感恩拓延-建构理论下多维度支持对老年非小细胞肺癌化疗患者心理状态和生活质量的影响

Effects of multi-dimensional support under theory of gratitude extension-construction on psychological state and quality of life in elderly patients with non-small cell lung cancer undergoing chemotherapy

中文关键词: 老年  非小细胞肺癌  化疗  感恩拓延-建构理论  多维度支持  心理状态  生活质量

英文关键词: elderly  non-small cell lung cancer  chemotherapy  gratitude extension-construction theory  multi-dimen-sional support  psychological state  quality of life

中文摘要:

      目的 分析感恩拓延-建构理论下多维度支持对老年非小细胞肺癌(NSCLC)化疗患者心理状态和生活质量的影响.方法 选取2022年1月-2023年12月就诊于江苏省海安市中医院的老年NSCLC化疗患者120例,采用随机数字表法分为对照组和观察组,每组60例.2组采用相同的治疗,对照组给予常规护理,观察组在对照组常规护理的基础上给予感恩拓延-建构理论下多维度支持,均持续干预2个月.比较干预前后2组的癌因性疲乏、自我护理能力、感恩水平、心理状态[采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评分]以及生活质量的变化.结果 干预后,观察组的CFS总分及各维度评分、SAS及SDS评分均低于对照组(P＜0.05),而观察组的ESCA各维度评分、CQ-6评分及QLQ-C30各维度评分均高于对照组(P＜0.05).结论 感恩拓延-建构理论下的多维度支持可有效缓解老年NSCLC化疗患者的癌因性疲乏、焦虑及抑郁,提高自我护理能力及生活质量,并提升感恩水平,具有一定的临床应用价值.

英文摘要:

      Objective To analyze the effects of multi-dimensional support under the theory of gratitude extension-con-struction on psychological state and quality of life in elderly patients with non-small cell lung cancer(NSCLC)undergoing chem-otherapy.Methods A total of 120 elderly NSCLC patients treated with chemotherapy in Hospital of Traditional Chinese Medi-cine of Hai'an City,Jiangsu Province from January 2022 to December 2023 were selected and divided into control group and ob-servation group by random number table method,with 60 cases in each group.Both groups received the same treatment.The con-trol group was given routine nursing,while the observation group was given the multi-dimensional support under the theory of gratitude extension-construction based on the routine nursing of the control group.All patients were continuously intervened for 2 months.The changes of cancer-related fatigue[Cancer Fatigue Scale(CFS)],self-care ability,gratitude level,psychological state[Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)]and quality of life before and after interven-tion were compared between the two groups.Results After intervention,the total score and the scores for each dimension of CFS,SAS score and SDS scores of the observation group were lower than those of the control group(P＜0.05),while the scores for each dimension of ESCA,Gratitude Questionnaire-6(CQ-6)score and scores for each dimension of Questionnaire-Core 30(QLQ-C30)of the observation group were higher than those of the control group(P＜0.05).Conclusion Multi-dimensional support under the theory of gratitude extension-construction can effectively alleviate cancer-related fatigue,anxiety and depres-sion,improve self-care ability and quality of life,and enhance gratitude level in elderly NSCLC patients undergoing chemother-apy.It has certain clinical application value.