聚焦解决模式联合阶梯式心理护理在胃癌免疫治疗患者中的应用研究

Research on the Application of Focusing on Solution Mode Combined with Stepwise Psychological Nursing in Immunotherapy Patients with Gastric Cancer

目的:探讨聚焦解决模式联合阶梯式心理护理在胃癌免疫治疗患者中的应用效果。方法:选取2021年4月—2023年2月河南省肿瘤医院收治的104例胃癌患者作为研究对象,按照随机数表法将其为观察组和对照组,每组各52例。对照组患者给予阶梯式心理护理,观察组患者在对照组的基础上加以聚焦解决模式护理,两组患者均持续护理3个月。比较两组患者治疗依从性、自我效能、负性情绪、心理复原力及生命质量情况。结果:观察组患者治疗依从性高于对照组患者,差异有统计学意义(χ^(2)=4.308,P<0.05)。护理后,观察组患者自我效能感量表评分高于对照组患者,观察组患者焦虑自评量表、抑郁自评量表评分均低于对照组患者,差异均有统计学意义(t=9.637、6.135、7.581,P<0.05)。护理后,观察组患者康纳-戴维森心理复原力量表中消极情感、能力、精神、接受变化、控制评分均高于对照组患者,差异均有统计学意义(t=8.142、8.584、9.036、6.013、6.561,P<0.05)。护理后,观察组患者健康调查问卷中的情感职能、社会功能、生命活力、心理健康、精神健康、生理功能、生理职能、躯体疼痛评分均高于对照组患者,差异均有统计学意义(t=8.077、7.176、6.249、6.206、6.037、6.958、6.339、6.222,P<0.05)。结论:聚焦解决模式联合阶梯式心理护理能够缓解胃癌免疫治疗患者的不良情绪,增强其自我效能与心理复原力,提高其生命质量。

Objective:To explore the application effect of focusing on solution mode combined with stepwise psychological care in immunotherapy patients with gastric cancer.Methods:104 gastric cancer patients admitted to the hospital from April 2021 to February 2023 were selected and randomly divided into two groups,with 52 patients in each group.The control group received stepped psychological care,while the observation group received focused solution mode and continued care for 3 months.The treatment compliance,self-efficacy,negative emotions,psychological resilience,and quality of life of the two groups were compared.Results:The treatment compliance of observation group was higher than that of control group,and the difference was statistically significant(χ^(2)=4.308,P<0.05).After nursing,GSES scores in observation group were higher than those in control group,and SAS and SDS scores in observation group were lower than those in control group,with statistical significance(t=9.637,6.135,7.581;P<0.05).After nursing,the negative emotion,ability,spirit,receptivity change and control scores of CD-RISC in observation group were higher than those in control group,and the differences were statistically significant(t=8.142,8.584,9.036,6.013,6.561;P<0.05).After nursing,the emotional function,social function,vital vitality,psychological health,mental health,physiological function,physiological function and physical pain scores of SF-36 patients in the observation group were higher than those in the control group.The differences were statistically significant(t=8.077,7.176,6.249,6.206,6.037,6.958,6.339,6.222;P<0.05).Conclusion:Focusing on solution mode combined with stepwise psychological care can alleviate negative emotions,improve self-efficacy and psychological resilience,and improve quality of life.