摘要
目的构建针对肿瘤患者的"五位一体"阶梯式心理康复模式,探讨其在肿瘤患者心理状态规范化管理中的作用.方法2016年2月四川大学华西医院胸部肿瘤科构建"五位一体"阶梯式心理康复模式,即由肿瘤科医生、护士、医务社工、阳光护士/心理治疗师、精神科医生组成的心理康复团队,为肿瘤患者提供心理评估、心理教育、心理干预的全程心理管理.采用便利抽样法选择2015年8月—2016年1月改进前住院的1402例次肿瘤患者为对照组,采用常规护理模式;2016年2—7月改进后住院的1823例次肿瘤为观察组,采用"五位一体"阶梯式心理康复模式.比较两组患者不良情绪和自杀风险发生情况.结果对照组患者不良情绪发生率为29.24%,3.92%的患者存在自杀风险;观察组患者不良情绪发生率为10.92%,1.76%的患者存在自杀风险.两组患者不良情绪发生率及自杀风险差异有统计学意义(P<0.01).结论"五位一体"阶梯式心理康复模式可降低肿瘤患者的不良情绪及自杀风险,为肿瘤患者心理痛苦的管理提供了新的理念和方法.
Objective To explore the effects of the establishment and application of"Five in one"stepwise psychological rehabilitation model for cancer patients.Methods In February 2016,the Department of Chest Oncology in West China Hospital Sichuan University established"Five in One"stepwise psychological rehabilitation model:a team consisting of oncology doctors,nurses,medical social workers,sunshine nurses/psychologist and psychiatrist who provided holistic psychological management including psychological assessment,psychological education,and psychological intervention.By convenience sampling,a total of 1 402 cancer patients admitted before the establishment of the model in the hospital from August 2015 to January 2016 were selected and put into the control group.Routine nursing intervention was given to the group.Totally 1 823 cancer patients admitted from February to July in 2016 after the establishment of the model in the hospital were selected and assigned into the observation group.The"Five in One"model was adopted for the group.The two groups were compared in terms of the conditions of adverse emotions and suicide risks.Results The incidence of adverse emotions was 29.24%,and the incidence of suicide risk was 3.92%in the control group.The incidence of adverse emotions was 10.92%and 1.76%for the suicide risk in the observation group.There were statistical differences in the incidence of adverse emotions and suicide risks between the two groups(P<0.01).Conclusions The establishment of"Five in One"model for cancer patients can reduce cancer patients'adverse emotions and risks of suicide,and provides new ideas and methods for the management of cancer patients'psychological distress.
作者
杨艳萌
李红
符琰
李俊英
Yang Yanmeng;Li Hong;Fu Yan;Li Junying(Department of Chest Oncology,West China Hospital Sichuan University,Chengdu 610041,China)
出处
《中华现代护理杂志》
2019年第15期1883-1887,共5页
Chinese Journal of Modern Nursing
基金
四川省卫生健康委员会科技支撑普适项目(16PJ347).
关键词
肿瘤
心理干预
康复模式
危急值
医务社工
Neoplasms
Psychological intervention
Rehabilitation model
Critical values
Medical social workers
