自我超越联合引导性想象音乐干预在肺癌患者护理中的应用

刘静慧; 戴红; 鲍莉莉; 卢海燕

doi:10.16766/j.cnki.issn.1674-4152.003900

自我超越联合引导性想象音乐干预在肺癌患者护理中的应用

doi: 10.16766/j.cnki.issn.1674-4152.003900

杭州市红十字会医院综合科，浙江杭州 310000

基金项目:

浙江省中医药科技计划项目 2024ZL698

详细信息

通讯作者:
戴红, E-mail: hiphong2008@163.com

中图分类号: R734.2 R473.73
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- 文章访问数: 7
- HTML全文浏览量: 6
- PDF下载量: 1
- 被引次数: 0
出版历程
- 收稿日期: 2024-05-30
- 网络出版日期: 2025-03-27

Application of self-transcendence and guided imaginative music intervention in the nursing care of lung cancer patients

General Department of Hangzhou Red Cross Hospital, Hangzhou, Zhejiang 310000, China

摘要

摘要: 目的构建自我超越联合引导性想象音乐干预方案，旨在提高肺癌患者的护理质量。方法采用计算机随机数分组法将2022年1月—2024年1月于杭州市红十字会医院诊治的101例肺癌患者分为对照组(50例)和观察组(51例)。对照组采用常规护理干预，观察组在对照组的基础上采用自我超越联合引导性想象音乐干预，比较2组负性情绪、希望水平、应对方式、肺功能锻炼依从性和肺功能。结果观察组护理后焦虑自评量表和抑郁自评量表评分均低于对照组(P＜0.05)，Herth希望量表评分均高于对照组(P＜0.05)，医学应对问卷中面对维度评分高于对照组(P＜0.05)，肺功能锻炼依从性均高于对照组(P＜0.05)。观察组护理后用力肺活量为(2.90±0.35)L，1 s用力肺活量占预测值百分比为79.09±4.66，呼气峰流速为(7.58±1.37)L/s，均高于对照组[(2.57±0.47)L、73.45±5.22、(6.90±1.24)L/s; F=19.091、16.782、15.681，均P < 0.001]。结论自我超越联合引导性想象音乐干预既可减轻肺癌患者的焦虑、抑郁情绪，提高希望水平，又能促使患者采取积极的应对方式，提高肺功能锻炼配合度，有助于肺功能的改善。
- 肺癌 /
- 自我超越 /
- 引导性想象音乐 /
- 希望水平 /
- 锻炼依从性 /
- 肺功能
Abstract: Objective To construct a self-transcendence joint guided imaginative music intervention scheme aimed at enhancing the nursing quality of lung cancer patients. Methods A total of 101 lung cancer patients diagnosed and treated in Hangzhou Red Cross Hospital from January 2022 to January 2024 were divided into a control group (50 cases) and an experimental group (51 cases) using computer random number grouping method. The control group received routine nursing intervention, while the experimental group received self-transcendence combined guided imaginative music intervention in addition to routine care. Negative emotion, hope level, coping style, lung function exercise compliance, and lung function were compared between the two groups. Results The scores of self-rating anxiety scale and self-rating depression scale in the experimental group were lower than those in the control group (P < 0.05).The score of Herth hope scale was higher than that of the control group (P < 0.05), as well as the "face" dimension score on the medical coping modes questionnaire (P < 0.05). Compliance of lung function exercises was higher than that of the control group (P < 0.05). Furthermore, the forced vital capacity [(2.90±0.35) L], percentage of forced vital capacity to predicted value in 1 second (79.09±4.66), and peak expiratory flow [(7.58±1.37) L/s] were higher than those of the control group [(2.57±0.47) L, 73.45±5.22, and (6.90±1.24) L/s; F=19.091, 16.782, 15.681, all P < 0.001]. Conclusion Self-transcendence combined guided imaginative music intervention effectively reduced anxiety and depression in patients with lung cancer, improves the level of hope, promotes positive coping styles, improves the degree of cooperation with lung function exercise, and contributes to better lung function.
- Lung cancer /
- Self-transcendence /
- Guided imaginative music /
- Hope level /
- Exercise compliance /
- Lung function

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表 1 2组肺癌患者一般资料比较

Table 1. Comparison of general data of lung cancer patients between the two groups

