本刊首页 > 期刊目次 > 基于希望理论的心理干预配合音乐放松疗法对晚期肺癌化疗患者希望水平、心理痛苦程度、癌因性疲乏的影响

• 文章 •

基于希望理论的心理干预配合音乐放松疗法对晚期肺癌化疗患者希望水平、心理痛苦程度、癌因性疲乏的影响

  • 申智慧

* 通信作者: 申智慧, 单位:郑州大学附属肿瘤医院

摘要

[摘要]
目的 探讨基于希望理论的心理干预配合音乐放松疗法对晚期肺癌化疗患者希望水平、心理痛苦程度、癌因性疲乏的影响。

方法 选取2016年12月~2019年12月我院晚期肺癌化疗患者106例,按入院时间顺序分为研究组(n=53)、对照组(n=53)。对照组采取常规护理干预,于常规护理干预基础上研究组采取基于希望理论的心理干预配合音乐放松疗法,均干预1个月。比较两组治疗依从性及干预前、干预1个月后心理痛苦程度、负性情绪[焦虑(SAS)、抑郁(SDS)]、希望水平(HHI)、癌因性疲乏(PFS)、应对方式(MCMQ)评分。

结果 干预1个月后研究组SAS、SDS评分低于对照组(P<0.05);干预1个月后研究组对现实和未来的积极态度、采取积极行动、与他人保持亲密关系评分高于对照组(P<0.05);干预1个月后研究组回避、屈服评分低于对照组,面对评分高于对照组(P<0.05);干预1个月后研究组心理痛苦程度优于对照组(P<0.05);干预1个月后研究组行为、情感、感知、认知评分低于对照组(P<0.05);研究组治疗依从率94.34%高于对照组81.13%(P<0.05)。

结论 基于希望理论的心理干预配合音乐放松疗法应用于晚期肺癌化疗患者,可减轻其负向情绪及心理痛苦程度,提高患者希望水平,促进患者采用积极应对方式,缓解其癌因性疲乏,提高治疗依从性。

关键词:[关键词] 肺癌;基于希望理论的心理干预;音乐放松疗法;心理痛苦程度;癌因性疲乏;希望水平

ABSTRACT

[Abstract]
Objective To explore the effect of psychological intervention based on the theory of hope combined with music relaxation therapy on the level of hope, the degree of psychological pain, and cancer-related fatigue in patients with advanced lung cancer chemotherapy.

Methods A total of 106 patients with advanced lung cancer chemotherapy in our hospital from December 2016 to December 2019 were selected and divided into study group (n=53) and control group (n=53) according to the order of admission time. The control group took conventional nursing intervention, and on the basis of conventional nursing intervention, the study group took psychological intervention based on the theory of hope combined with music relaxation therapy, and both intervened for 1 month. Comparing the treatment compliance and the degree of psychological pain and negative emotions [anxiety (SAS), depression (SDS)], hope level (HHI), cancer-related fatigue (PFS), coping style (MCMQ) scores before and 1 month after the intervention between the two groups.

Results The SAS and SDS scores of the study group were lower than those of the control group after 1 month of intervention (P<0.05); one month after the intervention, the study group's positive attitude towards reality and the future, taking positive actions, and maintaining close relationships with others scores were higher than those of the control group (P<0.05); after 1 month of intervention, the avoidance and yield scores of the study group were lower than those of the control group, and the face scores were higher than the control group (P<0.05); the psychological pain of the study group was better than that of the control group after 1 month of intervention (P<0.05); one month after the intervention, the behavior, emotion, perception, and cognition scores of the study group were lower than those of the control group (P<0.05); the treatment compliance rate of the study group was 94.34% higher than that of the control group 81.13% (P<0.05).

Conclusion   Psychological intervention based on the theory of hope combined with music relaxation therapy applied to patients with advanced lung cancer chemotherapy can reduce their negative emotions and psychological pain, improve patients' hope level, promote patients to adopt active coping methods, relieve their cancer-related fatigue, and improve treatment compliance.

Key words: [Key words] Lung cancer; Psychological intervention based on the theory of hope; Music relaxation therapy; Degree of psychological pain; Cancer-related fatigue; Hope level

引用本文 / How to Cite This Article

申智慧.基于希望理论的心理干预配合音乐放松疗法对晚期肺癌化疗患者希望水平、心理痛苦程度、癌因性疲乏的影响[J]. 国际精神病学杂志, 2021, 48(2): 354-358

参考文献