家庭参与式尊严疗法在晚期肺癌患者中的应用价值

Application Value of Family Participatory Dignity Therapy in Patients with Advanced Lung Cancer

目的 探讨家庭参与式尊严疗法对晚期肺癌患者尊严、心理痛苦、领悟社会支持及自我感受负担的影响。方法 选取2019年10月至2021年6月郑州人民医院收治的晚期肺癌患者88例为研究对象,按照随机数字表法分为试验组和对照组,每组44例。两组患者均接受肺癌统一姑息治疗方案,对照组予以常规护理干预;试验组在常规护理干预基础上予以家庭参与式尊严疗法。两组分别使用患者尊严评估(PDI)量表、心理痛苦温度计(DT)量表、领悟社会支持量表(PSSS)和自我感受负担量表(SPBS)对干预前后及组间的尊严水平、心理痛苦程度、领悟社会支持程度和自我感受负担水平进行比较。结果 干预前两组PDI量表评分、DT量表评分、PSSS评分和SPBS评分比较,差异均无统计学意义(P>0.05);干预后试验组PDI量表评分和DT量表评分均低于对照组(P<0.05);PSSS评分中朋友支持、家庭支持和其他支持3个维度得分均高于对照组(P<0.05);干预后试验组SPBS评分中各维度得分和总分均低于对照组(P<0.05)。结论 家庭参与式尊严疗法可改善晚期肺癌患者尊严状况、心理状态、领悟社会支持程度和自我感受负担水平。

Objective To explore the effects of family participatory dignity therapy on dignity,psychological pain,perceived social support and self-perceived burden in patients with advanced lung cancer.Methods A total of 88 patients with advanced lung cancer admitted to People's Hospital of Zhengzhou from October 2019 to June 2021 were selected and randomly assigned to either an experimental group(n=44)or a control group(n=44).Both groups received the same palliative treatment for lung cancer.The control group received routine nursing intervention,while the experimental group received family participatory dignity therapy on the basis of routine nursing.Patient's dignity,psychological distress,perceived social support and self-perceived burden were evaluated by Patient Dignity Inventory(PDI),Distress Thermometer(DT),Perceived Social Support Scale(PSSS),and Self-Perceived Burden Scale(SPBS),respectively,and the differences between the two groups were compared before and after intervention.Results There was no significant difference in PDI score,DT score,PSSS score and SPBS score between the two groups before intervention(P>0.05).After intervention,the PDI score and DT score in the experimental group were lower than those in the control group(P<0.05).After intervention,the scores of friend support,family support and other support in PSSS in the experimental group were higher than those in the control group(P<0.05).After intervention,the scores of each dimension and the total score of SPBS in the experimental group were lower than those in the control group(P<0.05).Conclusion Family participatory dignity therapy can improve the dignity,psychological status,perceived social support and self-perceived burden of patients with advanced lung cancer.