基于PAC心理弹性理论的系统性干预对肺癌患者心理弹性及创伤后成长的影响

Effect of systemic intervention based on PAC theory of resilience on resilience and post-traumatic growth of patients with lung cancer

目的探讨基于PAC心理弹性理论的系统性干预对肺癌患者心理弹性及创伤后成长的影响。方法将96例肺癌患者按随机数字表法分为对照组和干预组,每组48例。对照组实施肺癌常规护理干预,干预组在此基础上实施基于PAC心理弹性理论的系统性干预。比较两组患者的心理弹性、创伤后成长及生活质量。结果干预前,两组患者心理弹性、创伤后成长、生活质量评分比较,差异均无统计学意义(P﹥0.05)。干预后,干预组患者心理弹性、创伤后成长各维度评分和总分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,干预组患者躯体功能、角色功能、情绪功能、社会功能、认知功能及总体健康状况评分均高于对照组,疲倦、气促、失眠、食欲丧失、便秘评分均低于对照组,差异均有统计学意义(P﹤0.05)。结论基于PAC心理弹性理论的系统性干预可显著提高肺癌患者心理弹性和创伤后成长,改善生活质量,值得临床推广。

Objective To investigate the effect of systematic intervention based on PAC theory of resilience on resilience and post-traumatic growth of patients with lung cancer.Method A total of 96 patients with lung cancer were divided into a control group and an intervention group according to a random number table with 48 cases in each group.The control group received routine nursing intervention for lung cancer,and the intervention group received the regimen taken by the control group combined with systemic intervention based on the PAC theory of resilience.The psychological resilience,post-traumatic growth,and quality of life of the two groups of patients were compared.Result Before the intervention,there were no statistically significant differences between the two groups of patients’psychological resilience,post-traumatic growth and quality of life scores(P>0.05).After the intervention,dimensions including the psychological resilience and post-traumatic growth scores and total scores of patients in the intervention group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of physical function,role function,emotional function,social function,cognitive function,and general health of the intervention group were higher than those of the control group,and the scores of fatigue,dyspnea,insomnia,appetite loss,and constipation were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion Systematic intervention based on the PAC theory of resilience could significantly improve the psychological resilience and post-traumatic growth of lung cancer patients and improve the quality of life,worthy of further promotion in the clinical context.