摘要
目的:探讨生命意义疗法联合身心语言程式学理论用于乳腺癌术后护理的效果。方法:回顾性分析2020年2月—2022年2月广东省中医院收治的80例乳腺癌术后患者的临床资料,按照术后护理方式分为观察组(40例)和对照组(40例)。对照组给予常规护理干预措施,观察组给予生命意义疗法联合身心语言程式学理论干预措施,比较两组术后疼痛视觉模拟评分(VAS)、生命质量测定量表(FACT-B)评分、生命态度剖面图量表(LAPS)评分及心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分。结果:观察组患者术后1d、3d、6d VAS评分均低于对照组,差异有统计学意义(P<0.05);观察组患者FACT-B的情感状况、生理状况、附加关注、社会/家庭状况、功能状况评分及总分均高于对照组,差异有统计学意义(P<0.05);观察组LAPS的生命控制、求意义的意志、死亡接纳、生命目的、存在盈实、苦难接纳评分和总分均高于对照组,差异有统计学意义(P<0.05);干预后,两组SAS、SDS评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:乳腺癌手术患者采用生命意义疗法联合身心语言程式学理论护理能减轻术后疼痛,提高生活质量,提升生命意义感,且可保持良好的心理状态,值得借鉴。
Objective To observe the effect of meaning-of-life therapy combined with psycholinguistic programming theory on postoperative nursing of breast cancer.Methods Retrospective analysis was made on the clinical data of 80 cases of postoperative breast cancer patients admitted to Guangdong Provincial Hospital of Chinese Medicine from February 2020 to February 2022.They were divided into observation group(40 cases)and control group(40 cases)according to the postoperative nursing methods.The control group was given routine nursing intervention measures,while the observation group was given meaning-of-life therapy combined with theoretical intervention measures of physical and mental language programming.The scores of visual analogue scale(VAS),Functional Assessment of Cancer Therapy-Breast,(FACT-B),Life Attitude Profile Scale(LAPS),and psychological state(SAS and SDS)were compared between the two groups.Results The visual analogue scale scores of the observation group patients were lower than those of the control group on the 1st,3rd,and 6th day after surgery,and the difference was statistically significant(P<0.05);The emotional status,physiological status,additional attention,social/family status,functional status,total score and other dimensions of the observation group patients were higher than those of the control group,and the difference was statistically significant(P<0.05);The observation group had significantly higher scores in terms of life control,will to seek meaning,acceptance of death,purpose of life,abundance of existence,acceptance of suffering,and total score than the control group(P<0.05);After intervention,the scores of the Self Rating Anxiety Scale and Self Rating Depression Scale in both groups were lower than before intervention,and the observation group was lower than the control group,with a statistically significant difference(P<0.05).Conclusion The combination of meaning-of-life therapy and body mind language programming theory for breast cancer surgery patients can reduce postoperative pain,improve the quality of life,enhance the sense of meaning of life,and maintain a good psychological state,which is worth learning from.
作者
丁玲
DING Ling(Department of Breast Society,Guangdong Provincial Hospital of Chinese Medicine,Guangzhou,Guangdong 510000,China)
出处
《医药前沿》
2023年第25期20-23,共4页
Journal of Frontiers of Medicine
