摘要
目的探讨适合癌症康复期患者的心理行为干预模式并评价其临床效果,为有效地开展护理干预提供依据。方法采取主观抽样的方法,选取符合标准的研究对象94例,按照对照匹配的原则进行分组,干预组47例在常规护理基础上实施心理行为干预。对照组47例给予常规护理。两组患者干预前后分别用一般自我效能量表、简明心境量表及生活质量核心问卷对其进行心理测评。结果干预后干预组患者自我效能得分较对照组提高明显(P<0.01);心理健康状况,干预组较对照组紧张-焦虑、抑郁-沮丧、愤怒-敌意、疲乏-迟钝、迷惑-混乱和总分明显下降,差异有显著性意义(P<0.05);生活质量,干预组较对照组均有显著改善(P<0.05)。结论心理行为干预有利于改善癌症康复期患者心理健康状况,提高自我效能水平和生活质量,经效果评价心理行为干预模式具有较好的可行性和有效性。
Objective To explore the mode of psychological and behavior intervention which suitable for convalescent cancer patients,and evaluate its clinical effects in order to provide empirical basis for nursing care of cancer patients. Methods Ninety four convalescent cancer patients were recruited and assigned to routine nursing condition versus psychological ＆ behavior intervention condition. All the patients were evaluated by General Self-Efficacy Scale （GSES）,Profile of Mood StatesShort Form（POMS-SF） and Quality of Life Questionnaire-Core 30（QLQ-C30）before and after the intervention. Result Compared with the control group,the scores of self-efficacy and quality of life were significantly improved in the experimental group （P〈 0.01）,while the total score and factor scores of POMS-SF such as tension-anxiety （TA）,anxiety-hostility（AH）,fatigne-inertia （FI）,and confusion-babelism（CB）were significantly decreased （P〈0.05）. Conclusion Psychological and behavior intervention is proved to be feasible and effective to improve the mental health status,seff-effieaey and quality of life in convalescent cancer patients.
出处
《中华护理杂志》
CSCD
北大核心
2009年第8期681-684,共4页
Chinese Journal of Nursing
基金
黑龙江省卫生厅指导性项目(2005-111)
关键词
肿瘤
行为疗法
生活质量
康复护理
Neoplasms
Behavior Therapy
Quality of Life
Rehabilitation Nursing