组别	例数	性别 (男/女, 例)	年龄 (x±s, 岁)	BMI (x±s)	受教育年限 (x±s, 年)	肺癌类型(腺癌/鳞癌/腺鳞癌，例)	KPS评分 (x±s, 分)
对照组	50	31/19	61.09±5.12	20.99±2.13	6.78±1.31	25/20/5	68.23±5.12
观察组	51	29/22	61.14±6.24	21.17±2.45	7.02±0.96	22/26/3	69.88±4.27
统计量		0.276^a	0.044^b	0.394^b	1.052^b	1.464^a	1.760^b
P值		0.599	0.965	0.695	0.296	0.481	0.082
注：^a为χ²值，^b为t值。

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表 2 2组肺癌患者护理前后SAS和SDS评分比较(x±s，分)

Table 2. Comparison of SAS and SDS scores before and after nursing between two groups of lung cancer patients(x±s, points)

组别	例数	SAS		SDS
组别	例数	护理前	护理后	护理前	护理后
对照组	50	55.34±3.21	50.11±3.12^b	54.11±4.12	51.23±4.17^b
观察组	51	55.60±4.76	40.66±5.23^b	54.02±3.67	48.23±5.22^b
统计量		0.322^a	11.000^c	0.116^a	13.187^c
P值		0.749	＜0.001	0.908	0.002
注：^a为t值，^c为F值; 与同组护理前比较，^bP＜0.05。

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表 3 2组肺癌患者护理前后HHI评分比较(x±s，分)

Table 3. Comparison of HHI score before and after nursing between two groups of lung cancer patients(x±s, points)

组别	例数	对现实和未来的积极态度		采取积极行动		与他人的亲密关系
组别	例数	护理前	护理后	护理前	护理后	护理前	护理后
对照组	50	10.21±2.31	10.56±2.77	11.02±2.44	11.47±2.54	10.08±2.36	10.37±2.31
观察组	51	10.07±2.45	12.41±3.23^b	11.24±2.76	12.56±2.51^b	10.17±2.45	12.59±2.48^b
统计量		0.295^a	13.087^c	0.424^a	12.169^c	0.188^a	14.653^c
P值		0.768	＜0.001	0.672	＜0.001	0.851	＜0.001
注：^a为t值，^c为F值; 与同组护理前比较，^bP＜0.05。

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表 4 2组肺癌患者护理前后MCMQ评分比较(x±s，分)

Table 4. Comparison of MCMQ score before and after nursing between two groups of lung cancer patients(x±s, points)

组别	例数	面对		屈服		回避
组别	例数	护理前	护理后	护理前	护理后	护理前	护理后
对照组	50	16.23±3.11	18.34±3.44^b	16.34±3.22	15.01±2.33^b	18.09±2.34	16.34±3.17^b
观察组	51	16.04±3.27	20.09±3.71^b	16.78±3.11	13.42±2.56^b	18.33±3.17	14.09±3.25^b
统计量		0.299^a	17.457^c	0.698^a	18.901^c	0.432^a	20.091^c
P值		0.766	＜0.001	0.487	＜0.001	0.667	＜0.001
注：^a为t值，^c为F值; 与同组护理前比较，^bP＜0.05。

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表 5 2组肺癌患者肺功能锻炼依从性比较(例)

Table 5. Comparison of adherence to lung function exercises between two groups of lung cancer patients (cases)

组别	例数	术后注意事项	主动寻求建议	肺功能锻炼
对照组	50	32	29	37
观察组	51	46	42	46
χ²值		9.852	7.171	4.522
P值		0.002	0.007	0.033

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表 6 2组肺癌患者护理前后肺功能比较(x±s)

Table 6. Comparison of lung function between two groups of lung cancer patients before and after nursing(x±s)

组别	例数	FVC(L)		FEV₁%		PEF(L/s)
组别	例数	护理前	护理后	护理前	护理后	护理前	护理后
对照组	50	2.06±0.21	2.57±0.47^b	67.34±5.23	73.45±5.22^b	5.86±0.45	6.90±1.24^b
观察组	51	2.11±0.34	2.90±0.35^b	67.90±7.22	79.09±4.66^b	5.90±1.11	7.58±1.37^b
统计量		0.887^a	19.091^c	0.446^a	16.782^c	0.236^a	15.681^c
P值		0.377	＜0.001	0.657	＜0.001	0.814	＜0.001
注：^a为t值，^c为F值; 与同组护理前比较，^bP＜0.05。

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