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聚焦解决方案护理对白血病化疗患者情绪、癌症相关疲劳、应对方式、自我效能感及生活质量的影响。

The effects of solution-focused nursing on leukemia chemotherapy patients' moods, cancer-related fatigue, coping styles, self-efficacy, and quality of life.

作者信息

Wang Jing, Yin Yun, Li Yanping, Yue Xuli, Qi Xiangming, Sun Min'na

机构信息

Department of Hematology, Shanxi Provincial People's Hospital Taiyuan 030012, Shanxi Province, China.

出版信息

Am J Transl Res. 2021 Jun 15;13(6):6611-6619. eCollection 2021.

Abstract

OBJECTIVE

To explore the effects of solution-focused nursing on leukemia chemotherapy patients' moods, cancer-related fatigue, coping styles, self-efficacy, and quality of life.

METHODS

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.

RESULTS

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).

CONCLUSION

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.

摘要

目的

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。

方法

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。

结果

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)。

结论

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。

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