[1]付园青.认知图式宣教模式对肺癌患者化疗期间不良症状与感知控制的影响[J].医学信息,2024,37(13):150-153.[doi:10.3969/j.issn.1006-1959.2024.13.032]
 Effect of Cognitive Schema Education Model on Adverse Symptoms and Perceived Control During Chemotherapy in Patients with Lung Cancer.Effect of Cognitive Schema Education Model on Adverse Symptoms and Perceived Control During Chemotherapy in Patients with Lung Cancer[J].Journal of Medical Information,2024,37(13):150-153.[doi:10.3969/j.issn.1006-1959.2024.13.032]
点击复制

认知图式宣教模式对肺癌患者化疗期间不良症状与感知控制的影响()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年13期
页码:
150-153
栏目:
护理研究
出版日期:
2024-07-01

文章信息/Info

Title:
Effect of Cognitive Schema Education Model on Adverse Symptoms and Perceived Control During Chemotherapy in Patients with Lung Cancer
文章编号:
1006-1959(2024)13-0150-04
作者:
付园青
(天津市胸科医院呼吸与危重症科一科,天津 300222)
Author(s):
Effect of Cognitive Schema Education Model on Adverse Symptoms and Perceived Control During Chemotherapy in Patients with Lung Cancer
(The First Department of Respiratory and Critical Care Medicine,Tianjin Chest Hospital,Tianjin 300222,China)
关键词:
肺癌化疗认知图式宣教模式不良症状感知控制癌性疲乏
Keywords:
Lung cancerChemotherapyCognitive schema education modelAdverse symptomsPerceived controlCancer-related fatigue
分类号:
R473.73
DOI:
10.3969/j.issn.1006-1959.2024.13.032
文献标志码:
A
摘要:
目的 探究认知图式宣教模式对肺癌患者化疗期间不良症状与感知控制的影响。方法 以2021年1月24日-2022年7月21日于天津市胸科医院行维持性化疗的90例肺癌患者为研究对象,按照随机数字表法分为对照组(45例)和观察组(45例)。对照组给予常规宣教指导,观察组则应用认知图式宣教模式,比较两组化疗不良症状(消化道症状、睡眠症状、情绪症状及其他症状)、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、感知控制[癌症经验与效能量表(CEES)]、癌因性疲乏[Piper疲乏量表(PFS)]、生存质量[肺癌患者生存质量测定量表(FACT-L)]。结果 观察组化疗不良症状发生率(消化道症状、睡眠症状、情绪症状及其他症状)小于对照组(P<0.05)。观察组出院时SAS、SDS分数小于对照组,CEES癌症经验得分、PFS得分低于对照组,CEES控制效能得分、FACT-L得分高于对照组(P<0.05)。结论 认知图式宣教模式可减少肺癌患者的化疗不良症状,改善其不良情绪及负性体验,提高患者对癌症的感知控制水平,降低其癌因性疲乏,改善生存质量。
Abstract:
Objective To explore the effect of cognitive schema education model on adverse symptoms and perceived control in patients with lung cancer during chemotherapy.Methods A total of 90 patients with lung cancer who underwent maintenance chemotherapy in Tianjin Chest Hospital from January 24, 2021 to July 21, 2022 were divided into control group (45 patients) and observation group (45 patients) according to random number table method. The control group was given routine education guidance, while the observation group was given cognitive schema education mode. The adverse symptoms of chemotherapy (gastrointestinal symptoms, sleep symptoms, emotional symptoms and other symptoms), psychological status [Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS)], perceived control [Cancer Experience and Efficacy Scale (CEES)], cancer-related fatigue [Piper Fatigue Scale (PFS)] and quality of life [Functional Assessment of Cancer Therapy-Lung (FACT-L)] were compared between the two groups.Results The incidence of adverse symptoms of chemotherapy (gastrointestinal symptoms, sleep symptoms, emotional symptoms and other symptoms) in the observation group was lower than that in the control group (P<0.05). At discharge, the scores of SAS and SDS in the observation group were lower than those in the control group, the scores of CEES cancer experience and PFS were lower than those in the control group, and the scores of CEES control efficacy and FACT-L were higher than those in the control group (P<0.05).Conclusion The cognitive schema education model can reduce the adverse symptoms of chemotherapy in patients with lung cancer, improve their negative emotions and negative experiences, improve their level of perceived control of cancer, reduce their cancer-related fatigue, and improve their quality of life.

