Effects of intervention strategies based on self-transcendence theory on psychological distress and coping styles in patients with colorectal cancer undergoing chemotherapy
WEI Wenping1 XIE Bin2 ZHU Ping1
1.Department of General Surgery, Lu’an Hospital of Anhui Medical University, Anhui Province, Lu’an 237005, China;
2.Department of Oncology, Lu’an Hospital of Anhui Medical University, Anhui Province, Lu’an 237005, China
Abstract:Objective To explore the effect of intervention strategies based on self-transcendence theory on psychological distress and coping style of patients with colorectal cancer undergoing chemotherapy. Methods A total of 100 patients with colorectal cancer admitted to Lu’an Hospital of Anhui Medical University were divided into control group and observation group by random number table method, with 50 cases in each group. The control group was treated with routine nursing intervention, and the observation group was treated with the intervention strategies based on self-transcendence theory. Psychological distress, coping style, and quality of life were evaluated and compared between the two groups. Results After intervention, the scores of emotional burden, medical status, life regularity, and interpersonal relationship in the two groups were lower than before intervention, while those of the observation group were lower than those of the control group, and the differences were statistically significant (P<0.05). After intervention, the scores of facing, venting, fantasizing, avoiding and repressing, and yielding in two groups were higher than before intervention, while those of the observation group were higher than those of the control group, and the differences were statistically significant (P<0.05). After intervention, the physiological status, social and family status, emotional status, sleep status, and additional attention of two groups were higher than before intervention, while those of the observation group were higher than those of the control group, and the differences were statistically significant (P<0.05). There was no significant difference in nursing satisfaction between the two groups (P>0.05). Conclusion Self-transcendence theory has good nursing effect on patients with colorectal cancer, reducing the degree of psychological pain, improving coping style ability, quality of life, and nursing satisfaction.
韦文萍1 谢斌2 朱平1. 基于自我超越理论的干预策略对结直肠癌化疗患者心理痛苦及应对方式的影响[J]. 中国医药导报, 2023, 20(6): 161-164,176.
WEI Wenping1 XIE Bin2 ZHU Ping1. Effects of intervention strategies based on self-transcendence theory on psychological distress and coping styles in patients with colorectal cancer undergoing chemotherapy. 中国医药导报, 2023, 20(6): 161-164,176.
[1] Monahan KJ,Nicola B,Sunil D,et al. Guidelines for the management of hereditary colorectal cancer from the British Society of Gastroenterology [J]. Gut,2021,69(3):411-444.
[2] Marc VDW,Francies HE,Francis JM,et al. Prospective derivation of a living organoid biobank of colorectal cancer patients [J]. Cell,2020,161(4):933-945.
[3] 向文强,蔡国响.结直肠癌腹膜转移治疗的临床研究进展[J].中国肿瘤临床,2020,47(3):600-604.
[4] 陈智琴,宋海飞,高勇,等.聚二磷酸腺苷核糖聚合酶抑制剂在结直肠癌治疗中的研究进展[J].肿瘤研究与临床,2022,34(4):310-313.
[5] 冯道夫,章志翔.程序性细胞死亡蛋白配体1在结直肠癌免疫治疗中的研究进展[J].中国普通外科杂志,2020, 29(4):473-479.
[6] 董雪,张彦新,云红,等.支持性心理干预对结直肠癌术后辅助化疗患者心理状态的影响[J].中国医刊,2020,55(6):429-432.
[7] Sanger CB. Skilled nursing facility care after colorectal cancer surgery:A call for quality improvement efforts [J]. Am J Surg,2021,22(9):781-788.
[8] 宋秀兰,陈晓琦,郭桂兰.自我超越理论下的护理措施在宫颈癌化疗患者中的应用价值探究[J].长春中医药大学学报,2021,29(12):372-377.
[9] 国家消化系统疾病临床医学研究中心(上海),国家消化道早癌防治中心联盟,中华医学会消化内镜学分会,等.中国早期结直肠癌筛查流程专家共识意见(2019,上海)[J].中华消化内镜杂志,2019,36(10):709-719.
[10] 徐晓微,翟银平,张芳,等.结直肠癌化疗患者体力活动对自我感受负担的影响研究[J].中华全科医学,2021, 19(2):312-315.
[11] Moorey S,Frampton M,Greer S. The Cancer Coping Questionnaire:a self-rating scale for measuring the impact of adjuvant psychological therapy on coping behaviour [J]. Psycho-oncology,2003,12(4):331- 344.
[12] 王立馨,张郁,刘晓庆.家属参与式认知行为干预在结直肠癌患者术后化疗期间的护理效果[J].中国肿瘤临床与康复,2020,27(9):12-15.
[13] Burrows A,Humphrey S. A patient satisfaction survey of a nurse-led colorectal clinic [J]. Nurs Times,2006,102(35):31-33.
[14] 张林林,杨君.人性化护理联合延续性护理对直肠癌放化疗患者生活质量的影响[J].结直肠肛门外科,2021, 27(2):21-23.
[15] 李小林,张德雪,赵海燕,等.认知行为疗法对结直肠癌永久性肠造口患者创伤后成长的影响[J].安徽医学,2020, 41(2):91-94.
[16] 李翠玲,崔静.人性化护理联合延续性护理对直肠癌放化疗患者治疗依从性,毒副反应及生活质量的影响[J].贵州医药,2020,44(1):311-313.
[17] 王双双,陈鹏雷,袁若彦.基于自我超越理论的麻醉护理在老年结直肠癌根治术中的应用[J].长春中医药大学学报,2021,29(2):877-879.
[18] 陈建辉,赵德强,陈建清,等.鼻咽癌放疗患者自我超越水平及其影响因素分析[J].中国护理管理,2020,20(8):520-524.
[19] 李宏洁,张艳,张倍倍,等.自我超越理论在护理领域的应用进展[J].护理研究,2019,33(2):282-285.
[20] Khait AA,Sabo K,Shellman J. Analysis and Evaluation of Reed’s Theory of Self-Transcendence [J]. Res Theory Nurs Pract,2020,34(2):170-187.
[21] Naohiro S,Hiroyuki K,Yasunori A,et al. Exploration of coping styles in male patients with head and neck cancer [J]. Nagoya J Med Sci,2020,81(2):249-258.
[22] Ma MZ. Testing the parasite-stress theory of sociality based on the circular model of human value [J]. Pers Individ Dif,2021,168(8):110-117.
[23] 涂忠宇,孙敏敏,倪荣,等.健康信念模式团体效能干预对结直肠癌术后患者自我效能,遵医行为的影响[J].癌症进展,2021,19(21):2265-2268.
[24] 欧阳洋,刘安诺.自我超越理论护理干预对肺结核患者负面情绪和自我效能的影响[J].临床与病理杂志,2021, 41(8):1894-1899.
[25] 张雪艳.自我超越理论护理模式对肺癌患者希望水平、心理应激和疾病接受度的影响[J].中外医学研究,2022, 20(15):63-67.
[26] Harvin LA,Winter DM,Hoover EL,et al. A Faith-Based Intervention to Improve Hypertension Management [J] J Christ Nurs,2020,37(12):281-287.