基于聚焦解决模式的护理干预对非小细胞肺癌化疗患者的应用效果

Effect of Nursing Intervention Based on Focused Solution Mode in Patients with Non-small Cell Lung Cancer Undergoing Chemotherapy

目的 分析基于聚焦解决模式的护理干预对非小细胞肺癌(NSCLC)化疗患者的应用效果。方法 纳入2020年1月至2022年9月在郑州大学第一附属医院进行化疗的200例NSCLC患者,按照抽签法分为对照组、观察组,每组100例,对照组接受常规护理,观察组接受基于聚焦解决模式的护理干预,对比两组应对方式、心理弹性[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、自我效能感[中文版癌症自我管理效能感量表(C-SUPPH)]、癌因性疲乏程度[Piper疲乏量表(PFS)]、依从性。结果 护理前,两组应对方式比较,差异无统计学意义(P>0.05);护理后,观察组面对评分更高,回避、屈服评分更低(P<0.05);护理前,两组SAS、SDS评分对比,差异无统计学意义(P>0.05);护理后,观察组SAS、SDS评分更低(P<0.05);护理前,两组C-SUPPH各评分对比,差异无统计学意义(P>0.05);护理后,两组比较,观察组各维度评分更高(P<0.05);护理前,两组PFS评分对比,差异无统计学意义(P>0.05);护理后,观察组评分更低(P<0.05);两组依从性对比,观察组更高(P<0.05)。结论 对NSCLC化疗患者采用基于聚焦解决模式的护理可改善应对方式,提高心理弹性,增强自我效能感,改善癌因性疲乏程度,提高患者依从性。

Objective To analyze the effect of nursing intervention based on focused solution mode in patients with non-small cell lung cancer(NSCLC)undergoing chemotherapy.Methods A total of 200 patients with NSCLC undergoing chemotherapy in the First Affiliated Hospital of Zhengzhou University from January 2020 to September 2022 were divided into control group and observation group according to the method of drawing lots,with 100 patients in each group.The control group received routine nursing,and the observation group received nursing intervention based on focused solution mode.The two groups’coping styles,psychological resilience[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],and self-efficacy[Chinese version of strategies used by people to promote health(C-SUPPT)],degree of cancer-related fatigue[Piper fatigue scale(PFS)]and compliance were compared.Results Before nursing,there was no statistical difference in coping styles between the two groups(P>0.05).After nursing,the observation group had higher face scores,lower avoidance and yield scores(P<0.05).Before nursing,there were no statistical differences in SAS and SDS scores between the two groups(P>0.05).After nursing,the SAS and SDS scores in the observation group were lower(P<0.05).Before nursing,there were no statistical differences in the C-SUPPH scores between the two groups(P>0.05).After nursing,the score of each dimension in the observation group was higher(P<0.05).Before nursing,there were no statistical differences in the PFS scores between the two groups(P>0.05).After nursing,the score of the observation group was lower(P<0.05).The compliance of the two groups was higher in the observation group(P<0.05).Conclusion For NSCLC patients undergoing chemotherapy,nursing under the guidance of focused solution mode can improve coping style,psychological resilience,self-efficacy,cancer-related fatigue and compliance.