摘要
目的探讨认知干预对老年恶性肿瘤化疗后肝损伤患者负性情绪的影响。方法按照时间顺序,选取2013年在该院血液科接受老年恶性肿瘤化疗后肝损伤的患者40例作为干预组,2014年在该院血液科接受老年恶性肿瘤化疗后肝损伤的患者40例作为对照组。对照组进行为期1个月的常规护理,干预组在常规护理的基础上对患者行为期1个月的认知干预。分别在1个月后通过焦虑自评量表(SAS)和抑郁自评量表(SDS),检测患者负性情绪的变化。结果干预后,干预组患者的SAS为(39.98±3.74)分,对照组为(53.11±4.09)分,2组SAS在干预后差异有统计学意义(P<0.05);干预后,对照组患者的SDS为(52.98±5.02)分,干预组为(38.79±4.54)分,2组的SDS差异有统计学意义(P<0.05)。本研究结果显示,2组干预后健康促进生活方式评分较干预前均显著提高,差异有统计学意义(P<0.05);干预后,干预组较对照组的健康促进生活方式评分显著提高,差异有统计学意义(P<0.05)。结论对老年恶性肿瘤化疗后肝损伤患者实施认知干预可使后患者的焦虑心理和抑郁状况得到显著改善,有利于提高患者的生命质量和对护理的满意度,可在临床中推广应用。
Objective To explore the effect of cognitive intervention on the negative emotion of the patients with liver damage after chemotherapy in elderly hematological malignant tumor.Methods Eighty patients with liver damage after chemotherapy in elderly hematological malignant tumor in our hospital during 2013 were selected as the intervention group according to the time sequence.Forty patients with liver damage after chemotherapy in elderly hematological malignant tumor served as the control group.The control group received the routine nursing for 1month,while on the basis of routine nursing the intervention group conducted the 1-month recognition intervention.The change of negative emotions after 1month in the patients was detected by using the Selfrating Anxiety Scale（SAS）and Self-rating Depression Scale（SDS）.Results The SAS score after intervention was（39.98±3.74）points in the intervention group and（53.11±4.09）points in the control group,the difference after intervention between the two groups had statistical significance（P〈0.05）;the SDS score after intervention was（52.98±5.02）points in the control group and（38.79±4.54）points in the intervention group,the difference was statistically significant（P〈0.05）.This research results showed that the health promoting lifestyle score after intervention in the two groups were significantly increased compared with before intervention,the difference was statistically significant（P〈0.05）;which after intervention in the intervention group was significantly increased compared with the control group,the difference was statistically significant（P〈0.05）.Conclusion Implementing the cognitive intervention in the patients with liver damage after chemotherapy in elderly malignant tumor can make the anxiety psychology and depression status to be markedly improved,conduces to increase the life quality of the patients and nursing satisfaction,can be promoted and applied in clinic.
出处
《检验医学与临床》
CAS
2017年第7期915-917,共3页
Laboratory Medicine and Clinic
基金
河北省卫生和计划生育委员会基金项目(20150979)
关键词
认知干预护理
肝损伤
负性情绪
老年患者
cognition interventional nursing
liver damage
negative emotion
elderly patients
