SBAR沟通模式下认知行为干预对肺癌化疗患者疾病不确定感及应对方式的影响

Effects of cognitive behavioral intervention under SBAR communication mode on disease uncertainty and coping style in patients with lung cancer undergoing chemotherapy

目的:观察SBAR沟通模式下认知行为干预对肺癌化疗患者疾病不确定感及应对方式的影响。方法:选取2019年6月至2021年12月该院收治的80例肺癌化疗患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各40例。对照组实施常规护理,观察组在对照组基础上实施SBAR沟通模式的认知行为干预,比较两组护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、疾病不确定感[疾病不确定感量表(MIUS-A)]评分、应对方式[医学应对方式问卷(MCMQ)]评分。结果:护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组MIUS-A评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组面对评分高于护理前,且观察组高于对照组,两组回避、屈服评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:SBAR沟通模式下认知行为干预应用于肺癌化疗患者,可减轻患者负面情绪,降低疾病不确定感,增强自我应对方式,其效果优于单纯常规护理。

Objective:To observe effects of cognitive behavioral intervention under SBAR communication mode on disease uncertainty and coping style in patients with lung cancer undergoing chemotherapy.Methods:A prospective study was conducted on 80 patients with lung cancer undergoing chemotherapy admitted to the hospital from June 2019 to December 2021.They were divided into control group and observation group according to the random number table method,40 cases in each.The control group received routine nursing,while the observation group received the cognitive behavioral intervention under SBAR communication mode on the basis of that of the control group.The scores of negative emotions[selfrating anxiety scale(SAS),self-rating depression scale(SDS)],the uncertainty in illness[Mishel disease uncertainty scale(MIUS-A)],and the coping style score[medical coping style questionnaire(MCMQ)]were compared between the two groups before and after the nursing.Results:After the nursing,the SAS and SDS scores of the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the MIUS-A scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Further,the facing scores of the two groups were higher than those before the nursing,and that in the observation group was higher than that in the control group;the avoidance and yield scores of the two groups were lower than those before the nursing,and those in observation group were lower than those in the control group;and the differences were statistically significant(P<0.05).Conclusions:The cognitive behavioral intervention under SBAR communication mode in the patients with lung cancer undergoing chemotherapy can reduce the patients’negative emotions,reduce the disease uncertainty and enhance the self-coping style.Moreover,it is superior to single routine nursing.