萨提亚团体干预模式在老年肺癌根治术后患者中的应用

目的探讨萨提亚团体干预模式在老年肺癌根治术后患者中的应用效果。方法采用便利抽样法,选择2017年6月—2018年6月郑州大学第一附属医院收治的老年肺癌根治术患者82例为研究对象。随机分为观察组和对照组,每组各41例。对照组术后接受常规护理,观察组采用萨提亚团体干预模式。干预前后采用社会回避与苦恼量表(SADS)、Rosenberg自尊量表(RSES)和欧洲癌症研究所癌症患者生命质量测定量表(EORTC QLQ-C30)比较干预效果。结果干预后观察组患者SADS评分低于对照组,RSES评分高于对照组,差异均有统计学意义(P<0.05)。干预后观察组患者躯体功能、角色功能、情绪功能、社会功能、疲乏感、恶心呕吐、疼痛、呼吸困难、睡眠障碍、食欲丧失、便秘、腹泻、经济困难及整体生活质量评分均高于对照组,差异有统计学意义(P<0.05)。结论萨提亚团体干预模式用于老年肺癌根治术患者,有助于提高患者自尊,纠正不良情绪,改善生活质量,值得推广应用。

Application of Satir group intervention model in elderly lung cancer patients with radical resection

Objective To explore the effects of Satir group intervention model in elderly lung cancer patients with radical resection.Methods From June 2016 to June 2018,this study selected 82 elderly lung cancer patients with radical resection in the First Affiliated Hospital of Zhengzhou University as subjects by convenience sampling.All of patients were randomly divided into observation group and control group,41 cases in each group.Control group carried out routine postoperative nursing,while observation group adopted the Satir group intervention model.The effects were compared with the Social Avoidance and Distress Scale(SADS),Rosenberg Self-esteem Scale(RSES)and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-core(EORTC QLQ-C30)before and after intervention.Results After intervention,the score of SADS of patients in observation group was lower than that in control group;the score of RSES of patients in observation group was higher than that in control group;the differences were all statistical(P<0.05).After intervention,the scores of physical function,role function,emotional function,social function,fatigue,nausea and vomiting,pain,dyspnea,sleep disturbance,appetite loss,constipation,diarrhea,financial problem and the overall quality of life of patients in observation group were higher than those in control group with statistical differences(P<0.05).Conclusions Application of Satir group intervention model in elderly lung cancer patients with radical resection can enhance patients'self-esteem,correct negative emotions and improve quality of life which is worthy of being popularized and applied.