应激和适应理论护理对经免疫治疗肺癌患者心理状态及自我效能感的影响

Effects of Stress and Adaptive Nursing on Mental State and Self-efficacy in Patients with Lung Cancer Treated by Immunotherapy

目的 分析应激和适应理论护理对经免疫治疗肺癌患者心理状态及自我效能感的影响。方法 选取2022年1—12月于厦门大学附属第一医院接受免疫治疗的100例肺癌患者为研究对象,采用随机数表法分为对照组和研究组,各50例。对照组接受常规护理干预,研究组接受应激和适应理论护理干预,比较两组的心理状态、自我效能感与心理弹性、生存质量。结果 研究组护理后的抑郁自评量表(Self-rating Depression Scale, SDS)评分为(41.08±4.62)分,焦虑自评量表(Self-rating Anxiety Scale, SAS)评分为(40.03±3.02)分,均明显低于对照组的(47.32±4.13)分、(46.71±3.96)分,差异有统计学意义(t=7.120、9.485,P<0.05)。研究组护理后的正性态度、自我决策、自我减压评分分别为(49.84±5.26)分、(12.23±1.27)分、(36.43±4.13)分,均显著高于对照组的(43.37±5.31)分、(10.47±1.42)分、(32.67±4.23)分,差异有统计学意义(P<0.05)。研究组护理后的生活质量、心理弹性评分均明显高于对照组,差异有统计学意义(P<0.05)。结论 为接受免疫治疗的肺癌患者提供应激和适应理论护理,能让其不良情绪有效减轻,心理状态保持乐观和积极,让其自我效能感显著提高,而且还能让其心理弹性、生存质量明显提升。

Objective To analyze the effects of stress and adaptive nursing on mental state and self-efficacy of pa-tients with lung cancer treated by immunotherapy.Methods A total of 100 lung cancer patients who received immuno-therapy in the First Affiliated Hospital of Xiamen University from January to December 2022 were selected as re-search objects,and they were divided into control group and study group by digital random table method,with 50 cases in each group.The control group received routine nursing intervention,and the study group received stress and adaptation theory nursing intervention.The psychological state,self-efficacy,psychological resilience and quality of life of the two groups were compared.Results The Self-rating Depression Scale(SDS)of the study group after nursing was(41.08±4.62)points,and the Self-rating Anxiety Scale(SAS)was(40.03±3.02)points,which were significantly lower than those of the control group[(47.32±4.13)points,(46.71±3.96)points],the differences were statistically sig-nificant(t=7.120,9.485,P<0.05).The positive attitude,self-decision and self-decompression scores of the study group after nursing were(49.84±5.26)points,(12.23±1.27)points and(36.43±4.13)points,respectively,which were significantly higher than those of the control group[(43.37±5.31)points,(10.47±1.42)points and(32.67±4.23)points],the differences were statistically significant(P<0.05).The quality of life and psychological resilience scores of the study group after nursing were significantly higher than those of the control group,and the differences were statisti-cally significant(P<0.05).Conclusion Providing stress and adaptive theory nursing for lung cancer patients receiving immunotherapy can effectively reduce their bad emotions,maintain their optimistic and positive mental state,signifi-cantly improve their self-efficacy,and significantly improve their psychological resilience and quality of life.