基于收益-损失框架的护理策略联合芳香疗法在肺癌患者中的应用效果研究OA
Study on the application effect of coping strategies based on gains-loss framework and aromatherapy in lung cancer pa-tients
目的 探讨基于收益-损失框架的护理策略联合芳香疗法对肺癌患者习得性无助、情绪状态、健康坚韧性及生活质量的影响.方法 选取2024年3月至2025年3月云南省第一人民医院收治的72例肺癌患者为研究对象,按楼层分为试验组和对照组,每组36例,对照组实施呼吸科常规护理,试验组在常规护理基础上采取基于收益-损失框架的护理策略联合芳香疗法进行心理干预,比较两组患者干预后的习得性无助、情绪状态、健康坚韧性及生活质量方面的评分差异.结果 在干预12周、24周后,试验组患者习得性无助量表(LHS)评分、简式心境量表(POMS-SF)评估均显著低于对照组,差异有统计学意义(P<0.05);试验组患者健康坚韧性量表(HRHS)评分、生存质量评估量表(FACT-L)评分均显著高于对照组,差异具有统计学意义(P<0.05).结论 基于收益-损失框架的护理策略联合芳香疗法对肺癌患者进行心理干预,能有效降低患者习得性无助感,缓解其不良情绪,提升健康坚韧性,从而进一步改善其生活质量.
Objective To investigate the effects of coping strategies based on the gain-loss framework combined with aromathera-py on learned helplessness,emotional states,health resilience,and quality of life in lung cancer patients.Methods A total of 72 lung cancer patients admitted to the Yunnan Provincial First People's Hospital from March 2024 to March 2025 were selected as stud-y subjects and divided into an experimental group and a control group by floor,with 36 cases in each group.The control group re-ceived routine respiratory care,while the experimental group received psychological intervention combining coping strategies based on the gain-loss framework and aromatherapy.The differences in scores of learned helplessness,emotional states,health resilience,and quality of life were compared between the two groups after intervention.Results At 12 weeks and 24 weeks post-intervention,the scores of the Learned Helplessness Scale(LHS)and the Simplified Profile of Mood States(POMS-SF)in the experimental group were significantly lower than those in the control group,with statistically significant differences(P<0.05).The scores of the Health Resilience Scale(HRHS)and the Functional Assessment of Cancer Therapy-Lung(FACT-L)in the experimental group were signif-icantly higher than those in the control group,with statistically significant differences(P<0.05).Conclusion The combined use of coping strategies based on the gain-loss framework and aromatherapy in psychological intervention for lung cancer patients can effec-tively reduce learned helplessness,alleviate negative emotions,enhance health resilience,and thereby further improve their quality of life.
伏思瑞;李玥璐;邓小丽;李国英;陈雪梦;董薇
云南省第一人民医院呼吸与危重症医学科 650034云南省第一人民医院呼吸与危重症医学科 650034云南省第一人民医院呼吸与危重症医学科 650034云南省第一人民医院呼吸与危重症医学科 650034云南省第一人民医院呼吸与危重症医学科 650034云南省第一人民医院呼吸与危重症医学科 650034
收益-损失框架芳香疗法肺癌习得性无助情绪状态健康坚韧性生活质量延续护理
gain-loss framingaromatherapylung cancerlearned helplessnessemotional statehealth resiliencequality of lifecontinuing care
《中国老年保健医学》 2026 (2)
35-42,8
云南省第一人民医院临床医学研究中心基金资助项目(编号:2023YJZX-HX09、2024YNLCYXZX0087、2024YNLCYXZX0098)
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