非语言性沟通联合激励式心理干预对急性淋巴细胞白血病患儿的影响

Effect of Non-language Communication Combined with Motivational Psychological Intervention on Children with Acute Lymphoblastic Leukemia

目的:探讨非语言性沟通联合激励式心理干预对急性淋巴细胞白血病患儿的影响。方法:采用便利抽样法选取2022年11月—2023年9月就诊于厦门大学附属第一医院的80例急性淋巴细胞白血病患儿作为研究对象,根据随机数表法将其分为观察组(n=40)和对照组(n=40)。对照组给予常规护理措施,观察组在对照组基础上给予非语言沟通联合激励式心理干预,两组均干预3个月。干预前后评价两组癌因性疲乏、心理韧性和创伤后成长水平,干预后评价两组患儿治疗依从性和遵医行为。结果:干预前,两组癌因性疲乏、心理韧性和创伤后成长水平比较,差异无统计学意义(P>0.05);干预后,两组癌因性疲乏程度均降低,心理韧性、创伤后成长水平均提高,且观察组优于对照组,差异有统计学意义(P<0.05)。干预后,观察组患儿治疗依从性和遵医行为评分高于对照组,差异有统计学意义(P<0.05)。结论:非语言性沟通联合激励式心理干预可降低急性淋巴细胞白血病患儿的癌因性疲乏程度,提高心理韧性、创伤后成长水平、治疗依从性和遵医行为。

Objective:To explore the effect of non-language communication combined with motivational psychological intervention on children with acute lymphoblastic leukemia.Method:A total of 80 children with acute lymphoblastic leukemia who treated in the First Affiliated Hospital of Xiamen University,School of Medicine,Xiamen University from November 2022 to September 2023 were selected as the research objects by convenience sampling method,they were divided into the observation group(n=40)and the control group(n=40)according to the random number table method.The control group was given routine nursing measures,and the observation group was given non-language communication combined with motivational psychological intervention on the basis of the control group,two groups were intervened for 3 months.The cancer-related fatigue,psychological resilience and post-traumatic growth levels of two groups before and after intervention were evaluated,the treatment compliance and compliance behavior of children in two groups after intervention were evaluated.Result:Before intervention,there were no significant differences in the cancer-related fatigue,psychological resilience and posttraumatic growth levels between two groups(P>0.05);after intervention,the cancer-related fatigue degree in two groups were decreased,the psychological resilience and post-traumatic growth levels were increased,and those in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).After intervention,the treatment compliance and compliance behavior scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Non-language communication combined with motivational psychological intervention can reduce the cancer-related fatigue degree and improve the psychological resilience,post-traumatic growth,treatment compliance and compliance behavior of children with acute lymphoblastic leukemia.