摘要
目的探讨应激系统模型在肺癌大咯血患者护理中的应用价值。方法选取2021年1月至2023年1月在医院就诊的80例肺癌大咯血患者,根据护理方法分为研究组(40例)和常规组(40例)。常规组接受常规护理干预,研究组在常规组基础上联合应激系统模型,比较两组心理弹性、应对方式、心理应激[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、并发症发生率、预后。结果干预后研究组坚韧、乐观、自强评分、心理弹性总分及积极应对评分高于常规组,消极应对、SAS、SDS评分低于常规组(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05);干预后研究组社会/家庭状况、生理状况、情感状况、功能状况评分及肺癌治疗功能评估量表总分均较常规组高(P<0.05)。结论应激系统模型应用于肺癌大咯血护理中可提升患者心理弹性,减轻心理应激,调节患者应对方式,有效改善预后。
Objective To investigate the application value of stress system model in patients with lung cancer massive hemoptysis.Methods A total of 80 patients with lung cancer massive hemoptysis treated in the hospital from January 2021 to January 2023 were selected and divided into study group(40 cases)and routine group(40 cases)according to nursing methods.The routine group received routine nursing intervention,while the study group combined a stress system model on the basis of the routine group.The psychological resilience,coping style,psychological stress[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],complication rate and prognosis of the two groups were compared.Results After intervention,the scores of tenacity,optimism,self-improvement,total score of mental resilience and positive coping of study group were higher than those of routine group,while the scores of negative coping,SAS and SDS were lower than those of routine group(P<0.05).There was no statistical difference in the incidence of complications between the two groups(P>0.05).After intervention,the physiological status,functional status,social/family status,emotional status scores and functional assessment of cancer therapy-lung scores of study group were higher than those of routine group(P<0.05).Conclusion The application of stress system model in lung cancer massive hemoptysis can improve the psychological resilience of patients,reduce psychological stress,regulate the coping style of patients,and effectively improve the prognosis.
作者
田竟
张杨
张敬如
张红梅
TIAN Jing;ZHANG Yang;ZHANG Jingru;ZHANG Hongmei(Department of Emergency Intensive Care Unit,Henan Provincial People’s Hospital,Henan Provincial Key Laboratory of Nursing Medicine,People’s Hospital of Zhengzhou University,Zhengzhou 450003,China;Department of Respiratory Endoscopy Interventional Diagnosis and Treatment Center,Henan Provincial People’s Hospital,People’s Hospital of Zhengzhou University,Zhengzhou 450003,China)
出处
《河南医学研究》
CAS
2024年第23期4394-4398,共5页
Henan Medical Research
关键词
应激系统模型
肺癌
大咯血
心理弹性
预后
stress system model
lung cancer
massive hemoptysis
mental resilience
prognosis
