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基于Snyder希望理论护理干预模式对恶性骨肿瘤患者的影响

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目的 分析基于Snyder希望理论护理干预模式对恶性骨肿瘤患者的影响。方法 选择安徽省肿瘤医院骨科2020年6月至2022年6月期间收治的126例恶性骨肿瘤患者为研究对象,其中男74例,女52例;年龄41~76岁[(55。9±6。9)岁]。采用区组随机化法进行分组,其中对照组63例,研究组63例。对照组患者采用常规护理,研究组患者在常规护理的基础上行基于Snyder希望理论护理干预模式进行干预,对比两组患者的情绪、心理韧性、应对方式及自我效能评分的差异。结果 干预后,研究组患者的汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评分分别为(12。59±2。54)分和(14。14±3。67)分,均明显低于对照组患者[分别为(17。16±2。63)分和(18。52±4。75)分,均P<0。05]。研究组患者的乐观、自信、坚强及心理韧性总分评分分别为(10。74±2。11)分、(23。57±6。61)分、(38。12±6。95)分和(73。56±14。52)分,均明显高于对照组患者[分别为(5。83±1。25)分、(13。38±4。26)分、(25。73±4。08)分和(44。34±9。38)分,均P<0。05]。研究组患者的面对量表评分为(26。14±2。12)分,明显高于对照组患者[(18。56±1。46)分,P=0。002];研究组患者的回避和屈服量表评分分别为(13。14±1。42)分和(10。09±2。25)分,均明显低于对照组患者[分别为(16。15±2。23)分和(11。69±2。28)分,均P<0。05]。研究组患者的一般自我效能感量表(GSES评分为(20。95±4。20)分,明显高于对照组患者[(16。77±3。11)分,P<0。001]。结论 应用基于Snyder希望理论护理干预模式对恶性骨肿瘤患者进行干预,可有效改善其不良情绪,提升其心理韧性和自我效能,改善患者的应对方式。
Effect of nursing intervention model based on Snyder's hope theory on mood,psychological resilience,coping style and self-efficacy of patients with bone tumors
Objective This study aimed to examine the effect of the nursing intervention model based on Snyder's Hope Theory in patients with bone tumors.Methods A total of 126 patients with malignant bone tumors were admitted to the Orthopedics Department of Anhui Provincial Cancer Hospital from June 2020 to June 2022,including 74 males and 52 females.Age of the patients ranged from 41 to 76 years,with a mean age of(55.9±6.9)years.The block randomization method was used and patients were divided into a control group adopting routine care and an experimental group receiving the nursing intervention model based on Snyder's Hope Theory,with 63 patients in each group.The mood,psychological resilience,coping style and self-efficacy scores between the two groups were compared.Results The HAMA and HAMD scores of the experimental group were significantly lower than those of the control group after intervention,and the differences were statistically significant(HAMA:12.59±2.54 vs 17.16±2.63,P<0.05.HAMD:14.14±3.67 vs 18.52±4.75,P<0.05).The experimental group had significantly higher scores in optimism,confidence,resilience,and overall score than the control group,with statistical significance(optimism:10.74±2.11 vs 5.83±1.25.confidence:23.57±6.61 vs 13.38±4.26.resilience:38.12±6.95 vs 25.73±4.08.overall score:73.56±14.52 vs 44.34±9.38,all P<0.05);The confrontation scale scores of patients in the experimental group were significantly higher than those in the control group(26.14±2.12 vs 18.56±1.46,P=0.002),while the avoidance and resignation scale scores were significantly lower than those of the control group(avoidance:13.14±1.42 vs 16.15±2.23.yield:10.09±2.25 vs 11.69±2.28),with statistical significance(P<0.05).The GSES score of the experimental group patients was higher than that of the control group,and the difference was statistically significant(20.95±4.20 vs 16.77±3.11,P<0.001).Conclusion The nursing intervention model based on Snyder's Hope Theory can effectively improve the negative emotions,enhance psychological resilience and self-efficacy of patients with bone tumors,and improve their coping strategies.

Bone neoplasmsSnyder's hope theoryEmotionMental toughnessCoping styleSelf-efficacy

周铭、杨玲、陈卉、盛星、孙亚雄、侯广原

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中国科学技术大学附属第一医院西区安徽省肿瘤医院骨科,合肥 230031

骨肿瘤 Snyder希望理论 情绪 心理韧性 应对方式 自我效能

2024

中国肿瘤临床与康复
中国癌症研究基金会

中国肿瘤临床与康复

影响因子:0.887
ISSN:1005-8664
年,卷(期):2024.31(2)