摘要
目的探讨基于自我超越理论的干预策略对结直肠癌化疗患者心理痛苦及应对方式的影响。方法选择2020年3月至2022年3月安徽医科大学附属六安医院收治的100例结直肠癌患者,采用随机数字表法分为对照组、观察组,各50例。对照组常规护理干预,观察组采用基于自我超越理论的干预策略干预。评估比较两组心理痛苦、应对方式、生活质量。结果干预后,两组情感负担、就医状态、生活规律、人际关系得分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后,两组面对、发泄、幻想、回避与压抑、屈服评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组生理状况、社会家庭状况、情感状况、睡眠状况、附加关注高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。两组护理满意度比较,差异无统计学意义(P>0.05)。结论自我超越理论对结直肠癌患者护理效果良好,降低心理痛苦程度,提升应对方式能力、生活质量和护理满意度。
Objective To explore the effect of intervention strategies based on self-transcendence theory on psychological distress and coping style of patients with colorectal cancer undergoing chemotherapy.Methods A total of 100 patients with colorectal cancer admitted to Lu’an Hospital of Anhui Medical University were divided into control group and observation group by random number table method,with 50 cases in each group.The control group was treated with routine nursing intervention,and the observation group was treated with the intervention strategies based on self-transcendence theory.Psychological distress,coping style,and quality of life were evaluated and compared between the two groups.Results After intervention,the scores of emotional burden,medical status,life regularity,and interpersonal relationship in the two groups were lower than before intervention,while those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of facing,venting,fantasizing,avoiding and repressing,and yielding in two groups were higher than before intervention,while those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the physiological status,social and family status,emotional status,sleep status,and additional attention of two groups were higher than before intervention,while those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in nursing satisfaction between the two groups(P>0.05).Conclusion Self-transcendence theory has good nursing effect on patients with colorectal cancer,reducing the degree of psychological pain,improving coping style ability,quality of life,and nursing satisfaction.
作者
韦文萍
谢斌
朱平
WEI Wenping;XIE Bin;ZHU Ping(Department of General Surgery,Lu’an Hospital of Anhui Medical University,Anhui Province,Lu’an237005,China;Department of Oncology,Lu’an Hospital of Anhui Medical University,Anhui Province,Lu’an237005,China)
出处
《中国医药导报》
CAS
2023年第6期161-164,176,共5页
China Medical Herald
关键词
结直肠癌
化疗
自我超越理论
心理痛苦
Colorectal cancer
Chemotherapy
Self-transcendence theory
Psychological pain
