首页|多视角父母-成人-儿童心理弹性护理联合人格特征化情绪干预对食管癌化疗患者的影响

多视角父母-成人-儿童心理弹性护理联合人格特征化情绪干预对食管癌化疗患者的影响

The impact of multi-perspective parent-adult-child(PAC)psychological resilience nursing combined with personality trait emotional intervention on esophageal cancer chemotherapy patients

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目的 探讨多视角父母-成人-儿童(PAC)心理弹性护理联合人格特征化情绪干预对食管癌化疗患者的影响.方法 以2021年1月至2023年6月在蚌埠医科大学第一附属医院进行化疗的130例食管癌患者为研究对象,其中男92例,女38例;年龄(62.24±3.29)岁.根据随机数字表法将患者分为观察组和对照组,每组65例.对照组患者采用常规护理,观察组患者采用多视角PAC心理弹性护理联合人格特征化情绪干预方法.分别于护理干预前和6个月后对研究对象进行焦虑自评量表(SAS)、抑郁自评量表(SDS)、癌因性疲乏和心理弹性评价.结果 干预前,观察组和对照组患者的SAS、SDS、癌因性疲乏和心理弹性评价差异均无统计学意义(均P>0.05).干预后,观察组患者的SAS评分为(36.11±3.89)分,SDS评分为(33.45±3.43)分,均明显低于对照组[分别为(41.64±3.37)分和(40.96±3.55)分,均P<0.001];观察组患者的癌因性疲乏得分为(2.07±0.88)分,明显低于对照组[(3.01±1.26)分,P<0.001];观察组患者的心理弹性量表评分(CD-RISC)总分为(78.52±6.55)分,明显高于对照组[(62.82±6.17)分,P<0.001].结论 采用多视角PAC心理弹性护理联合人格特征化情绪干预方法对食管癌化疗患者进行护理干预,有利于延缓患者的癌因性疲乏进展,改善患者的不良情绪及心理弹性.
Objective Explore the effects of multi-perspective parent-adult-child(PAC)combined with personality trait emotional intervention on patients with esophageal cancer chemotherapy.Methods A total of 130 esophageal cancer patients undergoing chemotherapy at the First Affiliated Hospital of Bengbu Medical University from January 2021 to June 2023,including 92 males and 38 females;age(62.24±3.29).Patients were divided into observation and control groups according to the random number table method,with 65 patients in each group.Patients in the control group adopted routine care,and patients in the observation group used multi-perspective PAC psychological resilience nursing combined with personality trait emotional intervention method.The self-rating anxiety anxiety(SAS),self-rating depression(SDS),cancer fatigue and psychological resilience were evaluated before and 6 months after nursing intervention.Results Before intervention,there were no significant differences in SAS,SDS,cancer-related fatigue and mental resilience between observation group and control group(all P>0.05).After the intervention,the SAS score and SDS score of the observation group were(36.11±3.89)points and(33.45±3.43)points,both significantly lower than those of the control group[(41.64±3.37)points and(40.96±3.55)points,respectively,P<0.001].The cancer-related fatigue score of observation group was(2.07±0.88)points,which was significantly lower than that of control group[(3.01±1.26)points,P<0.001].The total score of CD-RISC in the observation group was(78.52±6.55)points,which was significantly higher than that in the control group[(62.82±6.17)points,P<0.001].Conclusion Multi-perspective PAC psychological resilience nursing combined with personality trait emotional intervention for esophageal cancer chemotherapy patients is beneficial in delaying the progression of cancer-related fatigue,improving adverse moods,and enhancing psychological resilience.

Esophageal neoplasmsPAC psychological resilience carePersonality traitsEmotionsCancer induced fatiguePsychological resilience

朱丽华、胡真、韩文凤

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蚌埠医科大学第一附属医院放疗科,蚌埠 233000

食管肿瘤 PAC心理弹性护理 人格特征 情绪 癌因性疲乏 心理弹性

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(12)