五行音乐联合积极心理学干预对肺癌患者癌因性疲乏、负性情绪和健康行为的影响

Effects of five-element music combined with positive psychology on cancer-related fatigue,negative emotion and health behaviors in patients with lung cancer

目的探究五行音乐联合积极心理学干预对肺癌患者癌因性疲乏(CRF)、负性情绪和健康行为的影响。方法选择2021年7月~2022年7月我院收治80例肺癌患者,按照随机数表法,分成观察组(n=40)和对照组(n=40)。对照组采用常规护理干预,观察组采用五行音乐联合积极心理学干预。比较两组服药依从性、不良反应、护理满意度,比较两组干预前、后Piper疲乏修订量表(PFS-R)、心理状态(SAS、SDS)及健康行为(KPS)。结果干预后,观察组的依从率为95.00%,与对照组的80.00%比较,明显更高(P<0.05);干预后,两组的PFS-R量表各评分均低于干预前,且观察组中的认知、行为、躯体、情感评分分别为(4.09±0.86)分、(4.16±0.58)分、(4.11±0.79)分、(4.02±0.65)分,均低于对照组的(5.67±0.74)分、(6.23±0.72)分、(5.83±0.52)分、(5.24±0.49)分;两组的SAS及SDS评分均低于干预前,且观察组分别为(42.13±5.22)分、(45.39±5.06)分,均低于对照组的(47.56±4.82)分、(50.14±6.32)分(P<0.05);而两组KPS评分、护理满意度量表中护理质量、护理态度及情志护理评分均高于干预前,且观察组分别为(84.31±5.12)分、(18.63±1.04)分、(17.42±1.29)分、(18.01±0.82)分,均高于对照组的(79.63±5.47)分、(17.25±1.53)分、(16.49±1.72)分、(16.76±1.05)分(P<0.05);干预后,观察组的不良反应发生率为5.00%,与对照组的20.00%比较,明显更低(P<0.05)。结论五行音乐联合积极心理学干预能够改善肺癌患者CRF情况,缓解负性情绪,提高健康行为,护理满意度更高。

Objective To investigate the influences of five-element music combined with positive psychology on cancer-related fatigue(CRF),negative emotion and health behaviors in patients with lung cancer.Methods A total of 80 patients with lung cancer admitted the hospital were enrolled between July 2021 and July 2022.According to random number table method,they were divided into control group(n=40,routine nursing)observation group(n=40,five-element music+positive psychology intervention).The medication compliance,adverse reactions,nursing satisfaction,scores of Piper Fatigue Scale-Revised(PFS-R),psychological state(SAS,SDS)and health behaviors(KPS)in the two groups were compared before and after intervention.Results After intervention,compliance rate was significantly higher in observation group than control group(95.00%vs 80.00%,P<0.05).After intervention,PFS-R scores in both groups were decreased,and scores of cognition,behaviors,body and emotions in observation group were(4.09±0.86)points,(4.16±0.58)points,(4.11±0.79)points and(4.02±0.65)points,lower than those in control group[(5.67±0.74)points,(6.23±0.72)points,(5.83±0.52)points,(5.24±0.49)points].After intervention,SAS and SDS scores in both groups were decreased,and which were lower in observation group than control group[(42.13±5.22)points,(45.39±5.06)points vs(47.56±4.82)points,(50.14±6.32)points;P<0.05].Affer intervention,scores of KPS and nursing satisfaction scale(nursing quality,nursing attitude,emotional nursing)in both groups were increased,which in observation group were(84.31±5.12)points,(18.63±1.04)points,(17.42±1.29)points and(18.01±0.82)points,higher than those in control group[(79.63±5.47)points,(17.25±1.53)points,(16.49±1.72)points,(16.76±1.05)points;P<0.05].After intervention,incidence of adverse reactions was significantly lower in observation group than control group(5.00%vs 20.00%,P<0.05).Conclusion Five-element music combined with positive psychology intervention can improve CRF,reduce psychological distress,improve health behaviors and nursing satisfaction in patients with lung cancer.