首页|现象描述式教育联合正向激励对前列腺癌患者恐惧疾病进展及主观幸福感的影响

现象描述式教育联合正向激励对前列腺癌患者恐惧疾病进展及主观幸福感的影响

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目的:探讨现象描述式教育联合正向激励对前列腺癌患者恐惧疾病进展及主观幸福感的影响,为临床护理提供依据.方法:选取2020年6月—2022年6月福建医科大学附属第一医院收治的130例前列腺癌患者作为研究对象,采用随机数表法将其分为对照组与观察组,每组各65例.对照组患者采用常规护理干预,观察组患者在常规护理基础上实施现象描述式教育联合正向激励进行干预.比较两组患者恐惧疾病进展[恐惧疾病进展简化量表(FoP-Q-SF)评分]、主观幸福感[幸福感指数量表(IWB)评分]、生命质量[前列腺癌特异性补充量表(EORTC QLQ-PR25)评分]情况.结果:干预后,观察组患者FoP-Q-SF中生理健康、社会家庭维度评分及总分均明显低于对照组,差异有统计学意义(t=17.042、17.214、7.241,P<0.05).干预后,观察组患者IWB中情感指数、生活满意度维度评分及总分均明显高于对照组,差异有统计学意义(t=4.751、3.732、4.879,P<0.05).干预后,观察组患者EORTC QLQ-PR25中尿路症状、肠道症状、治疗相关症状评分均低于对照组,性生活状况评分高于对照组,差异有统计学意义(t=8.480、14.544、13.532、5.565,P<0.05).结论:对前列腺癌患者实施现象描述式教育联合正向激励干预,能够明显降低患者恐惧疾病进展,提高患者主观幸福感,改善患者生命质量.
Effect of Phenomenological Descriptive Education Combined with Positive Motivation on Fear of Disease Progression and Subjective Well-being in Prostate Cancer Patients
Objective:To investigate the effect of phenomenal descriptive education combined with positive motivation on fear of disease progression and subjective well-being in prostate cancer patients,and to provide a basis for clinical care.Methods:130 cases of prostate cancer patients admitted to the hospital from June 2020 to June 2022 were selected as the study subjects,and they were divided into the control group and the observation group using the random number table method,with 65 cases in each group.The control group used conventional nursing interventions,and the observation group implemented phenomenal descriptive education combined with positive incentives on the basis of conventional nursing interventions.Fear of disease progression[Fear of Disease Progression Simplified Scale(FoP-Q-SF)score],subjective well-being[Index of Well-Being Scale(IWB)score],and quality of life[Prostate Cancer Specific Supplemental Scale(EORTC QLQ-PR25)score]were compared between the two groups.Results:After the intervention,the physical health and social family dimension scores and total scores in the FoP-Q-SF scale of the patients in the observation group were significantly lower than those in the control group,and the differences were statistically significant(t=17.042,17.214,7.241;P<0.05).After the intervention,the emotional index and life satisfaction dimension scores and total scores in the IWB scale of the patients in the observation group were significantly higher than those in the control group,and the difference was statistically significant(t=4.751,3.732,4.879;P<0.05).After the intervention,the scores of urinary tract symptoms,intestinal symptoms,and treatment-related symptoms in the EORTC QLQ-PR25 scale of the patients in the observation group were lower than those of the control group,and the scores of sexual life status were higher than those of the control group,and the differences were statistically significant(t=8.480,14.544,13.532,5.565;P<0.05).Conclusion:Phenomenal descriptive education combined with positive motivational interventions for prostate cancer patients can significantly reduce patients'fear of disease progression,increase their subjective well-being,and improve their quality of life.

Prostate cancerPhenomenal descriptive educationPositive incentiveFear of disease progressionSubjective well-beingQuality of life

张碧姗、吴燕萍

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福建医科大学附属第一医院泌尿外科,福建 福州 350004

前列腺癌 现象描述式教育 正向激励 恐惧疾病进展 主观幸福感 生命质量

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(7)
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