CAJ | 학술논문

目的探讨健康行为干预对肺癌化疗患者应对方式及希望水平的影响.方法将60例肺癌化疗患者随机分为干预组和对照组各30例.2组患者均接受手术、进行常规护理和健康教育,干预组患者从手术后第1周期化疗前接受健康行为干预,于第3周期化疗后测定2组患者应对方式及希望水平.结果干预后,干预组与对照组相比,积极应对方式"面对"得分较高,消极应对方式"回避"、"屈服"得分低于对照组.除"与他人保持亲密的关系(I)"维度得分2组比较无显著差异外,总体希望水平及其余维度2组比较差异显著.结论应用健康行为相关理论建立的肺癌化疗患者心理护理干预模式能增加肺癌化疗患者的积极应对方式,减少其消极应对方式,明显改善肺癌化疗患者的希望水平.
목적 탐토건강행위간예대폐암화료환자응대방식급희망수평적영향.방법 장60례폐암화료환자수궤분위간예조화대조조각30례.2조환자균접수수술、진행상규호리화건강교육,간예조환자종수술후제1주기화료전접수건강행위간예,우제3주기화료후측정2조환자응대방식급희망수평.결과 간예후,간예조여대조조상비,적겁응대방식"면대"득분교고,소겁응대방식"회피"、"굴복"득분저우대조조.제"여타인보지친밀적관계(I)"유도득분2조비교무현저차이외,총체희망수평급기여유도2조비교차이현저.결론 응용건강행위상관이론건립적폐암화료환자심리호리간예모식능증가폐암화료환자적적겁응대방식,감소기소겁응대방식,명현개선폐암화료환자적희망수평.
Objective To study the influence of health behavior intervention on coping style and hope level in lung cancer patients undergoing chemotherapy. Methods 60 lung cancer patients undergoing chemotherapy were divided into the intervention group and the control group with 30 patients in each group. Two groups all had an operation, carried on the normal nursing care and health education. After operation, the intervention group accepted health behavior intervention from the beginning of the first period chemotherapy. After the third period chemotherapy, coping style and hope level of the two groups were measured. Results After intervention, positive coping style "confrontation" had a higher score. Negative coping style such as obviation and acception got lower scores in the intervention group compared with the control group. In addition to "keep an intimate relation(I)",the rest dimensions of hope level showed significant differences as well. Conclusions Applying the related theories of health behavior to build up mental nursing intervention mode has a significant meaning on lung cancer patients undergoing chemotherapy. It can increase patients' positive coping style and reduce negative aspects. At the same time, hope levels of lung cancer patients also have an improvement.