梅金连 施雪霏 姚萍丽

[摘要] 目的 探討焦点解决护理干预于非小细胞肺癌化疗患者中应用，对其心理痛苦与压力应对的正向影响。 方法 选取2018年1月至2020年1月收治的156例非小细胞肺癌化疗患者，据随机数字抽取法进行组别划分，分别为对照组（n=78，常规护理）、观察组（n=78，焦点解决护理），就两者心理痛苦（DT）计分、压力应对方式、癌因性疲乏（PFS）测评分值展开比较。 结果 未行护理前，组间DT计分趋于相当水平，差异无统计学意义（P>0.05），予以护理后再行观测，观察组数据同比护理前、对照组处于更低水平，差异有统计学意义（P<0.05）。观察组应对方式更多为情感、支持、面对、乐观，差异有统计学意义（P<0.05）。在未予护理前，两组间PFS测评所得分值比较，差异无统计学意义（P>0.05），经各自护理，均处于下降趋势，且观察组下降幅度同比对照组更大，差异有统计学意义（P<0.05）。 结论 将焦点解决护理干预模式应用于接受化疗方案施治的非小细胞肺癌病患群体，可对其癌因性疲乏症状予以改善，并对心理痛苦程度予以良好调节，同时促使采取积极、正向的压力应对方式。

[关键词] 焦点解决护理干预;非小细胞肺癌;化疗;压力应对;心理痛苦

[中图分类号] R473.33          [文献标识码] B          [文章编号] 1673-9701（2021）36-0176-04

Study on the impact of focus-based nursing intervention on the psychological distress and stress coping of patients undergoing chemotherapy for non-small cell lung cancer

MEI Jinlian   SHI Xuefei   YAO Pingli

Department of Respiratory and Critical Care Medicine， Huzhou Central Hospital， Affiliated Hospital of Huzhou Normal University， Huzhou   313000， China

[Abstract] Objective To explore the positive impact of focus-based nursing intervention on their psychological distress and stress coping in the patients undergoing chemotherapy for non-small cell lung cancer. Methods A total of 156 patients undergoing chemotherapy for non-small cell lung cancer were selected， and the treatment was between January 2018 and January 2020. According to the drawing method by random numbers， the patients were divided into groups， control group （n=78， routine nursing） and observation group （n=78， focus-based nursing intervention）. The scores of the psychological distress， stress coping methods， and cancer-induced fatigue scale were compared. Results Before nursing， the DT scores between groups tended to be equivalent， there was no statistically significant difference （P>0.05）. After nursing care， the observation was performed again. The data in the observation group was at a lower level than that before nursing and that in the control group，the difference was statistically significant （P<0.05）. The coping styles in the observation group were more of emotional encouragement， support， facing up the problems， and acting optimistic， and the differences were statistically significant （P<0.05）. Before nursing， there was no significant difference between the two groups in the scores of PFS test （P>0.05）. After their respective care， the scores were all in a downward trend， and the decline in the observation group was greater than that in the control group. The difference was statistically significant （P<0.05）. Conclusion The focus-based nursing intervention model is actively applied in the clinical treatment of non-small cell lung cancer patients undergoing chemotherapy， which can significantly improve the symptoms of cancer-related fatigue， and make good adjustments to the degree of psychological distress， and at the same time promote the adoption of optimistic and positive styles of pressure coping.

[Key words] Focus-based nursing intervention; Non-small cell lung cancer; Chemotherapy; Stress coping; Psychological distress

肺癌屬一类对人体健康、生命存在最大威胁的恶性肿瘤，在我国其死亡率远超癌症死因20%，而非小细胞肺癌为其中最常见类型[1]。针对非小细胞肺癌，化疗为其根治或姑息性治疗的重要全身性辅助治疗办法，在病情控制、缓解方面有突出表现。……