正念护理结合精细化护理对中青年肺癌患者心理状态及自我效能感的影响

The effect of mindfulness nursing combined with refined nursing on mental state and self-efficacy of young and middle-aged patients with lung cancer

目的 分析正念护理结合精细化护理对中青年肺癌患者心理状态及自我效能感的影响。方法选取台州市中心医院(台州学院附属医院)于2018年1月至2020年1月收治的中青年肺癌患者94例,随机分为观察组与对照组。两组患者全程接受精细化护理,观察组加用正念护理。采用焦虑自评量表(SAS)评分、抑郁自评量表(SDS)及一般自我效能感量表(GSES)评分对比两组患者护理前(T;)、护理6周后(T2)的心理状态和自我效能感的变化,并于护理6周后(T2)评估患者的护理满意度。结果两组患者T;时的SAS评分、SDS评分均较护理前下降(P<0.05),观察组的SAS评分及SDS评分显著低于对照组(P<0.05)。两组患者护理后的一般自我效能感量表(GSES)评分均较护理前提高(P<0.05),观察组的GSES评分显著高于对照组(P<0.05)。此外,护理6周后,观察组的护理满意率为91.49%,显著高于对照组的74.47%(P<0.05)。结论在精细化护理的基础上,将正念护理应用于中青年肺癌患者的临床护理,能够有效改善其心理状态、提高自我效能感及护理满意度,促进患者积极配合治疗及康复。

Objective To analyze the effect of mindfulness nursing combined with refined nursing on the mental state and self-efficacy of young and middle-aged patients with lung cancer. Methods A total of 94 young and middle-aged patients with lung cancer admitted to Taizhou Central Hospital(Taizhou University Hospital) from January 2018 to January 2020 were selected and randomly divided into the observation group and the control group.The two groups of patients received refined care throughout the whole process,and the observation group received additional mindfulness nursing.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS) and general self-efficacy scale(GSES) were used to compare the changes in the mental state and self-efficacy of the two groups before nursing(T1)and after 6 weeks of nursing(T2). And after 6 weeks of nursing(T2), the patient′s nursing satisfaction was evaluated.Results The SAS and SDS scores of the two groups of patients at T2 were lower than those before nursing(P<0.05).The SAS and SDS scores of the observation group were significantly lower than those of the control group(P<0.05).The GSES scores of the two groups of patients after nursing were higher than those before nursing(P<0.05),and the GSES score of the observation group was significantly higher than that of the control group(P <0.05).In addition, after 6 weeks of nursing, the nursing satisfaction rate of the observation group was 91.49%,which was significantly higher than that of the control group(74.47%)(P<0.05). Conclusion On the basis of refined nursing, the application of mindfulness nursing to the clinical nursing of young and middle-aged patients with lung cancer will effectively improve their mental state,improve self-efficacy and nursing satisfaction, and promote patients to actively cooperate with treatment, which is conducive to recovery.