协同心理护理对非霍奇金淋巴瘤患者及其照护者生命质量和心理的影响

Effects of collaborative psychological nursing on quality of life and psychology of non-Hodgkin lymphoma patients and their caregivers

目的探讨协同心理护理对非霍奇金淋巴瘤(NHL)患者及其照护者生命质量和心理的影响。方法选取2018年2月至2019年2月内蒙古医科大学附属医院收治的NHL患者80例及其照护者80名,按照随机数字表法将患者分为观察组1(40例)和对照组1(40例),将照护者分为观察组2(40名)和对照组2(40名)。对照组1给予常规护理,观察组1在常规护理的基础上给予协同心理护理。采用世界卫生组织生活质量测定量表简表(WHOQOL-BREF),比较两组患者及两组照护者的生命质量;采用焦虑自评量表(SAS)、抑郁自评量表(SDS),比较两组患者及两组照护者的心理状态。结果与对照组1比较,观察组1护理后的SAS、SDS评分均降低[(40±6)分比(44±6)分,t=5.12,P=0.014;(46±4)分比(52±4)分,t=3.22,P=0.031],WHOQOL-BREF评分升高[(87.2±2.1)分比(65.0±2.5)分,t=8.55,P=0.018]。与对照组2比较,观察组2护理后的SAS、SDS评分均降低[(37±4)分比(40±4)分,t=3.21,P=0.021;(44±4)分比(49±3)分,t=2.37,P=0.032],WHOQOL-BREF评分升高[(84.0±2.5)分比(79.5±2.7)分,t=3.28,P=0.015]。与护理前相比,护理后各组的SAS、SDS均降低,WHOQOL-BREF评分升高,差异均具有统计学意义(均P<0.05)。结论协同心理护理能够有效提升NHL患者及其照护者的生命质量和心理弹性评分。

Objective To investigate the influence of collaborative psychological nursing on the quality of life and psychology of non-Hodgkin lymphoma(NHL)patients and their caregivers.Methods Eighty NHL patients and 80 caregivers in the Affiliated Hospital of Inner Mongolia Medical University from February 2018 to February 2019 were selected,and the patients were divided into observation group 1(40 patients)and control group 1(40 patients)according to the random number table method,and the caregivers were divided into observation group 2(40 caregivers)and control group 2(40 caregivers).Control group 1 was given routine nursing,and observation group 1 was given collaborative psychological nursing on the basis of routine nursing.The World Health Organization Quality of Life(WHOQOL)-BREF was used to compare the quality of life of two groups of patients and two groups of caregivers.Self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to compare the psychological states of two groups of patients and two groups of caregivers.Results Compared with control group 1,the observation group 1 had lower SAS and SDS scores after nursing[(40±6)points vs.(44±6)points,t=5.12,P=0.014;(46±4)points vs.(52±4)points,t=3.22,P=0.031]and higher WHOQOL-BREF scores[(87.2±2.1)points vs.(65.0±2.5)points,t=8.55,P=0.018].Compared with control group 2,the observation group 2 had lower SAS and SDS scores after nursing[(37±4)points vs.(40±4)points,t=3.21,P=0.021;(44±4)points vs.(49±3)points,t=2.37,P=0.032]and higher WHOQOL-BREF scores[(84.0±2.5)points vs.(79.5±2.7)points,t=3.28,P=0.015].Compared with before nursing,SAS and SDS of each group decreased after nursing,while WHOQOL-BREF scores increased,and all differences were statistically significant(all P<0.05).Conclusions Collaborative psychological nursing can effectively improve the quality of life and mental resilience score of NHL patients and their caregivers.