CAJ | 학술논문

目的：探讨结构式心理干预对肺癌患者术前自我效能的影响。方法将60例肺癌患者随机分为研究组和对照组，对照组给予常规护理，研究组在对照组基础上增加结构式心理干预措施，加强应激处理和应对技巧针对性护理研究。在干预前和干预后5d评价两组患者的自我效能，并进行统计学比较。结果研究组患者干预前、干预后5 d GSES评分为（26．25±4．05），（36．23±4．54）分，对照组患者分别为（26．18±6．21），（30．05±5．05）分。结构式心理干预可明显提高肺癌患者术前自我效能水平，与对照组比较差异有统计学意义（t＝4．98，P＜0．05）。结论结构式心理干预能增强肺癌患者术前的自我效能，有效帮助患者积极应对疾病和手术。
목적：탐토결구식심리간예대폐암환자술전자아효능적영향。방법장60례폐암환자수궤분위연구조화대조조，대조조급여상규호리，연구조재대조조기출상증가결구식심리간예조시，가강응격처리화응대기교침대성호리연구。재간예전화간예후5d평개량조환자적자아효능，병진행통계학비교。결과연구조환자간예전、간예후5 d GSES평분위（26．25±4．05），（36．23±4．54）분，대조조환자분별위（26．18±6．21），（30．05±5．05）분。결구식심리간예가명현제고폐암환자술전자아효능수평，여대조조비교차이유통계학의의（t＝4．98，P＜0．05）。결론결구식심리간예능증강폐암환자술전적자아효능，유효방조환자적겁응대질병화수술。
Objective To explore structured psychological intervention in improving lung cancer patients’ preoperative self-efficacy.Methods Totals of 60 patients with lung cancer were randomly divided into the study group and the control group .The control group was given conventional nursing care .The study group was given structured psychological nursing intervention , including psychological support , health education , stress treatment and coping technique .Before and after 5 days of the intervention , patients ’ self-efficacy was compared.Results The General Self Efficacy Scale ( GSES) scores before and 5 days after intervention were (26.25 ±4.05) and (36.23 ±4.54) in the study group, and (26.18 ±6.21) and (30.05 ±5.05) in the control group .And the structured psychological intervention can significantly improve the preoperative self -efficacy level of patients with lung cancer (t=4.98,P<0.05).Conclusions The structured psychological intervention can enhance preoperative patients ’ self-efficacy, and can effectively help patients cope with disease and surgery.