摘要
目的:探讨责任制管理联合协同心理护理在恶性淋巴瘤患者中的应用效果。方法:将2018年1月1日~2020年2月29日收治的210例恶性淋巴瘤化疗患者随机分为观察组和对照A组、对照B组各70例。观察组实施责任制管理联合协同心理护理干预,对照A组实施责任制管理,对照B组实施常规护理干预。比较三组化疗后不良心理状态[采用抑郁自评量表(SAS)、焦虑自评量表(SDS)]、心理韧性(采用中文版心理韧性量表)、创伤后成长状态[采用创伤后成长评定量表(PTGI)]、生活质量[采用生活质量核心问卷(QLQ-30)]。结果:观察组干预后SAS、SDS评分低于对照A、B组,且对照A组低于对照B组(P<0.01);观察组干预后坚韧、乐观、自强评分均高于对照A、B组,且对照A组高于对照B组(P<0.01);观察组干预后患者新的可能性、与他人的关系、个人力量、欣赏生活、精神变化及PTGI总分均高于对照A、B组,且对照A组高于对照B组(P<0.01);观察组干预后角色功能、情绪功能、总生活质量评分高于对照A、B组,且对照A组高于对照B组(P<0.01)。结论:责任制管理联合协同心理护理可有效改善恶性淋巴瘤患者化疗后不良心理状态,提高心理韧性,改善患者创伤后成长状况,提高患者生活质量水平。
Objective:To explore the application effect of responsibility system management combined with cooperative psychological nursing in patients with malignant lymphomas.Methods:A total of 210 cases of patients with malignant lymphomas admitted during January 1,2018 to February 29,2020 were randomly divided into the observation group,control A group and control B group,70 cases in each group.The observation group implemented responsibility system management combined with cooperative psychological nursing.Control A group implemented responsibility system management,and control B group implemented routine nursing intervention.The bad psychological status(SAS,SDS),psychological resilience by Chinese version psychological scale,post-traumatic growth status(PTGI)and quality of life(QLQ-30)after chemotherapy were compared among the three groups.Results:After intervention,the scores of SAS and SDS were lower in the observation group than those in control A and B groups,and lower in control A than those in control B group(P<0.01).The scores of toughness,optimism and self-improvement were higher in the observation group than those in control A group and control B group,and higher in control A group than those in control B group(P<0.01).After intervention,the scores of new possibilities,relationship with others,personal strength,appreciation of life,mental changes,and total scores of PTGI were higher in the observation group than those in control A group and control B group,and higher in control A group than those in control B group(P<0.01).After intervention,the scores of role function,emotional function and total quality of life were higher in the observation group than those in control A group and control B group,and higher in control A group than those in control B group(P<0.01).Conclusion:Responsibility system management combined with cooperative psychological nursing can effectively improve bad psychological status in patients with malignant lymphomas after chemotherapy,improve psychological resilience and post-traumatic growth,and further improve their quality of life.
作者
谢银燕
杨宇珍
栾秋月
Xie Yinyan;Yang Yuzhen;Luan Qiuyue(Cancer Prevention Center of Sun Yat-sen University, Guangzhou Guangdong 510060, China)
出处
《齐鲁护理杂志》
2021年第20期12-15,共4页
Journal of Qilu Nursing
关键词
恶性淋巴瘤
化疗
协同心理护理
责任制管理
心理状况
创伤后成长
Malignant lymphoma
Chemotherapy
Cooperative psychological nursing
Responsibility system management
Psychological status
Post-traumatic growth
