沙盘游戏对肺癌患者知觉压力及焦虑抑郁水平的影响分析

Effect of Sandplay on Perceived Stress,Anxiety and Depression Levels in Patients with Lung Cancer

目的:探讨沙盘游戏对肺癌患者知觉压力及焦虑抑郁水平的影响。方法:选取2021年10月—2022年10月东莞市人民医院心胸外科收治的80例肺癌患者作为研究对象,根据随机数字表法分为对照组和试验组,各40例。对照组给予常规护理,试验组在对照组基础上实施沙盘游戏干预策略。比较两组知觉压力量表(CPSS)评分、情绪状况以及视觉模拟评分法(VAS)评分。结果:治疗前,两组CPSS评分比较,差异无统计学意义(P>0.05);治疗后,试验组CPSS评分低于对照组,差异有统计学意义(P=0.0000)。治疗前,两组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分比较,差异无统计学意义(P>0.05);治疗后,两组HAMA、HAMD评分均低于治疗前,且试验组低于对照组,差异有统计学意义(P<0.05)。入院时及术前1 d,两组VAS评分比较,差异无统计学意义(P>0.05);术后第3天及出院当天,试验组VAS评分低于对照组,差异有统计学意义(P=0.0000)。结论:在治疗肺癌患者知觉压力以及焦虑抑郁方面,沙盘游戏具有显著效果。

Objective:To explore the effect of sandplay on perceived stress,anxiety and depression levels in lung cancer patients.Methods:A total of 80 lung cancer patients admitted to Dongguan People's Hospital from January 2021 to October 2022 were selected as the study subjects.They were divided into a control group and a trial group according to random number table method,with 40 cases in each group.The control group received routine nursing,while the trial group implemented a sandplay intervention strategy on the basis of control group.The scores of the Chinese Perceived Stress Scale(CPSS),emotional status,and Visual Analogue Scale(VAS)were compared between the two groups.Results:There was no significant difference in CPSS scores between the two groups before treatment(P>0.05).After treatment,the CPSS score in the trial group was lower than that in the control group,and the difference was statistically significant(P=0.0000).Before treatment,there was no significant difference in HAMA and HAMD scores between the two groups(P>0.05).After intervention,HAMA and HAMD scores in the two groups were lower than those before treatment,and the trial group was lower than the control group,the difference was statistically significant(P<0.05).At admission and on 1 d before surgery,there was no significant difference in VAS scores between the two groups(P>0.05).On 3 d after surgery and the day of discharge,the VAS score in the trial group was lower than that in the control group,with statistically significant difference(P=0.0000).Conclusion:Sandplay has achieved significant effects in treating perceived stress,anxiety and depression in lung cancer patients.