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目的探讨急性白血病化疗患者应对方式、自我效能状况及认知心理干预效果。方法选取急性白血病化疗患者82例,随机分为认知干预组42例和对照组40例;认知干预组在住院期间除常规护理外,同时进行认知干预,对照组进行常规护理;观察评定2组应对方式、一般自我效能感得分,比较干预效果。结果急性白血病化疗患者应对方式中的回避维度得分、屈服维度得分分别为(16.98±2.83)、(10.76±2.83)分,均高于常模,差异有统计学意义(P=0.000);面对维度得分与常模差异无统计学意义(P=0.802);一般自我效能感得分为(2.52±0.59)分,低于常模,差异有统计学意义(P=0.000);进行认知心理干预后,干预组面对维度得分、一般自我效能感得分提高,回避维度得分、屈服维度得分降低,差异均有统计学意义(均P<0.01)。结论认知心理干预可促进急性白血病化疗患者更多的采用积极应对方式,提高自我效能感,具有有效性和可行性。
Objective To investigate the coping style, self-efficacy and cognitive psychology of acute leukemia patients undergoing chemotherapy. Methods Eighty-two patients with acute leukemia and chemotherapy were randomly divided into cognitive intervention group (n = 42) and control group (n = 40). Cognitive intervention group was given cognitive intervention at the same time except routine nursing care while the control group received routine nursing care. Group 2 coping styles, general self-efficacy score, more intervention effect. Results The scores of avoidance and yield dimensions in patients with acute leukemia were (16.98 ± 2.83) and (10.76 ± 2.83) points, respectively, which were higher than those of the normotensive group (P = 0.000) (P = 0.802). The score of general self-efficacy was (2.52 ± 0.59) points lower than that of the norm, the difference was statistically significant (P = 0.000); cognitive psychology intervention After intervention, the intervention group faced with the dimension score, general self-efficacy score increased, avoidance dimension score, yield dimension score decreased, the differences were statistically significant (all P <0.01). Conclusion Cognitive psychological intervention can promote patients with acute leukemia more active coping styles, improve self-efficacy, with the effectiveness and feasibility.