健康行为干预对肺癌化疗患者应对方式及希望水平的影响

目的 探讨健康行为干预对肺癌化疗患者应对方式及希望水平的影响.方法 将60例肺癌化疗患者随机分为干预组和对照组各30例.2组患者均接受手术、进行常规护理和健康教育,干预组患者从手术后第1周期化疗前接受健康行为干预,于第3周期化疗后测定2组患者应对方式及希望水平.结果 干预后,干预组与对照组相比,积极应对方式"面对"得分较高,消极应对方式"回避"、"屈服"得分低于对照组.除"与他人保持亲密的关系(I)"维度得分2组比较无显著差异外,总体希望水平及其余维度2组比较差异显著.结论 应用健康行为相关理论建立的肺癌化疗患者心理护理干预模式能增加肺癌化疗患者的积极应对方式,减少其消极应对方式,明显改善肺癌化疗患者的希望水平.

Influence of health behavior intervention on coping style and hope level in lung cancer patients undergoing chemotherapy

Objective To study the influence of health behavior intervention on coping style and hope level in lung cancer patients undergoing chemotherapy. Methods 60 lung cancer patients undergoing chemotherapy were divided into the intervention group and the control group with 30 patients in each group. Two groups all had an operation, carried on the normal nursing care and health education. After operation, the intervention group accepted health behavior intervention from the beginning of the first period chemotherapy. After the third period chemotherapy, coping style and hope level of the two groups were measured. Results After intervention, positive coping style "confrontation" had a higher score. Negative coping style such as obviation and acception got lower scores in the intervention group compared with the control group. In addition to "keep an intimate relation(I)",the rest dimensions of hope level showed significant differences as well. Conclusions Applying the related theories of health behavior to build up mental nursing intervention mode has a significant meaning on lung cancer patients undergoing chemotherapy. It can increase patients' positive coping style and reduce negative aspects. At the same time, hope levels of lung cancer patients also have an improvement.