生活希望计划干预对肺癌患者家庭照顾者的影响

Effects of Living with Hope Program on family caregivers of patients with advanced lung cancer

目的探讨生活希望计划干预对晚期肺癌患者家庭照顾者的影响。方法将呼吸科60名晚期肺癌患者家庭照顾者随机分为试验组与对照组,试验组接受生活希望计划干预及常规照护知识宣教,对照组接受常规照护知识宣教。采用重复测量方差分析对入组时、入组1周、2周、1个月及3个月时两组的希望水平、自我效能、焦虑抑郁及生活质量状况进行比较。结果生活希望计划干预即时效果自我评价有效率为76.6%;两组的希望水平、自我效能、焦虑抑郁及心理健康得分的组间效应差异具有统计学意义(P<0.05);两组的希望水平和自我效能得分的时间效应差异具有统计学意义(P<0.05);两组的希望水平、自我效能、焦虑抑郁和心理健康得分的干预与时间因素存在交互效应(P<0.05)。结论生活希望计划干预能有效提高晚期肺癌患者家庭照顾者希望水平、自我效能及心理健康状况,改善其焦虑抑郁情绪。

Objective To explore the effects of Living with Hope Program（LWHP） on family caregivers of patients with advanced lung cancer. Methods Totally 60 family earegivers of patients with advanced lung cancer were randomly divided into the experimental group and the control group. The experimental group received LWHP inter- vention and routine care knowledge education,the control group only received routine care knowledge education. Hope,self-efficacy,anxiety and depression,and quality of life were evaluated at the first week ,the second week ,the first month, and the third month. Differences between two groups were eompared using variance analysis of repeated measurements. Results The self-evaluation of the intervention was 76.6% ,and the main effects of hope level, self- efficacy,anxiety and depression,and mental health were statistically significant （P〈0.05）;the time effect on hope level and self-efficacy were statistically significant （P〈0.05）;there were interaction effects between intervention and time on hope level,self-efficacy,anxiety and depression,and mental health （P〈0.05）. Conclusion LWHP can effectively improve hope level ,self-efficacy and mental health status ,and alleviate anxiety and depression of family caregivers of patients with advanced lung cancer.