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赋能教育理念加人文关怀对肺癌化疗患者情绪及生活质量的影响

Impact of Empowerment Education Concept Plus Humanistic Care on Moods and Quality of Life in Lung Cancer Patients Undergoing Chemotherapy.

作者信息

Huang Baoli, Lv Lijie, Zhang Qiwan

机构信息

Department of Respiratory Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.

出版信息

Psychiatry Clin Psychopharmacol. 2025 Jun 5;35(3):275-284. doi: 10.5152/pcp.2025.241011.

Abstract

Background: To evaluate the clinical efficacy of integrating empowerment education and humanistic care in enhancing cognitive function, self-care ability, mood regulation, and quality of life among lung cancer (LC) patients undergoing chemotherapy. Methods: A total of 149 LC patients receiving chemotherapy from May 2022 to January 2024 were included in the study. They were divided into 2 groups: a control group (n=63) receiving routine care and a joint group (n= 86) receiving empowerment education and humanistic care. Outcomes measured included cognitive function, self-care ability (using the Exercise of Self-Care Agency scale), mood (using the Hospital Anxiety and Depression Scale), cancer-related fatigue (using the Revised Piper Fatigue Scale), adverse reactions, and QoL (using the Functional Assessment of Cancer Therapy-Lung scale). Results: The joint group exhibited significant improvements in cognitive function, self-care ability, and QoL compared to the control group (P < .05). They also had lower scores in anxiety, depression, and cancer-related fatigue (P < .05). The incidence of adverse reactions was markedly lower in the joint group (10.47%) compared to the control group (39.68%). Conclusion: Combining empowerment education with humanistic care effectively improves cognitive function, reduces negative emotions and adverse reactions, enhances self-care ability, and improves the overall QoL of LC patients undergoing chemotherapy.

摘要

背景

评估赋权教育与人文关怀相结合在提高接受化疗的肺癌(LC)患者认知功能、自我护理能力、情绪调节及生活质量方面的临床疗效。方法:本研究纳入了2022年5月至2024年1月期间共149例接受化疗的肺癌患者。他们被分为两组:对照组(n = 63)接受常规护理,联合组(n = 86)接受赋权教育和人文关怀。测量的结果包括认知功能、自我护理能力(使用自我护理能力量表)、情绪(使用医院焦虑抑郁量表)、癌症相关疲劳(使用修订的派珀疲劳量表)、不良反应以及生活质量(使用癌症治疗功能评估-肺癌量表)。结果:与对照组相比,联合组在认知功能、自我护理能力和生活质量方面有显著改善(P < 0.05)。他们在焦虑、抑郁和癌症相关疲劳方面的得分也较低(P < 0.05)。联合组的不良反应发生率(10.47%)明显低于对照组(39.68%)。结论:赋权教育与人文关怀相结合可有效改善认知功能,减少负面情绪和不良反应,提高自我护理能力,并改善接受化疗的肺癌患者的总体生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dff9/12371735/cff63081550a/pcp-35-3-275_f001.jpg

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