摘要
目的:探讨归因训练在非小细胞肺癌患者(NSCLC)术后情绪管理中的应用效果。方法:采用便利抽样法,选取郑州大学第一附属医院2017年8月—2019年7月收治的128例NSCLC术后患者为研究对象。将2017年8月—2018年7月纳入的NSCLC术后患者64例设为对照组,2018年8月—2019年7月纳入的NSCLC术后患者64例设为观察组。对照组患者实施常规护理,观察组患者在常规护理的基础上采用归因训练。采用归因方式问卷(ASQ)、医院焦虑抑郁量表(HADS)、肿瘤治疗功能评价量表-肺癌(FACT-L4.0)评价干预的效果。结果:干预后观察组患者ASQ总分高于对照组,差异有统计学意义(P<0.01)。干预后观察组患者HADS中的焦虑、抑郁维度评分均低于对照组,差异有统计学意义(P<0.01)。干预后观察组患者FACT-L4.0总分及各维度评分均高于对照组,差异有统计学意义(P<0.01)。结论:归因训练能帮助NSCLC术后患者建立积极的归因方式,有效缓解其负性情绪,提高生活质量。
Objective To explore the application of attributional training in postoperative emotion management of patients with non-small cell lung cancer(NSCLC).Methods Using the convenient sampling method,a total of 128 NSCLC patients after surgery who were admitted to the First Affiliated Hospital of Zhengzhou University from August 2017 to July 2019 were selected as research objects.A total of 64 NSCLC patients after surgery who were enrolled from August 2017 to July 2018 were set as the control group,and the other 64 NSCLC patients after surgery who were enrolled from August 2018 to July 2019 were set as the observation group.Patients in the control group were given routine nursing while patients in the observation group were given attribution training based on routine nursing.Attribution Style Questionnaire(ASQ),Hospital Anxiety and Depression Scale(HADS)and Functional Assessment of Cancer Therapy-Lung Cancer(FACT-L4)were used to evaluate the effect of intervention.Results After intervention,the total ASQ score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.01).After intervention,the scores of anxiety and depression dimensions in HADS of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.01).After intervention,the total score and scores of all dimensions of FACT-L4.0 of the observation group were all higher than those of the control group,and the differences were statistically significant(P<0.01).Conclusions Altribution training can help postoperative NSCLC patients to establish positive attribution styles,effectively alleviate their negative emotions and improve their quality of life.
作者
武瑾
陆颍
徐珍珍
Wu Jin;Lu Ying;Xu Zhenzhen(Second Department of Respiratory and Critical Care,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Geriatric Cardiology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《中华现代护理杂志》
2020年第36期5062-5066,共5页
Chinese Journal of Modern Nursing
基金
河南省科技发展计划项目(182102310374)。
关键词
归因训练
非小细胞肺癌
情绪管理
焦虑
生活质量
Attribution training
Non-small cell lung cancer
Emotion management
Anxiety
Quality of life
作者简介
通信作者:武瑾,Email:hxeke1981@163.com。
