五行音乐联合积极心理学干预对肺癌患者癌因性疲乏、心理困扰和健康行为的影响

Effects of five-element music combined with positive psychology on cancer-related fatigue, psychological distress and health behaviors in patients with lung cancer

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(2)
作者
作者单位

安徽医科大学第一附属医院 ;

摘要
目的:探究五行音乐联合积极心理学干预对肺癌患者癌因性疲乏(CRF)、心理困扰和健康行为的影响。方法:选择2021年7月至2022年7月我院收治80例肺癌患者,按照随机数表法,分成观察组(n=40)和对照组(n=40)。对照组采用常规护理干预,观察组采用五行音乐联合积极心理学干预。比较两组服药依从性、不良反应、护理满意度,比较两组干预前、后Piper疲乏修订量表(PFS-R)、心理状态(SAS、SDS)及健康行为(KPS)。结果:干预后,观察组的依从率为95.00%,与对照组的80.00%比较,明显更高(P<0.05);干预后,两组的PFS-R量表各评分均低于干预前,且观察组中的认知、行为、躯体、情感评分分别为(4.09±0.86)分、(4.16±0.58)分、(4.11±0.79)分、(4.02±0.65)分,均低于对照组的(5.67±0.74)分、(6.23±0.72)分、(5.83±0.52)分、(5.24±0.49)分;两组的SAS及SDS评分均低于干预前,且观察组分别为(42.13±5.22)分、(45.39±5.06)分,均低于对照组的(47.56±4.82)分、(50.14±6.32)分(P<0.05);而两组KPS评分、护理满意度量表中护理质量、护理态度及情志护理评分均高于干预前,且观察组分别为(84.31±5.12)分、(18.63±1.04)分、(17.42±1.29)分、(18.01±0.82)分,均高于对照组的(79.63±5.47)分、(17.25±1.53)分、(16.49±1.72)分、(16.76±1.05)分(P<0.05);干预后,观察组的不良反应发生率为5.00%,与对照组的20.00%比较,明显更低(P<0.05)。结论:五行音乐联合积极心理学干预能够改善肺癌患者CRF情况,降低其心理困扰,提高健康行为,护理满意度更高。
Abstract
Objective: To investigate the influences of five-element music combined with positive psychology on cancer-related fatigue (CRF), psychological distress and health behaviors in patients with lung cancer. Methods: A total of 80 patients with lung cancer admitted the hospital were enrolled between July 2021 and July 2022. According to random number table method, they were divided into control group (n=40, routine nursing) observation group (n=40, five-element music + positive psychology intervention). The medication compliance, adverse reactions, nursing satisfaction, scores of Piper Fatigue Scale-Revised (PFS-R), psychological state (SAS, SDS) and health behaviors (KPS) in the two groups were compared before and after intervention. Results: After intervention, compliance rate was significantly higher in observation group than control group (95.00% vs 80.00%, P<0.05). After intervention, PFS-R scores in both groups were decreased, and scores of cognition, behaviors, body and emotions in observation group were (4.09±0.86) points, (4.16±0.58) points, (4.11±0.79) points and (4.02±0.65) points, lower than those in control group [(5.67±0.74) points, (6.23±0.72) points, (5.83±0.52) points, (5.24±0.49) points]. After intervention, SAS and SDS scores in both groups were decreased, and which were lower in observation group than control group [(42.13±5.22) points, (45.39±5.06) points vs (47.56±4.82) points, (50.14±6.32) points; P<0.05]. After intervention, scores of KPS and nursing satisfaction scale (nursing quality, nursing attitude, emotional nursing) in both groups were increased, which in observation group were (84.31±5.12) points, (18.63±1.04) points, (17.42±1.29) points and (18.01±0.82) points, higher than those in control group [(79.63±5.47) points, (17.25±1.53) points, (16.49±1.72) points, (16.76±1.05) points; P<0.05]. After intervention, incidence of adverse reactions was significantly lower in observation group than control group (5.00% vs 20.00%, P<0.05). Conclusion: Five-element music combined with positive psychology intervention can improve CRF, reduce psychological distress, improve health behaviors and nursing satisfaction in patients with lung cancer.
关键词
五行音乐;积极心理学;肺癌;癌因性疲乏;心理困扰;健康行为
KeyWord
Five-element music; Positive psychology; Lung cancer; Cancer-related fatigue; Psychological distress; Health behavior
基金项目
页码 653-657
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赵雪梅*. 五行音乐联合积极心理学干预对肺癌患者癌因性疲乏、心理困扰和健康行为的影响 [J]. 国际精神病学杂志. 2024; 51; (2). 653 - 657.

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