發(fā)布時(shí)間：2018-03-14 20:46

  本文選題：認(rèn)知干預(yù)護(hù)理　切入點(diǎn)：肝損傷　出處：《檢驗(yàn)醫(yī)學(xué)與臨床》2017年07期 　論文類型：期刊論文

【摘要】：目的探討認(rèn)知干預(yù)對老年惡性腫瘤化療后肝損傷患者負(fù)性情緒的影響。方法按照時(shí)間順序,選取2013年在該院血液科接受老年惡性腫瘤化療后肝損傷的患者40例作為干預(yù)組,2014年在該院血液科接受老年惡性腫瘤化療后肝損傷的患者40例作為對照組。對照組進(jìn)行為期1個(gè)月的常規(guī)護(hù)理,干預(yù)組在常規(guī)護(hù)理的基礎(chǔ)上對患者行為期1個(gè)月的認(rèn)知干預(yù)。分別在1個(gè)月后通過焦慮自評量表(SAS)和抑郁自評量表(SDS),檢測患者負(fù)性情緒的變化。結(jié)果干預(yù)后,干預(yù)組患者的SAS為(39.98±3.74)分,對照組為(53.11±4.09)分,2組SAS在干預(yù)后差異有統(tǒng)計(jì)學(xué)意義(P0.05);干預(yù)后,對照組患者的SDS為(52.98±5.02)分,干預(yù)組為(38.79±4.54)分,2組的SDS差異有統(tǒng)計(jì)學(xué)意義(P0.05)。本研究結(jié)果顯示,2組干預(yù)后健康促進(jìn)生活方式評分較干預(yù)前均顯著提高,差異有統(tǒng)計(jì)學(xué)意義(P0.05);干預(yù)后,干預(yù)組較對照組的健康促進(jìn)生活方式評分顯著提高,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論對老年惡性腫瘤化療后肝損傷患者實(shí)施認(rèn)知干預(yù)可使后患者的焦慮心理和抑郁狀況得到顯著改善,有利于提高患者的生命質(zhì)量和對護(hù)理的滿意度,可在臨床中推廣應(yīng)用。
[Abstract]:Objective to explore the effect of cognitive intervention on negative emotion in elderly patients with liver injury after chemotherapy. 40 patients with liver injury after chemotherapy in hematology department of our hospital in 2013 were selected as intervention group, and 40 patients with liver injury after chemotherapy in hematology department of our hospital on 2014 as control group. For one month of routine care, The intervention group received cognitive intervention for one month on the basis of routine nursing. After one month, the patients' negative emotions were detected by self-rating anxiety scale (SAS) and self-rating depression scale (SDS). The SAS score of the intervention group was 39.98 鹵3.74, that of the control group was 53.11 鹵4.09) the SAS of the two groups was significantly different after intervention (P 0.05), the SDS of the control group was 52.98 鹵5.02). The difference of SDS in the intervention group was 38.79 鹵4.54 (P 0.05). The results showed that the scores of health promotion lifestyle in the two groups were significantly higher than those before intervention (P 0.05). The scores of health-promoting lifestyle in the intervention group were significantly higher than those in the control group (P 0.05). Conclusion Cognitive intervention in elderly patients with liver injury after chemotherapy can significantly improve their anxiety and depression. It is beneficial to improve patients' quality of life and satisfaction with nursing, and can be popularized and applied in clinic.
【作者單位】： 河北省唐山市人民醫(yī)院血液科;河北省唐山市人民醫(yī)院檢驗(yàn)科;河北省唐山市人民醫(yī)院科教科;
【基金】：河北省衛(wèi)生和計(jì)劃生育委員會基金項(xiàng)目(20150979)
【分類號】：R473.73

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本文編號：1612820