认知性心理护理对老年白血病患者心境状态、遵医行为及生活质量的影响

Effect of Cognitive Psychological Nursing on Mood State,Compliance Behavior and Quality of Life of Elderly Patients with Leukemia

目的:探究认知性心理护理对老年白血病患者心境状态、遵医行为和生活质量的影响。方法:选择2022年1—9月广州市第一人民医院收治的100例老年白血病患者作为本次研究的对象,采用随机数表法分为观察组和对照组,各50例。对照组仅行常规护理,观察组则在常规护理基础上增加认知性心理护理干预。比较并分析两组心境状态(焦虑和抑郁心理)、遵医行为及生活质量。结果:干预后,两组焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分均低于干预前;且观察组SAS评分和SDS评分均低于对照组,差异有统计学意义(P<0.05)。观察组合理饮食、配合用药、规律作息和饮水量控制的遵医行为率均高于对照组,差异有统计学意义(P<0.05)。干预后,两组世界卫生组织生存质量测定量表(WHOQOL-BREF)中的生理、心理、社会和环境评分均显著高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:认知性心理护理措施的应用有助于改善老年白血病患者的心境状态,加强患者遵医行为,提高患者生活质量。

Objective:To explore the effect of cognitive psychological nursing on mood state,compliance behavior and quality of life in elderly patients with leukemia.Method:A total of 100 elderly leukemia patients admitted to Guangzhou First People's Hospital from January to September 2022 were selected as the objects of this study,and they were divided into the observation group and the control group by random number table method,50 cases in each group.The control group received only routine nursing,while the observation group received cognitive psychological nursing intervention on the basis of routine nursing.The mood state(anxiety and depression),compliance behavior and life quality of the two groups were compared and analyzed.Result:After intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in both groups were lower than those before intervention;the SAS scores and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The rate of compliance behavior of reasonable diet,medication,regular rest and water intake control in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the physiological,psychological,social and environmental scores of the the World Health Organization quality of life(WHOQOL-BREF)in the two groups were significantly higher than those before intervention,and the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of cognitive psychological nursing is helpful to improve the mood state of elderly patients with leukemia,strengthen their compliance behavior,and improve the quality of life.