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心理干预联合基于反馈的健康教育对肺癌患者的影响。

Effect of psychological intervention combined with feedback-based health education on lung cancer patients.

作者信息

Huang Ying, Xu Xiaoxiao, Weng Feifei, Su Chunxia

机构信息

Tongji University, Shanghai Pulmonary Hospital, Department of Oncology, Shanghai, China.

Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Linhai, China.

出版信息

Rev Esc Enferm USP. 2025 Mar 3;58:e20240170. doi: 10.1590/1980-220X-REEUSP-2024-0170en. eCollection 2025.

Abstract

OBJECTIVE

To explore the application effect of Psychological Intervention based on the emotional adaptation theory combined with Feedback-based Health Education (PICFHE) on lung cancer patients.

METHOD

A total of 216 lung cancer patients were divided into a control group and an observation group using a random number table method. The control group received routine nursing intervention, while the observation group received PICFHE on the basis of the control group. Psychological status was compared using the Self Rating Anxiety Scale (SAS) and Self Rating Depression Scale (SDS). Quality of life was measured using WHOQOL-BREF scale and the respiratory condition, satisfaction with the nursing staff, and incidence of adverse reactions were observed. Data were analyzed quantitatively using the software SPSS 20.0.

RESULTS

After intervention, scores of SAS and SDS, respiratory rate, and total incidence of adverse reactions in the observation group were significantly lower than those in the control group. After intervention, the level of maximum volume ventilation and the scores in all dimensions of the WHOQOL-BREF scale of the observation group were higher than those of the control group.

CONCLUSION

PICFHE can improve patients' psychological status, their quality of life and satisfaction with the nursing staff, and reduce the incidence of adverse reactions.

摘要

目的

探讨基于情绪适应理论联合反馈式健康教育的心理干预(PICFHE)对肺癌患者的应用效果。

方法

采用随机数字表法将216例肺癌患者分为对照组和观察组。对照组接受常规护理干预,观察组在对照组基础上接受PICFHE。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)比较心理状态。采用世界卫生组织生存质量简表(WHOQOL - BREF)测量生活质量,并观察呼吸状况、对护理人员的满意度及不良反应发生率。使用SPSS 20.0软件对数据进行定量分析。

结果

干预后,观察组的SAS和SDS评分、呼吸频率及不良反应总发生率均显著低于对照组。干预后,观察组的最大通气量水平及WHOQOL - BREF量表各维度得分均高于对照组。

结论

PICFHE可改善患者心理状态、生活质量及对护理人员的满意度,并降低不良反应发生率。

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