[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]
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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()
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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 cancer; Chemotherapy; Cognitive schema education model; Adverse symptoms; Perceived control; Cancer-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.

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更新日期/Last Update: 1900-01-01