认知干预对血液科老年恶性肿瘤化疗后肝损伤患者负性情绪的影响

发布时间：2018-03-14 20:46

本文选题：认知干预护理　切入点：肝损伤　出处：《检验医学与临床》2017年07期 　论文类型：期刊论文

【摘要】：目的探讨认知干预对老年恶性肿瘤化疗后肝损伤患者负性情绪的影响。方法按照时间顺序,选取2013年在该院血液科接受老年恶性肿瘤化疗后肝损伤的患者40例作为干预组,2014年在该院血液科接受老年恶性肿瘤化疗后肝损伤的患者40例作为对照组。对照组进行为期1个月的常规护理,干预组在常规护理的基础上对患者行为期1个月的认知干预。分别在1个月后通过焦虑自评量表(SAS)和抑郁自评量表(SDS),检测患者负性情绪的变化。结果干预后,干预组患者的SAS为(39.98±3.74)分,对照组为(53.11±4.09)分,2组SAS在干预后差异有统计学意义(P0.05);干预后,对照组患者的SDS为(52.98±5.02)分,干预组为(38.79±4.54)分,2组的SDS差异有统计学意义(P0.05)。本研究结果显示,2组干预后健康促进生活方式评分较干预前均显著提高,差异有统计学意义(P0.05);干预后,干预组较对照组的健康促进生活方式评分显著提高,差异有统计学意义(P0.05)。结论对老年恶性肿瘤化疗后肝损伤患者实施认知干预可使后患者的焦虑心理和抑郁状况得到显著改善,有利于提高患者的生命质量和对护理的满意度,可在临床中推广应用。
[Abstract]:Objective to explore the effect of cognitive intervention on negative emotion in elderly patients with liver injury after chemotherapy. 40 patients with liver injury after chemotherapy in hematology department of our hospital in 2013 were selected as intervention group, and 40 patients with liver injury after chemotherapy in hematology department of our hospital on 2014 as control group. For one month of routine care, The intervention group received cognitive intervention for one month on the basis of routine nursing. After one month, the patients' negative emotions were detected by self-rating anxiety scale (SAS) and self-rating depression scale (SDS). The SAS score of the intervention group was 39.98 卤3.74, that of the control group was 53.11 卤4.09) the SAS of the two groups was significantly different after intervention (P 0.05), the SDS of the control group was 52.98 卤5.02). The difference of SDS in the intervention group was 38.79 卤4.54 (P 0.05). The results showed that the scores of health promotion lifestyle in the two groups were significantly higher than those before intervention (P 0.05). The scores of health-promoting lifestyle in the intervention group were significantly higher than those in the control group (P 0.05). Conclusion Cognitive intervention in elderly patients with liver injury after chemotherapy can significantly improve their anxiety and depression. It is beneficial to improve patients' quality of life and satisfaction with nursing, and can be popularized and applied in clinic.
【作者单位】：河北省唐山市人民医院血液科;河北省唐山市人民医院检验科;河北省唐山市人民医院科教科;
【基金】：河北省卫生和计划生育委员会基金项目(20150979)
【分类号】：R473.73

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