参考文献/References:

[1]杨英,陈芳.多模态运动联合健康宣教二维码对青中年肺癌化疗患者癌因性疲乏、心理状态的影响[J].川北医学院学报,2022,37(4):544-548.[2]Song J,Fan X,Zhao Z,et al.125I brachytherapy of locally advanced non-small-cell lung cancer after one cycle of first-line chemotherapy: a comparison with best supportive care[J].Onco Targets and Therapy,2017,10:1345-1352.[3]黄彬.医护合作健康教育在肺癌化疗患者中的应用观察[J].中国药物与临床,2021,21(20):3494-3495.[4]周婷婷,王昊飞,潘志娟,等.肺癌患者心理弹性的影响因素及与社会支持和生活质量的关系研究[J].现代生物医学进展,2020,20(23):4436-4440.[5]王红梅,梁媛.肺癌患者化疗不良反应健康教育效果评价[J].中国健康教育,2019,35(3):262-264,275.[6]周亚捷,汪桂琴,罗晓华,等.认知图式健康教育联合家属陪同叙事疗法在老年COPD患者中的应用[J].保健医学研究与实践,2022,19(4):121-125.[7]崔芳芳,李秋芳,吴秋歌,等.肺癌化疗病人感知控制与心理适应的相关研究[J].护理研究,2019,33(16):2731-2735.[8]阎宁,毋茜,王秀英.阶段性认知行为干预对肺癌化疗患者心理状态及生存质量的影响[J].贵州医药,2020,44(9):1471-1472.[9]章春芝,李倩,李晓媛,等.程序式健康教育对肺癌PICC置管化疗患者知信行水平及疾病不确定感的影响[J].重庆医学,2020,49(12):1984-1987.[10]赵家义,樊剑,韩一平.健康教育SHOW模式对晚期肺癌患者强化静脉血栓自我管理能力的有效性分析[J].中华全科医学,2020,18(5):805-807,855.[11]杜心美.渐进式肌肉放松训练联合健康教育对肺癌化疗患者消极心理状态、遵医行为及护理满意度的影响[J].西部中医药,2020,33(3):130-133.[12]周丽,刘艳萍,颜雯晶,等.肺癌化疗患者的认知功能现状及影响因素研究[J].中国医药导报,2020,17(7):86-89.[13]刘桂霞,张慧,孟云.化疗肺癌患者自我感受负担与疾病感知、疾病不确定感、心理弹性的关系[J].中国心理卫生杂志,2019,33(11):816-821.[14]黑晓欢,卢丹,陈玥,等.认知性健康教育对肺癌患者生活质量及生存期的影响[J].癌症进展,2019,17(11):1354-1356.[15]宁彤彤,张辉,张利博.程序化健康教育对肺癌化疗患者自我护理能力及生活质量的影响[J].中国肿瘤临床与康复,2021,28(2):224-227.[16]郝伶,曾丽华.认知图式宣教在化疗期间宫颈癌病人中的应用[J].全科护理,2021,19(22):3153-3156.[17]谭杏.认知图式宣教模式对肺癌患者化疗期间症状困扰与感知控制的影响[D].衡阳:南华大学,2017.[18]李旭然,张怡,朱彤.授权教育对肺癌术后化疗患者希望水平及自我管理行为的影响[J].医学临床研究,2021,38(7):1092-1095.[19]聂珍珍,胡皓,宣永丽.心理行为干预联合健康教育对肺癌化疗患者心理状态及胃肠道反应的影响[J].癌症进展,2022,20(3):306-310.[20]Kang HL,Chen VC,Hung WL,et al.Preliminary comparison of neuropsychological performance in patients with non-small-cell lung cancer treated with chemotherapy or targeted therapy[J].Neuropsychiatric Disease & Treatment,2019,28(15):753-761.

相似文献/References:

