首页|认知干预在结直肠癌术后化疗患者中的应用效果

认知干预在结直肠癌术后化疗患者中的应用效果

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目的:探讨基于积极情绪、投入、人际关系、意义及成就模式(PERMA模式)的认知干预在结直肠癌术后化疗患者中的应用效果,为临床实施该管理方案提供借鉴.方法:采用便利抽样法,选取 2022 年1月至 2023 年 2月在南京市某三级甲等医院进行结直肠癌术后化疗的 90 例患者,将2022 年1月—6月的 48 例患者作为对照组,给予常规护理及心理干预,将2022 年 7月至 2023 年 2月的 42 例患者作为观察组,在对照组措施的基础上给予PERMA模式的认知干预.采用患者健康状况问卷-9(PHQ-9)、广泛性焦虑量表-7(GAD-7)、中文版癌症复发恐惧问卷(FCRI-CV)、生活质量量表(QLQ-C30)比较 2 组患者干预前后的心理状态、生活质量,采用Morisky依从性问卷(MMAS-8)、满意度调查问卷比较干预后2 组患者的化疗依从性及患者对护理的满意度.结果:干预后,观察组患者的PHQ-9、GAD-7、FCRI-CV评分均低于对照组,差异均有统计学意义(P<0.05);观察组患者满意度、MMAS-8及QLQ-C30 各维度得分均高于对照组,差异均有统计学意义(P<0.05).结论:基于PERMA模式的认知干预可缓解结直肠癌化疗患者的焦虑及抑郁情绪,降低患者复发恐惧程度,提高患者的依从性水平及生活质量.
Application effects of cognitive intervention in Colorectal Cancer patients undergoing postoperative chemotherapy
Objective:To explore the application effects of cognitive intervention in patients with Colorectal Cancer(CRC)undergoing postoperative chemotherapy based on the PERMA model.Methods:A total of 90 CRC patients who underwent chemotherapy in a tertiary grade A hospital in Nanjing from Janurary 2022 to February 2023 were selected according to the convenient sampling method.According to different time period,48 patients from January 2022 to June 2022 were selected as the control group and accepted routine nursing and psychological intervention;42 patients from July 2022 to February 2023 were selected as the observation group.The observation group accepted routine nursing and psychological intervention as control group,and cognitive intervention based on the PERMA model.The following questionnaires were performed for the two groups before and after the intervention:Patient Health Statement-9(PHQ-9),Generalized Anxiety Scale-7(GAD-7),Chinese Version of Fear of Cancer Recurrence Questionnaire(FCRI-CV)and Quality of Life Questionaire(QLQ-C30).Morisky Medication Compliance Questionnaire(MMAS-8)and patient satisfaction questionnaire were used after the intervention.Results:After the intervention,the scores of PHQ-9,GAD-7 and FCRI-CV in the observation group were significantly lower than that of the control group(P<0.05).The scores of satisfaction questionnaire,MMAS-8 and each dimension of QLQ-C30 in the observation group significantly higher than that of the control group(P<0.05).Conclusion:The cognitive intervention based on PERMA model can alleviate the anxiety and depression of CRC chemotherapy patients,reduce their fear of recurrence,and improve their compliance and quality of life.

psychological nursingColorectal Cancerchemotherapyfear of recurrencecompliancedegree of satisfaction

王丹、高时娟、肖雨、彭顺仙

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南京医科大学第一附属医院(江苏省人民医院)肿瘤科,210029 南京市

心理护理 结直肠癌 化疗 复发恐惧 依从性 满意度

2024

中国护理管理
卫生部医院管理研究所

中国护理管理

CSTPCD北大核心
影响因子:2.545
ISSN:1672-1756
年,卷(期):2024.24(6)
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