文章摘要
王凤云,贺军,周兰兰,孔凡良.强化心理干预对老年白血病患者治疗依从性的影响[J].中国临床保健杂志,2019,22(4):454-458.
强化心理干预对老年白血病患者治疗依从性的影响
Influence of strengthened psychological intervention in the treatment compliance for elderly leukemia patients
投稿时间:2019-02-12  
DOI:10.3969/J.issn.1672-6790.2019.04.007
中文关键词: 白血病  心理疗法  治疗依从性  病人满意度  老年人
英文关键词: Leukemia  Psychotherapy  Treatment adherence and compliance  Patient satisfaction  Aged 〖FL
基金项目:
作者单位E-mail
王凤云 安徽合肥市第二人民医院血液肿瘤内科,合肥230011 764385086@qq.com 
贺军 安徽合肥市第二人民医院神经内科,合肥230011  
周兰兰 安徽合肥市第二人民医院血液肿瘤内科,合肥230011  
孔凡良 安徽合肥市第二人民医院血液肿瘤内科,合肥230011  
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中文摘要:
      目的 探讨强化心理干预对老年白血病患者治疗依从性的影响。 方法 选取85例白血病患者,按照随机数字表法将其分为对照组与研究组,对照组42例接受临床常规护理,研究组43例在对照组的护理基础上强化心理干预,对比两组患者干预前后治疗依从性、应对方式以及心理状态评分,并调查两组患者对其所接受的护理满意度评价。 结果 干预前两组患者治疗依从性对比差异无统计学意义(P>0.05);干预后研究组治疗依从性明显高于对照组,差异有统计学意义(P<0.05);干预前两组患者应对方式评分比较,差异无统计学意义(P>0.05),干预后研究组患者面对维度评分明显高于对照组,回避与屈服维度评分明显低于对照组,差异有统计学意义(P<0.05);干预前两组患者SCL-90评分中所选指标对比差异无统计学意义(P>0.05);干预后研究组躯体化、人际关系敏感、抑郁、焦虑、敌对、恐怖等项目评分均明显低于对照组,差异有统计学意义(P<0.05);研究组患者护理满意度明显高于对照组,差异有统计学意义(P<0.05)。 结论 强化心理干预的实施可有效提高老年白血病患者治疗依从性,促使患者选择积极的应对方式,进而改善心理状态,提高护理满意度。
英文摘要:
      Objective To study the influence of strengthened psychological intervention in the treatment compliance for elderly leukemia patients. Methods The clinical data about 85 leukemia patients treated was enrolled.Patients were randomly assigned to control group (n=42) and study group (n=43).Patients were served as conventional nursing or conventional nursing plus strengthened psychological intervention,respectively.The treatment compliance,copying style,psychological state scores as well as nursing satisfaction were evaluated. Results Before intervention,the treatment compliance for two groups were not significantly different (P>0.05);after intervention,the treatment compliance in the study group was higher than that of control group (P<0.05);before intervention,the coping style scores for two groups were not significantly different (P>0.05);after intervention,the facing scores in the study group were higher than control group;the withdrawal and yield scores in the study group were lower than control group (P<0.05);before intervention,the SCL-90 (SymptomChecklist90) scores for two groups were not significantly different(P>0.05);after intervention,the scores of somatic symptoms,interpersonal sensitivity,depression,anxiety,hostility and terror in the study group were lower than control group (P<0.05);the nursing satisfaction in the study group was higher than control group (P<0.05). Conclusion The strengthened psychological intervention can increase the treatment compliance,promote the selection of positive coping styles,and improve the psychological state and nursing satisfaction.
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