摘要
目的探讨全病程团体希望理论干预模式对年轻肺癌患者病耻感、希望水平、癌因性疲乏和生存质量的影响。方法选择2020年1月至2023年1月接受化疗治疗的年轻原发性肺癌患者100例,根据红篮球随机盲抽法均分成观察组和对照组,每组50例。对照组给予常规护理,观察组在对照组的基础上给予全病程团体希望理论干预,比较2组患者干预前和干预8周后的病耻感、希望水平、癌因性疲乏和生存质量水平。结果观察组病耻感量表中吸烟、社会孤立、歧视、耻辱与羞愧评分均明显低于对照组(P<0.05);观察组希望量表中积极面对现实和未来、采取积极的行动、保持与他人的亲密关系和希望总分评分明显高于对照组(P<0.05);观察组癌因性疲乏量表中认知疲乏、情绪疲乏、行为疲乏、感情疲乏评分明显低于对照组(P<0.05);观察组生存质量量表中躯体功能、认知功能、社会功能、角色功能和整体健康状态评分明显高于对照组(P<0.05)。结论在年轻肺癌患者中应用全病程团体希望理论干预模式可明显降低病耻感,提高希望水平,改善癌因性疲乏和提升生存质量。
Objective To explore the effects of the full-course group hope theory intervention on the stigma,hope level,cancer-related fatigue and quality of life in young lung cancer patients.Methods A total of 100 young primary lung cancer patients who received chemotherapy from January 2020 to January 2023 were randomly divided into the observation group(n=50)and control group(n=50)using the red and blue basketball random blind sampling.Routine nursing intervention was performed in both groups,and the full-course group hope theory intervention was additionally performed in the observation group.Stigma,hope,cancer-related fatigue and quality of life of the two groups were compared before and 8 weeks after intervention.Results After intervention,the smoking,social isolation,discrimination and stigma scores in the disease shame scale were significantly lower in the observation group than those of the control group(P<0.05).After intervention,actively facing reality and the future,taking positive actions,maintaining intimate relationships with others and overall hope in the hope scale were significantly higher in the observation group than those of the control group(P<0.05).After intervention,the cognitive fatigue,emotional fatigue,behavioral fatigue and emotional fatigue scores in the cancer-related fatigue scale were significantly lower in the observation group than those of the control group(P<0.05).After intervention,the scores of physical function,cognitive function,social function,role function and overall health status in the observation group were significantly higher than those of the control group(P<0.05).Conclusion The application of the full-course group hope theory intervention in young lung cancer patients can significantly reduce stigma,and improve the hope level,cancer-related fatigue and quality of life.
作者
郭艳敏
赵婷婷
成丹蕾
GUO Yanmin;ZHAO Tingting;CHENG Danlei(Department of Oncology,the First Affiliated Hospital of Hebei North University,Hebei,Zhangjiakou 075061,China)
出处
《河北医药》
2025年第1期161-165,共5页
Hebei Medical Journal
基金
张家口市科技计划项目(编号:2021047D)。
关键词
年轻肺癌
希望
团体
病耻感
癌因性疲乏
young lung cancer
hope
group
sick shame
cancer-related fatigue
