感恩拓延-建构理论在卵巢癌化疗患者中的应用

Effects of gratitude extension-construction theory in ovarian cancer patients undergoing chemotherapy

目的:探讨感恩拓延-建构理论在卵巢癌化疗患者中的应用效果。方法:采用便利抽样法,选取2018年1月—2021年5月在山西省人民医院进行卵巢癌化疗治疗的患者为研究对象,按照随机数表法将患者分为对照组( n=64)和观察组( n=65)。对照组采用常规护理,观察组在对照组基础上采用感恩拓延-建构理论指导下的护理。采用短式知觉压力量表(PSS-10)、自我效能感量表(GSES)、生活质量测定量表简表(QOL-BREF)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)比较干预的效果。比较两组患者不良反应发生情况。 结果:干预后观察组患者PSS-10、HAMD、HAMA评分低于对照组,GSES、QOL-BREF评分高于对照组,差异均有统计学意义( P<0.05)。对照组患者不良反应总发生率高于观察组,差异有统计学意义( P<0.05)。 结论:感恩拓延-建构理论护理干预能提高患者自我效能感,缓解患者负面情绪,降低患者自我感知压力,减少不良反应发生,值得临床应用。

Objective To explore the effect of gratitude extension-construction theory in ovarian cancer patients undergoing chemotherapy.Methods From January 2018 to May 2021,convenience sampling was used to select patients undergoing chemotherapy for ovarian cancer in the Shanxi Provincial People's Hospital as the study subject.Patients were divided into the control group(n=64)and observation group(n=65)according to the random number table method.The control group received routine nursing,while the observation group was treated with nursing guided by gratitude extension-construction theory on the basis of the control group.The effects of intervention were compared using the Perceived Stress Scale-10(PSS-10),General Self Efficacy Scale(GSES),Quality of Life BREF(QOL-BREF),Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA).The occurrence of adverse reactions between the two groups of patients was observed.Results After intervention,the PSS-10,HAMD and HAMA scores of patients in the observation group were lower than those in the control group,while the GSES,QOL-BREF scores were higher than those in the control group,with statistically significant differences(P<0.05).The total incidence of adverse reactions in the control group was higher than that in the observation group,with a statistically significant difference(P<0.05).Conclusions Gratitude extension-construction theory-based nursing can improve patients'self-efficacy,alleviate negative emotions,reduce self-perceived stress,and reduce the occurrence of adverse reactions,which is worthy of clinical practice.