目的 探讨个体化综合干预模式对于肺部肿瘤患者陪护者的心理负担影响。方法 随机选取北京大学肿瘤医院胸外科2015-07至2016-07收治的肺部肿瘤患者陪护者172名,将陪护者按照是否进行综合干预分成两组,其中干预组为88名和对照组为84名,对于干预组陪护者进行为期3个月的个体综合干预,而对照组陪护者进行常规护理指导;分别在干预前、干预后 1个月及 3个月应用 Zarit 护理者负担量表(ZBI)、心理弹性量表(onnor-Davidson Resilience Scale ,CD-RISC)、自我效能量表(generalself-efficacy scale, GSES)分别评估陪护者的心理负担情况。结果 本研究根据两类陪护者负担。负荷评分对比干预组及对照组陪护者心理负担影响,在干预后1个月及 3个月,干预组的照顾负担总分26.51、24.51均低于对照组的36.92、37.41;干预组的坚韧维度、力量维度、乐观维度及心理弹性总分分别为55.91、32.59、23.09、10.85均高于对照组的54.78、29.25、19.17、9.39;干预后3个月,实验组自我效能量表评分与对照组相比,均低于对照组。差异有统计学意义(P<0.05)。结论 个体化综合干预可以降低肺部肿瘤患者陪护者的照顾负担,减轻肺部肿瘤患者陪护者的心理负荷,值得进一步完善及推广。
Abstract
Objective To study the effect of individualized integrated interventions on the psychological burden of caregivers for patients with lung cancers.Methods One hundred and seventy-two caregivers for patients with lung cancers who were treated between July 2015 and July 2016 in the Department of Thoracic Surgery at Cancer Hospital of Peking University were randomly selected and divided into intervention group (88) and control group (84). The intervention group received 3-months of individualized integrated interventions, while the control group was given routine care instructions. All the caregivers were assessed for psychological burden with Zarit caregiver burden interview (ABI), Connor-Davidson Resilience Scale (CD-RISC) and General Self-Efficacy Scale (GSES) before interventions, one month and 3 months after interventions, respectively. The burden scores of the two groups were compared.Results The burden scores of the intervention group(36.92、37.41) were lower than those of the control group(36.92、37.41) both one month and three months after interventions, while the scores of resilience, strength, optimism and psychological resilience were higher in the intervention group (55.91、32.59、23.09、10.85) than in the control group(54.78、29.25、19.17、9.39). Along with interventions, the intervention group had lower scores of self-efficacy. The difference between the two groups was significant (P<0.05).Conclusions Individualized integrated interventions can reduce the psychological burden of caregivers for lung cancers, and are worthy of clinical popularization.
关键词
综合干预 /
肺部肿瘤护理 /
心理负担 /
陪护者
Key words
integrated interventions /
lung cancers /
psychological burden /
caregivers
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