CAJ | 학술논문

目的探讨适合癌症康复期患者的心理行为干预模式并评价其临床效果,为有效地开展护理干预提供依据.方法采取主观抽样的方法,选取符合标准的研究时象94例,按照时照匹配的原则进行分组,干预组47例在常规护理基础上实施心理行为干预.对照组47例给予常规护理.两组患者干预前后分别用一般自我效能量表、简明心境量表及生活质量核心问卷对其进行心理测评.结果干预后干预组患者自我效能得分较对照组提高明显(P<0.01);心理健康状况,干预组较对照组紧张-焦虑、抑郁-沮丧、愤怒-敌意、疲乏-迟钝、迷惑-混乱和总分明显下降,差异有显著性意义(P<0.05);生活质量,干预组较对照组均有显著改善(P<0.05).结论心理行为干预有利于改善癌症康复期患者心理健康状况,提高自我效能水平和生活质量,经效果评价心理行为干预模式具有较好的可行性和有效性.
목적 탐토괄합암증강복기환자적심리행위간예모식병평개기림상효과,위유효지개전호리간예제공의거.방법 채취주관추양적방법,선취부합표준적연구시상94례,안조시조필배적원칙진행분조,간예조47례재상규호리기출상실시심리행위간예.대조조47례급여상규호리.량조환자간예전후분별용일반자아효능량표、간명심경량표급생활질량핵심문권대기진행심리측평.결과 간예후간예조환자자아효능득분교대조조제고명현(P<0.01);심리건강상황,간예조교대조조긴장-초필、억욱-저상、분노-활의、피핍-지둔、미혹-혼란화총분명현하강,차이유현저성의의(P<0.05);생활질량,간예조교대조조균유현저개선(P<0.05).결론 심리행위간예유리우개선암증강복기환자심리건강상황,제고자아효능수평화생활질량,경효과평개심리행위간예모식구유교호적가행성화유효성.
Objective To explore the mode of psychological and behavior intervention which suitable for convalescent cancer patients,and evaluate its clinical effects in order to provide empirical basis for nursing care of cancer patients. Methods havior intervention condition. All the patients were evaluated by General Self-Efficacy Scale (GSES),ProfiIe of Mood States-Short Form(POMS-SF) and Quality of Life Questionnaire-Core 30(QLQ-C30)before and after the intervention. Result Compared with the control group,the scores of self-efficacy and quality of life were significantly improved in the experimental group (P< 0.01),while the total score and factor scores of POMS-SF such as tension-anxiety (TA),anxiety-hostility(AH),fatigne-inertia (FI),and confusion-babelism(CB)were significantly decreased(P<0.05). Conclusion Psychological and behavior intervention is proved to be feasible and effective to improve the mental health status,self-efficacy and quality of life in convalescent cancer patients.