工娱治疗对围手术期肺癌患者症状困扰和心理韧性的干预效果研究

Study of occupational and recreational therapy on symptom distress and mental toughness in perioperative period for lung neoplasms patients

目的探讨工娱治疗对围手术期肺癌患者症状困扰和心理韧性的干预效果。方法采取方便抽样法,选取2019年12月至2020年9月天津医科大学肿瘤医院肺部肿瘤科收治的92例肺部肿瘤患者作为研究对象,按照入院先后顺序分为观察组和对照组,每组46例。对照组给予常规围手术期护理,观察组实施工娱治疗。入组时和出院1个月内,采用中文版安德森症状评估量表(MDASI-C)和心理韧性量表(CD-RISC)评价干预效果。结果干预后,观察组MDASI-C中症状困扰得分和症状对生活的影响得分分别为(4.45±1.09)、(5.24±1.78)分,明显低于对照组的(5.84±1.67)、(6.11±1.32)分,差异有统计学意义(t=4.59、2.59,均P<0.05)。观察组CD-RISC中坚韧、自强、乐观维度得分及总分分别为(28.12±4.39)、(21.07±5.57)、(10.67±3.03)、(59.86±8.29)分,明显高于对照组的(24.54±4.16)、(18.23±4.21)、(9.16±2.47)、(51.93±5.99)分,差异有统计学意义(t值为2.53~5.10,P<0.05)。结论工娱治疗可有效减轻围手术期肺癌患者症状困扰和提升其心理韧性水平。

Objective To explore the effects of occupational and recreational therapy on symptom distress and mental toughness in perioperative period for lung neoplasms patients.Methods By adopt convenient sampling method,a total of 92 cases of lung tumor patients were collected the lung cancer department in Tianjin Medical University Cancer Institute&Hospital from December 2019 to September 2020 in pulmonary oncology department.They were divided into observation group and control group according to the order of admission,with 46 cases in each group.The patients in the control group received routine care,the observation group implemented occupational and recreational therapy based on the routine care.At enrollment and 1 month after discharge,the effects were assessed by Chinese Version of the MD Anderson Symptom Inventory(MDASI-C)and Connor-Davidson Resilience scale(CD-RISC),respectively.Results After intervention,the symptom distress scores and life influence scores in MDASI-C were(4.45±1.09)points and(5.24±1.78)points in the observation group,significantly lower than in the control group(5.84±1.67)points and(6.11±1.32)points,the differences were statistically significant(t=4.59,2.59,both P<0.05);the scores of tenacity,power,optimism and total scores of CD-RISC in the observation group were(28.12±4.39)points,(21.07±5.57)points,(10.67±3.03)points and(59.86±8.29)points,significantly higher than in the control group(24.54±4.16)points,(18.23±4.21)points,(9.16±2.47)points and(51.93±5.99)points,the differences were statistically significant(t values were 2.53-5.10,all P<0.05).Conclusions Occupational and recreational therapy can effectively alleviate symptom distress and promote mental toughness of lung cancer patients in perioperative period.