Wang Jing, Yin Yun, Li Yanping, Yue Xuli, Qi Xiangming, Sun Min'na
Department of Hematology, Shanxi Provincial People's Hospital Taiyuan 030012, Shanxi Province, China.
Am J Transl Res. 2021 Jun 15;13(6):6611-6619. eCollection 2021.
To explore the effects of solution-focused nursing on leukemia chemotherapy patients' moods, cancer-related fatigue, coping styles, self-efficacy, and quality of life.
A total of 103 patients who underwent leukemia chemotherapy in our hospital were analyzed retrospectively and were divided into two groups based on the intervention method. Group A underwent routine nursing intervention, and group B underwent solution-focused nursing. The Hamilton Anxiety Rating Scale (HAMA) scores, the Montgomery-Asberg Depression Rating Scale (MADRS) scores, the Trait Coping Style Questionnaire (TCSQ) scores, the cancer-related fatigue self-rating scores, the General Self-Efficacy Scale (GSES) scores, and the Spitzer Quality of Life Index scores were compared between the two groups.
Compared with group A, group B had lower HAMA scores, lower MADRS scores, lower cognitive, behavioral, perception, and emotional scores, and higher self-efficacy scores (<0.05). Group B had higher activity scores, and better psychological statuses, support from family and friends, health perception, and outlook on life than group A after the intervention (<0.05).
Solution-focused nursing can alleviate leukemia chemotherapy patients' negative emotions and cancer-related fatigue, improve their coping styles, and increase their self-efficacy and quality of life.
探讨聚焦解决模式护理对白血病化疗患者情绪、癌因性疲乏、应对方式、自我效能及生活质量的影响。
回顾性分析我院103例接受白血病化疗的患者，并根据干预方法将其分为两组。A组接受常规护理干预，B组接受聚焦解决模式护理。比较两组患者的汉密尔顿焦虑量表（HAMA）评分、蒙哥马利抑郁评定量表（MADRS）评分、特质应对方式问卷（TCSQ）评分、癌因性疲乏自评得分、一般自我效能感量表（GSES）评分及斯皮策生活质量指数评分。
与A组相比，B组HAMA评分、MADRS评分、认知、行为、感知及情绪评分更低，自我效能感评分更高（<0.05）。干预后，B组活动评分更高，心理状态、家人及朋友支持、健康感知及生活态度均优于A组（<0.05）。
聚焦解决模式护理可缓解白血病化疗患者的负性情绪及癌因性疲乏，改善其应对方式，提高自我效能及生活质量。
