Effects of an intervention strategy based on cognitive adaptation theory on maladaptive emotions,psychological resilience,and attitudes towards death in lung cancer patients
Objective To explore the effects of an intervention strategy based on cognitive adaptation theory on maladaptive emotions,psychological resilience,and attitudes towards death in patients undergoing radiotherapy for lung cancer.Methods Eighty-six cases of lung cancer radiotherapy patients admitted to Jieshou Hospital of Traditional Chinese Medicine in Anhui Province from March 2021 to September 2023 were selected and they were divided into control group and observation group of 43 cases each according to the random number table method.The control group adopted conventional nursing interventions,and the observation group carried out nursing interventions based on cognitive adaptation theory.The self-rating anxiety scale(SAS),self-rating depression scale(SDS),mental toughness scale,and death attitude profile-revised(DAP-R)scores of the two groups were compared before the intervention and after two months of intervention between the two groups.Results Before intervention,there were no statistically significant differences in the SAS and SDS scores between the two groups(P＞0.05);after intervention,the SAS and SDS scores of the two groups were lower than before intervention,and those in the observation group were lower than those in the control group,and the differ-ences were statistically significant(P＜0.05).Before intervention,there were no statistically significant differences in optimism,resilience,and self-improvement scores between the two groups(P＞0.05);after intervention,the optimism,resilience,and self-improvement scores of the two groups were higher than before intervention,and those in the observation group were higher than those in the control group,and the differences were statis-tically significant(P＜0.05).Before intervention,there were no statistically significant differences in the scores of fear of death,death avoidance,natural acceptance,fleeing acceptance,and converging acceptance between the two groups(P＞0.05);after intervention,the scores of natural ac-ceptance of the two groups were higher than before intervention,and those in the observation group were higher than those in the control group,and the differences were statistically significant(P＜0.05).Conclusion An intervention programme based on cognitive adaptation theory improves psy-chological resilience and maladaptive emotions in patients undergoing radiotherapy for lung cancer and reduces patients'avoidance and fear of death.
Lung cancerAttitudes towards deathCognitive adaptation theory
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