分、医学应对问卷(MCMQ)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分.结果 干预后,研究组CD-RISC量表坚韧、乐观、自强各维度评分及总分均高于对照组(P<0.05).干预后,研究组MCMQ量表的面对评分高于对照组(P<0.05),回避、屈服应对评分较对照低(P<0.05).研究组的化疗依从性高于对照组(P<0.05).研究组干预后SAS、SDS评分低于对照组(P<0.05).结论 对直肠癌化疗患者实施多维度驱动融合冰山理论护理,可改善其心理弹性,使其积极应对疾病,促进化疗依从性提升.
Study on the nursing effect based on the multidimensional driven integrated iceberg theory on coping style and psychological resilience of colorectal cancer patients undergoing chemotherapy
Objective To explore the nursing effect based on the multidimensional driven integrated iceberg theory on coping style and psychological resilience of colorectal cancer(CRC)patients undergoing chemotherapy.Methods A total of 82 CRC patients who received chemotherapy in our hospital from February 2020 to April 2022 were randomly divided into control group(routine nursing)and research group(nursing based on the multidimensional driven fusion iceberg theory),with 41 cases in each group.The chemotherapy compliance,the Connor-Davidson Resilience Scale(CD-RISC)score,the Medical Coping Modes Questionnaire(MCMQ)score,the Self-Rating Anxiety Scale(SAS)score and the Self-Rating Depression Scale(SDS)score before and after intervention were compared between the two groups.Results After the intervention,the scores of the dimensions of tenacity,optimism,and self-improvement in the CD-RISC and its total scores were significantly higher in the study group than those of control group(P<0.05).After the intervention,the confrontation score of the MCMQ in the study group was significantly higher than that of the control group(P<0.05),and the avoidance and surrender coping scores were significantly lower(P<0.05).The chemotherapy compliance of the study group was significantly higher than that of the control group(P<0.05).After intervention,the SAS and SDS scores of the study group were significantly lower than those of the control group(P<0.05).Conclusion Nursing care based on the multidimensional driven integrated iceberg theory for CRC patients treated with chemotherapy can improve their psychological resilience,make them actively cope with the disease,and promote the improvement of chemotherapy compliance.

colorectal cancerchemotherapymultidimensional driveiceberg theorypsychological resiliencecoping style

王文静、高晓斌、任向伟、孔令霞、岳磊、张迎春、崔大鹏、高树全、郭丹

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075000 河北省张家口市,河北北方学院附属第一医院肝胆乳腺外科

075000 河北省张家口市,河北北方学院附属第一医院肝胆外科

075000 河北省张家口市,河北北方学院附属第一医院介入手术室

直肠癌 化疗 多维度驱动 冰山理论 心理弹性 应对方式

河北省医学科学研究课题

20200516

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(4)
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