摘要
目的:探讨Snyder希望理论下的正念心理干预对淋巴瘤患者的影响。方法:选取2019年12月1日~2020年12月31日收治的120例淋巴瘤患者作为研究对象,采用随机数字表法分为对照组和观察组各60例,对照组实施常规护理,观察组在常规护基础上实施Snyder希望理论下的正念心理干预,对照组脱落3例,观察组脱落2例;比较两组干预前及干预3个月后希望水平[采用Herth希望量表(HHI)、成人素质希望量表(ADHS)]、生活质量[采用生命质量测定量表(QLQ-C30)、简易疲乏量表(BFI)]、心理状态[采用五因素正念量表(FFMQ)、简式心境状态量表(POMS-SF)]、治疗依从性[采用化疗中断率、Morisky服药依从性问卷(MAQ)]。结果:干预3个月后,两组HHI、ADHS、QLQ-C30、FFMQ、MAQ评分均高于干预前(P<0.05)、BFI低于干预前(P<0.05),且观察组优于对照组(P<0.05);干预3个月后,观察组POMS-SF中消极心理状态得分低于干预前和对照组同期(P<0.05),积极心理状态得分高于干预前和对照组同期(P<0.05);观察组化疗中断率低于对照组(P<0.05)。结论:对淋巴瘤患者实施Snyder希望理论下的正念心理干预,可以改善患者希望水平、生活质量,调节其心理状态,有利于提高患者的化疗依从性。
Objective:To explore the effect of mindfulness psychological intervention based on Snyder hope theory in patients with lymphoma.Methods:A total of 120 patients with lymphoma admitted during December 1,2019 to December 31,2020 were selected as the research subjects,and they were divided into the control group and the observation group by the random number table method,with 60 cases in each group.The control group carried out routine nursing,and the observation group was given mindfulness psychological intervention based on Snyder hope theory on the basis of routine nursing.Before intervention and after 3 months of intervention,the hope level by Herth Hope Inventory(HHI),Adult Dispositional Hope Scale(ADHS),quality of life by Quality of Life Questionnaire-Core 30(QLQ-C30),Brief Fatigue Inventory(BFI),psychological status by Five Facet Mindfulness Questionnaire(FFMQ),Profile of Mood State-Short Form(POMS-SF)and treatment compliance by chemotherapy interruption rate and Morisky Medication Adherence Questionnaire(MAQ)were compared between the two groups.Results:After 3 months of intervention,the scores of HHI,ADHS,QLQ-C30,FFMQ and MAQ in the two groups were higher than those before intervention(P<0.05),the BFI scores were lower than those before intervention(P<0.05),and those in the observation group were better than those in the control group(P<0.05).After 3 months of intervention,the POMS-SF negative psychological status scores in the observation group were lower than those before intervention,and those in the control group in the same period(P<0.05).The POMS-SF positive psychological status scores were higher than those before intervention,higher than those in the control group in the same period(P<0.05).The interruption rate of chemotherapy was lower in the observation group than that in the control group(P<0.05).Conclusion:The implementation of mindfulness psychological intervention based on Snyder hope theory in patients with lymphoma can improve the hope level and quality of life,adjust the psychological status
作者
王晓闯
谢漫芬
谢银燕
Wang Xiaochuang;Xie Manfen;Xie Yinyan(Sun Yat-sen Center University Cancer Cencer,Guangzhou Guangdong 510030,China)
出处
《齐鲁护理杂志》
2022年第9期32-36,共5页
Journal of Qilu Nursing
