二元应对护理干预在宫颈癌放化疗患者及配偶中的应用效果

Effect analysis of dual coping nursing intervention in cervical cancer patients and their spouses

目的探讨二元应对护理干预在宫颈癌放化疗患者及配偶中的应用效果。方法采用干预性研究法,选取2020年1月—2022年1月在河南省肿瘤医院妇科七病区治疗的宫颈癌放化疗患者120例及其配偶作为研究对象,所有患者的主要照顾者均为配偶。依据随机数表法将患者分为对照组和观察组,均为60例。两组患者均给予常规护理干预,观察组联合二元应对护理干预,共干预4个月。对干预前、后两组夫妻疾病沟通问题得分、二元应对得分、患者自我感受负担感得分、配偶照顾负担得分、婚姻调适得分进行比较。结果干预后观察组和对照组患者各项夫妻疾病沟通问题得分为(13.47±3.65)vs.(18.71±3.26)、患者各项自我感受负担感得分为(47.06±10.26)vs.(57.54±15.52)、配偶各项照顾负担得分为(27.91±9.74)vs.(37.38±12.65),与干预前相比均降低,差异有统计学意义(P<0.05)。干预后观察组和对照组患者(128.98±7.85)vs.(197.74±4.33)及配偶(139.97±4.62)vs.(119.71±4.88)的二元应对得分、患者(117.26±17.49)vs.(108.25±18.54)及配偶(121.42±18.29)vs.(113.58±18.42)的婚姻调适得分均升高,差异有统计学意义(P<0.05);与对照组相比,干预后观察组各项夫妻疾病沟通问题得分、患者的照护负担、情感负担、总分得分、配偶各项照顾负担得分均降低,干预后观察组患者及配偶的二元应对得分、患者及配偶的婚姻调适得分均升高,差异有统计学意义(P<0.05)。结论宫颈癌放化疗患者及配偶经二元应对护理干预后二元应对能力提升,婚姻关系改善,双方负担均减少。

Objective:To discuss the application effect of dual coping nursing in cervical cancer patients and their spouses.Methods:Using the intervention research method,120 patients with cervical cancer treated by radiotherapy and chemotherapy in our hospital from January 2020 to January 2022 were studied.The main caregivers of all patients were spouses.According to the random number table method,the patients were divided into control group and observation group,with 60 cases in each group.Both groups were given routine nursing intervention,and the observation group was combined with dual coping nursing intervention for a total of 4 months.The scores of disease communication,binary coping,patients'self-perceived burden,spouse's care burden and marital adjustment were compared between the two groups before and after intervention.Results:Compared with that before the intervention,the scores of various marital disease communication problems(13.47±3.65)vs.(18.71±3.26),various self perceived burdens of patients(47.06±10.26)vs.(57.54±15.52),and various care burdens of spouses(27.91±9.74)vs.(37.38±12.65)of the two groups decreased.After the intervention,the binary coping scores of patients(128.98±7.85)vs.(197.74±4.33)and spouses(139.97±4.62)vs.(119.71±4.88)of the two groups The marriage adjustment scores of patients(117.26±17.49)vs.(108.25±18.54)and spouses(121.42±18.29)vs.(113.58±18.42)increased after the intervention,,and the difference was statistically significant(P<0.05);Compared with the control group,the scores of marital disease communication problems,patients'care burden,emotional burden,total score and spouses'care burden in the observation group decreased,and the scores of patients'and spouses'binary coping and patients'and spouses'marital adjustment in the observation group increased after the intervention,and there was a significant difference(P<0.05).Conclusion:After dual coping nursing intervention,the dual coping ability of patients with cervical cancer and their spouses are improved,the marital relationship is improved,and the burden of both parties is reduced.