主要照顾者赋权方案干预对胃癌化疗患者癌症复发恐惧、心理资本的影响

Significance of empowerment intervention for main caregivers of stomach neoplasm patients undergoing chemotherapy undergoing chemotherapy on fear of cancer recurrence and psychological capital

目的分析胃癌化疗患者的主要照顾者赋权方案干预方法对患者癌症复发恐惧(FCR)、心理资本的影响。方法以便利抽样法,选取防城港市第一人民医院2021年1—12月收治的胃癌化疗患者90例,以随机数字表法将患者分为对照组与观察组,每组45例,每例患者选择1位主要照顾者。对照组给予胃癌化疗患者常规护理方案,观察组在胃癌化疗患者常规护理方案基础上给予患者主要照顾者赋权方案干预。分别采用癌症患者恐惧疾病进展简化量表(FoP-Q-SF)、积极心理资本量表(PPQ)、癌症患者生命质量测定量表(FACT-G)对2组患者干预前以及干预3个化疗周期后的FCR、心理资本、生命质量等情况进行统计分析。结果最终观察组入组44例,对照组入组43例。干预前观察组FoP-Q-SF总评分、PPQ总评分、FACT-G总评分分别为(39.7±3.2)、(112.8±16.9)、(84.2±9.1)分,干预后分别为(31.1±2.5)、(134.7±15.6)、(94.1±9.6)分,差异有统计学意义(t=20.02、8.94、7.02,均P<0.05)。干预后,观察组FoP-Q-SF总评分(31.1±2.5)分,较对照组(37.7±2.8)分降低,差异有统计学意义(t=11.60,P<0.05);观察组PPQ总评分(134.7±15.6)分,较对照组(114.8±15.8)分升高,差异有统计学意义(t=5.91,P<0.05);观察组FACT-G总评分(94.1±9.6)分,较对照组(86.5±9.0)分升高,差异有统计学意义(t=3.81,P<0.05)。结论胃癌化疗患者的主要照顾者实施赋权方案干预能降低患者FCR并提升心理资本,提高患者生命质量。

Objective To analyze the significance of empowerment intervention for main caregivers of stomach neoplasm patients undergoing chemotherapy on fear of cancer recurrence,psychological capital.Methods Using convenient sampling method,the 90 patients with stomach neoplasm treated with chemotherapy from January to December 2021 were randomly divided into control group(45 cases)and observation group(45 cases),and one main caregiver was selected for each patient.The control group was given the routine nursing scheme of stomach neoplasm patients undergoing chemotherapy,and the observation group was given the intervention mode of empowering the main caregivers on the basis of the routine nursing scheme of stomach neoplasm chemotherapy.The fear of cancer recurrence,psychological capital and quality of life of the two groups before intervention and after three chemotherapy cycles were statistically compared by using the Fear of Progression Questionnaire-Short Form(FoP-Q-SF),Positive Psychological Capital Questionnaire(PPQ)and Functional Assessment of Cancer Thearpy-General model(FACT-G).Results Finally 44 cases in the observation group and 43 cases in the control group were included.The total scores of FCR,PPQ and FACT-G in the observation group were(39.7±3.2),(112.8±16.9),(84.2±9.1)points before intervention respectively,and(31.1±2.5),(134.7±15.6),(94.1±9.6)points after intervention respectively.The differences were statistically significant(t=20.02,8.94,7.02,all P<0.05).The total score of FCR in the observation group was significantly lower than that in the control group after intervention,which were(31.1±2.5)points and(37.7±2.8)points respectively,the difference was statistically significant(t=11.60,P<0.05).The total score of PPQ in the observation group was(134.7±15.6)points after intervention,which was significantly higher than that in the control group(114.8±15.8)points after intervention,the difference was statistically significant(t=5.91,P<0.05).The total FACT-G score of the observation group was(94.1±9.6)points,which was higher than that of the control group(86.5±9.0)points,the difference was statistically significant(t=3.81,P<0.05).Conclusions The implementation of empowerment intervention for main caregivers of stomach neoplasm patients undergoing chemotherapy can reduce the fear of cancer recurrence,improve psychological capital,and improve the quality of life.