共情机会-反应模式培训下的共情沟通模式在老年急性髓系白血病患者治疗期间的干预效果分析

Analysis of intervention effects of empathy communication model under empathy opportunity-response model training in elder-ly patients with acute myeloid leukemia during treatment

中文关键词: 老年, 急性髓系白血病, 共情机会-反应模式, 共情沟通, 癌因性疲乏, 生活质量

英文关键词: elderly  acute myeloid leukemia  empathy opportunity-response model  empathy communication  cancer-related fatigue  quality of life

中文摘要:

      目的 探讨共情机会-反应模式培训下的共情沟通模式在老年急性髓系白血病(AML)患者治疗期间的干预效果.方法 选取2019年1月-2023年12月四川大学华西医院上锦医院收治的112例老年AML患者,使用区组随机化分组法分为共情组(n=56)和常规组(n=56).对常规组患者在治疗期间实施常规处理,共情组在常规组处理基础上实施共情机会-反应模式培训下的共情沟通模式干预.观察并比较2组干预前后的情绪状态[采用精神症状自评量表(SCL-90)评估]、癌因性疲乏程度[采用癌因性疲乏自评量表(RPFS)评估]、领悟社会支持程度[采用领悟社会支持量表(PSSS)评估]、治疗依从性[采用用药依从性量表(MARS)评估]、实验室生化指标水平[血清总蛋白(TP)、前清蛋白(PA)、铁转蛋白(TF)]及生活质量[采用白血病生活质量评估量表(QLICP-LE)评估].结果 干预后,2组SCL-90中躯体化、强迫症状、人际敏感性、抑郁、焦虑、敌对评分、RPFS中情感疲乏、认知与情绪疲乏、感觉疲乏、行为疲乏评分均降低(P＜0.05),且共情组评分均低于常规组(P＜0.05);2组PSSS评分、QLICP-LE中躯体状态、心理状态、社会状态、共性症状与不良作用、特异模块评分均升高(P＜0.05),且共情组评分均高于常规组(P＜0.05);2组TP、PA、TF水平均降低(P＜0.05),但共情组TP、PA、TF水平均高于常规组(P＜0.05).结论 共情机会-反应模式培训下的共情沟通模式可有效改善老年AML患者的情绪状态,缓解癌因性疲乏程度,增强领悟社会支持程度,提高治疗依从性,改善营养状态及生活质量,具有一定临床应用价值.

英文摘要:

      Objective To explore the intervention effects of empathy communication model under empathy opportunity-response model training in elderly patients with acute myeloid leukemia during treatment(AML).Methods 112 elderly AML patients admitted to Shangjin Hospital of West China Hospital of Sichuan University from January 2019 to December 2023 were selected.They were divided into empathy group(n=56)and conventional group(n=56).The conventional group received conventional treatment during the treatment period,while the empathy group received empathy communication model interven-tion under the empathy opportunity-response model training on the basis of conventional group.The emotional status[Symptom Checklist-90(SCL-90)],degree of cancer-induced fatigue[Revised Piper Fatigue Scale(RPFS)],degree of perceptive so-cial support[Perceived Social Support Scale(PSSS)],treatment compliance[Medication Adherence Rating Scale(MARS)],levels of laboratory biochemical indicators[serum total protein(TP),prealbumin(PA),transferrin(TF)]and quality of life[Quality of Life Instruments for Cancer Patients with Leukemia(QLICP-LE)]were observed and compared be-tween the two groups before and after intervention.Results After intervention,the scores of somatization,obsessive-compul-sive symptoms,interpersonal sensitivity,depression,anxiety and hostility of SCL-90 and scores of emotional fatigue,cognitive and emotional fatigue,sensory fatigue and behavioral fatigue of RPFS decreased in both groups(P＜0.05),and the above scores in the empathy group were lower than those in the conventional group(P＜0.05);the PSSS score and scores of physical state,psychological state,social state,common symptoms and adverse effects,and specific module of QLICP-LE in both groups increased after intervention(P＜0.05),and the above scores in the empathy group were higher than those in the con-ventional group(P＜0.05).After intervention,the levels of TP,PA and TF decreased in both groups(P＜0.05),while the above levels in the empathy group were higher than those in the conventional group(P＜0.05).Conclusion Empathy com-munication model under empathy opportunity-response model training can effectively improve the emotional status of patients with AML,alleviate their degree of cancer-related fatigue,enhance the degree of perceived social support,improve the treat-ment compliance,nutritional status and quality of life.It has certain clinical application value.