[1]宁尚波,杨东红,付 爽.选择性动脉灌注化疗在口腔癌治疗中的进展[J].医学信息,2018,31(03):28.[doi:10.3969/j.issn.1006-1959.2018.03.009]
 NING Shang-bo,YANG Dong-hong,FU Shuang.Progress of Selective Arterial infusion Chemotherapy in the Treatment of Oral Cancer[J].Journal of Medical Information,2018,31(13):28.[doi:10.3969/j.issn.1006-1959.2018.03.009]
[2]李杰萍,姜翠红,管树荣,等.化疗患者PICC置管前后心理体验的质性研究[J].医学信息,2018,31(05):164.[doi:10.3969/j.issn.1006-1959.2018.05.060]
 I Jie-ping,JIANG Cui-hong,GUAN Shu-rong,et al.Qualitative Study of Psychological Experience before and after PICC Catheterization in Patients undergoing Chemotherapy[J].Journal of Medical Information,2018,31(13):164.[doi:10.3969/j.issn.1006-1959.2018.05.060]
[3]尤 静.肺癌患者外周血CEA、NSE、CYFRA21-1联合检测的意义[J].医学信息,2018,31(06):149.[doi:10.3969/j.issn.1006-1959.2018.06.052]
 YOU Jing.Clinical Significance of Combined Detection of CEA,NSE,CYFRA21-1 in Peripheral Blood of Patients with Lung Cancer[J].Journal of Medical Information,2018,31(13):149.[doi:10.3969/j.issn.1006-1959.2018.06.052]
[4]戴 芳,曹晓美,王莉娜.肺癌患者疾病不确定感的影响因素与干预措施研究现状[J].医学信息,2018,31(08):35.[doi:10.3969/j.issn.1006-1959.2018.08.012]
 DAI Fang,CAO Xiao-mei,WANG Li-na.Research Status on Influencing Factors and Intervention Measures of Disease Uncertainty in Patients with Lung Cancer[J].Journal of Medical Information,2018,31(13):35.[doi:10.3969/j.issn.1006-1959.2018.08.012]
[5]庞小坤,韩 梅,江心灿,等.当归补血汤治疗肿瘤化疗不良反应随机对照临床试验的Meta分析[J].医学信息,2019,32(02):69.[doi:10.3969/j.issn.1006-1959.2019.02.021]
 Pang Xiao-kun,Han Mei,Jiang Xin-can,et al.Meta-analysis of a Randomized Controlled Clinical Trial of Angelica Buxue Decoction in the Treatment of Adverse Reactions to Chemotherapy[J].Journal of Medical Information,2019,32(13):69.[doi:10.3969/j.issn.1006-1959.2019.02.021]
[6]吴 倩,王一非.中西医结合治疗肺癌脑转移疗效与安全性的Meta分析[J].医学信息,2022,35(10):120.[doi:10.3969/j.issn.1006-1959.2022.10.029]
 WU Qian,WANG Yi-fei.Meta-analysis of Efficacy and Safety of Integrated Traditional Chinese and Western Medicine in the Treatment of Brain Metastasis of Lung Cancer[J].Journal of Medical Information,2022,35(13):120.[doi:10.3969/j.issn.1006-1959.2022.10.029]
[7]王晓军.以时间护理为基础的呼吸训练与排痰管理对肺癌手术患者康复的影响研究[J].医学信息,2022,35(11):180.[doi:10.3969/j.issn.1006-1959.2022.11.048]
 WANG Xiao-jun.Effect of Respiratory Training and Expectoration Management Based on Time Nursing on Rehabilitation of Patients with Lung Cancer Surgery[J].Journal of Medical Information,2022,35(13):180.[doi:10.3969/j.issn.1006-1959.2022.11.048]
[8]邢益辉,刘 曼,厉玛倩倩,等.快速康复对肺癌手术患者并发症发生及生活质量的影响研究[J].医学信息,2018,31(16):168.[doi:10.3969/j.issn.1006-1959.2018.16.054]
 XING Yi-hui,LIU Man,LIMA Qian-qian,et al.Effect of Rapid Rehabilitation on Complications and Quality of Life in Patients with Lung Cancer Surgery[J].Journal of Medical Information,2018,31(13):168.[doi:10.3969/j.issn.1006-1959.2018.16.054]
[9]朱晓晓,张 顺,蔡 挺.镍暴露相关的肺癌发生分子机制研究[J].医学信息,2018,31(17):4.[doi:10.3969/j.issn.1006-1959.2018.17.002]
 ZHU Xiao-xiao,ZHANG Shun,CAI Ting.Molecular Mechanism of Lung Cancer Related to Nickel Exposure[J].Journal of Medical Information,2018,31(13):4.[doi:10.3969/j.issn.1006-1959.2018.17.002]
[10]付云杰.肺癌患者血浆D-二聚体、NSE及CYFRA21-1联合检测的临床价值[J].医学信息,2018,31(23):161.[doi:10.3969/j.issn.1006-1959.2018.23.047]
 FU Yun-jie.Clinical Value of the Plasma D-dimer and Serum NSE,CYFRA21-1 Combined Detection in the Diagnosis of Lung Cancer[J].Journal of Medical Information,2018,31(13):161.[doi:10.3969/j.issn.1006-1959.2018.23.047]
[11]穆 悦.运动-心理-睡眠护理干预对肺癌化疗患者癌因性疲乏和化疗症状的护理效果[J].医学信息,2023,36(03):169.[doi:10.3969/j.issn.1006-1959.2023.03.037]
 MU Yue.Nursing Effect of Exercise-psychology-sleep Nursing Intervention on Cancer-related Fatigue and Chemotherapy Symptoms in Patients with Lung Cancer Undergoing Chemotherapy[J].Journal of Medical Information,2023,36(13):169.[doi:10.3969/j.issn.1006-1959.2023.03.037]
[12]胡 微,郑文丽.针对性护理对改善肺癌患者化疗后胃肠道不良反应的效果[J].医学信息,2023,36(04):156.[doi:10.3969/j.issn.1006-1959.2023.04.033]
 HU Wei,ZHENG Wen-li.Effect of Targeted Nursing on Improving Gastrointestinal Adverse Reactions After Chemotherapy in Patients With Lung Cancer[J].Journal of Medical Information,2023,36(13):156.[doi:10.3969/j.issn.1006-1959.2023.04.033]

更新日期/Last Update: 1900-01-01