首页|渐进式聚焦访谈结合共情护理对前列腺癌术后患者病耻感及知觉压力的影响

渐进式聚焦访谈结合共情护理对前列腺癌术后患者病耻感及知觉压力的影响

Effects of progressive focus interview combined with empathy nursing on stigma and perceived stress in patients with prostate cancer after operation

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目的 探讨渐进式聚焦访谈结合共情护理对前列腺癌术后患者病耻感及知觉压力的影响.方法 选取2020年 4月至 2022 年 4 月收治的 120 例前列腺癌术后患者为研究对象,以随机数字表法将其分为对照组与观察组,各 60例.对照组采用常规护理干预,观察组在对照组基础上采用渐进式聚焦访谈结合共情护理干预.比较两组的干预效果.结果 干预后,观察组的社会影响量表(SIS)各维度评分低于对照组,差异具有统计学意义(P<0.05).干预后,观察组的中文版知觉压力量表(CPSS)、消极应对评分低于对照组,积极应对评分高于对照组,差异具有统计学意义(P<0.05).干预后,观察组的残余尿量低于对照组,最大尿流率、最大尿流率时逼尿肌压及膀胱顺应性高于对照组,差异具有统计学意义(P<0.05).结论 渐进式聚焦访谈结合共情护理可减轻前列腺癌术后患者病耻感及知觉压力,纠正不良应对方式,改善排尿功能,值得推广.
Objective To explore the effects of progressive focus interview combined with empathy nursing on stigma and perceived stress in patients with prostate cancer after operation.Methods A total of 120 patients with prostate cancer after operation admitted from April 2020 to April 2022 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 60 cases in each group.The control group was given routine nursing intervention,and the observation group was given progressive focus interview combined with empathy nursing intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the each dimension scores of Social Impact Scale(SIS)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the Chinese Perceived Stress Scale(CPSS)and negative coping scores of the observation group were lower than those of the control group,and the positive coping score was higher than that of the control group,and the differences were statistically significant(P<0.05).After intervention,the residual urine volume of the observation group was lower than that of the control group,and the maximum urinary flow rate,detrusor pressure at maximum urinary flow rate and bladder compliance were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Progressive focus interview combined with empathy nursing can reduce the stigma and perceived stress of patients with prostate cancer after operation,correct the bad coping style and improve the urination function,which is worthy of promotion.

progressive focus interviewempathy nursingprostate cancerstigmaperceived stress

王海珠、周莉

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延安大学咸阳医院,陕西 咸阳,712000

渐进式聚焦访谈 共情护理 前列腺癌 病耻感 知觉压力

延安大学咸阳医院院内科学研究基金(2021)

2021ZX024

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(16)