共情理念下预见性干预在恶性黑色素瘤患者热灌注化疗中的应用效果

Application effect of anticipatory intervention under the empathy concept in hyperthermic perfusion chemotherapy for patients with malignant melanoma

目的 探讨共情理念下预见性干预在恶性黑色素瘤患者热灌注化疗中的应用效果。方法 依据干预方式的不同将156例恶性黑色素瘤患者分为共情组和预见组,每组78例,共情组患者给予共情理念干预,预见组患者给予共情理念下预见性干预。比较两组患者的消极情绪[状态-特质焦虑量表(STAI)]、生活质量[健康调查简表(SF-36)]、服药依从性[8条目Morisky服药依从性量表(MMAS-8)]、自我感受负担[自我感受负担量表(SPBS)]和护理满意度。结果 干预后,两组患者T-AI、S-AI评分均低于本组干预前,预见组患者T-AI、S-AI评分均低于共情组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SF-36量表各维度评分均高于本组干预前,预见组患者SF-36量表各维度评分均高于共情组,差异均有统计学意义(P﹤0.05)。干预后,两组患者MMAS-8评分均高于本组干预前,SPBS评分均低于本组干预前,预见组患者MMAS-8评分高于共情组,SPBS评分低于共情组,差异均有统计学意义(P﹤0.05)。预见组患者的总满意度为96.15%,高于共情组患者的87.18%,差异有统计学意义(P﹤0.05)。结论 共情理念下预见性干预可缓解恶性黑色素瘤患者的消极情绪,降低自我感受负担,提高生活质量、用药依从性和护理满意度,有助于患者以积极的心态面对治疗。

Objective To investigate the application effect of anticipatory intervention under the empathy concept in hyperthermic perfusion chemotherapy for patients with malignant melanoma.Method A total of 156 patients with malignant melanoma were divided into empathy group and anticipatory group based on different intervention methods,with 78patients in each group.Patients in the empathy group were given empathy concept intervention,while patients in the anticipatory group were given anticipatory intervention under the empathy concept.The negative emotion [state-trait anxiety inventory(STAI)],quality of life [the MOS 36-item short form health survey(SF-36)],and medication compliance [the 8-items Morisky medication adherence scale(MMAS-8)],self-perceived burden [self-perceived burden scale(SPBS)],and nursing satisfaction were compared between the two groups.Result After the intervention,the trait-anxiety inventory(TAI) and state-anxiety inventory(S-AI) scores of the two groups were lower than those before the intervention,and the scores of T-AI and S-AI in the anticipatory group were lower than those of the empathy group,and the differences were statistically significant(P<0.05).After the intervention,the scores of each dimension of the SF-36 scale of the two groups were higher than those before the intervention,the scores of the anticipatory group were higher than those of the empathy group,and the differences were statistically significant(P<0.05).After the intervention,the MMAS-8 scores of the two groups were higher than those before the intervention,and the SPBS scores were lower than those before the intervention,the MMAS-8 score in the anticipatory group was higher than that of the empathy group,and the SPBS score was lower than that of the empathy group,the differences were statistically significant(P<0.05).The satisfaction rate of the anticipatory group was 96.15%,which was higher than 87.18% of the empathy group,and the difference was statistically significant(P<0.05).Conclusion Anticipatory intervention under the empathy concept could alleviate the anxiety of patients with malignant melanoma,reduce the self-perceived burden,and improve their quality of life,medication compliance,and nursing satisfaction.Besides,it is helpful to encourage the patients to form a positive attitude towards the treatment.