摘要
目的探究追踪干预联合自我超越思维干预对鼻咽癌放疗患者临床疗效、负性情绪及生活质量的影响。方法以2019年1-6月于海军军医大学第一附属医院治疗的102例鼻咽癌放疗患者为研究对象,随机分为对照组和观察组,各51例,对照组采用常规干预联合跟踪干预,观察组患者采用跟踪干预联合自我超越思维干预,干预1个月后,考察2组患者的治疗效果。采用癌症患者生活质量测定量表(QLQ-C30)和癌因性疲乏量表(CFS)评估患者的生活质量和癌因性疲乏,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估患者的焦虑和抑郁情况,记录患者的自我超越和自我效能评分。结果研究结果显示,干预后对照组患者的临床治疗有效率为58.82%,观察组为74.51%,观察组患者临床有效率明显高于对照组(P<0.05);观察组患者的各项QLQ-C30评分显著高于对照组,各项CFS评分均显著低于对照组,差异具有统计学意义(P<0.05);观察组患者SAS和SDS评分显著低于对照组,自我超越和自我效能评分均显著高于对照组,差异均具有统计学意义(P<0.05)。结论应用追踪干预联合自我超越思维的干预模式,能显著改善鼻咽癌放疗患者的负面情绪,提高患者的生活质量和癌因性疲乏状态,提升患者自我效能和自我超越能力,这种优质联合干预措施具有重要临床应用价值。
Objective To investigate the effects of tracking intervention combined with self-transcendental thinking intervention on clinical efficacy,negative emotions and life quality of the patients with nasopharyngeal carcinoma radiotherapy.Methods A total of 102 patients with nasopharyngeal carcinoma radiotherapy treated in the First Affiliated Hospital of Naval Medical University from January to June 2019 were recruited as the research subjects,and were randomly divided into the control group and the observation group,each consisting of 51 patients.The control group received conventional and tracking intervention,while the observation group was treated with tracking intervention coupled with self-transcendental thinking intervention.One month after intervention,evaluations were made in the therapeutic effects on the patients of the 2 groups.Life quality and cancer-related fatigue of the patients were assessed by using quality of life scale(QLQ-C30)and cancer-related fatigue scale(CFS).Anxiety and depression of the patients were evaluated by using the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS),and the scores of self-transcendence and selfefficacy were recorded in the process.Results The research results showed that the clinical effective rates of the control group and the observation group were respectively 58.82% and 74.51%,with the rate of the observation group being obviously superior to that of the control group(P<0.05).The clinical effective rate in the observation group was significantly higher than that in the control group(P<0.05).The QLQ-C30 scores in the patients of the observation group were significantly higher than those in the control group,and the CFS scores in the patients of the observation group were considerably lower than those in the patients of the control group,with statistically significant difference(P<0.05).The SAS and SDS scores of the patients in the observation group were significantly lower than those in the control group(P<0.05),and the scores of self-transcendence and self-efficacy were obviously higher than those in the control group(P<0.05),also with statistical significance.Conclusion The intervention mode of tracking intervention combined with self-transcendental thinking mode could markedly improve patients′negative emotions,improve their life quality and cancer-related fatigue,as well as self-efficacy and self-transcendental ability for the patients with nasopharyngeal carcinoma radiotherapy.This kind of combined high-quality intervention measures is of important clinical application value.
作者
徐虹
周蓉珏
Xu Hong;Zhou Rongjue(Department of Otolaryngology,First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)
出处
《海军医学杂志》
2021年第3期334-339,共6页
Journal of Navy Medicine
关键词
鼻咽癌
追踪干预
自我超越思维干预
放疗患者
临床应用
负面情绪
Nasopharyngeal carcinoma
Tracking intervention
Self-transcendental thinking intervention
Radiotherapy patient
Clinical application
Negative emotion
