Objective To explore the improvement effect of adaptation-system dual-model psychological nursing on psychological resilience and coping styles in elderly patients with lung cancer chemotherapy. Methods A total of 120 elderly patients with lung cancer chemotherapy from January 2020 to July 2022 were enrolled in the study. The patients were randomly divided into conventional group and dual-model group with 60 cases in each group. The patients received conventional nursing intervention and adaptation-system dual-model psychological nursing, respectively, for 3 months. The changes of psychological resilience [Connor-Davidson Resilience Scale (CD-RISC)], coping styles [Medical Coping Modes Questionnaire (MCMQ)], cancer-related fatigue [Cancer Fatigue Scale (CFS)], quality of life [Quality of Life Scale for Lung Cancer Patients (QLICP-LU)] and nursing satisfaction were analyzed using SPSS 25.0 software by t-test and χ2 test. Results After intervention, the scores of tenacity, strength and optimism of CD-RISC in the two groups were enhanced compared with those before intervention, and the scores in dual-model group were significantly higher than those in conventional group. After intervention, the score of confrontation dimension of MCMQ in the two groups were significantly increased while the scores of avoidance dimension and yielding dimension were significantly decreased, but there were significant differences between dual-model group and conventional group. After intervention, the scores of dimensions of body, emotion and cognition of CFS were significantly reduced in the two groups, and the dual-model group had significantly lower scores than those in conventional group. The scores of dimensions of QLICP-LU in both groups were significantly risen after intervention, and the scores in dual-model group were significantly higher than those in conventional group. During intervention, the satisfaction rate of nursing service in dual-model group was 95.00%, which was significantly higher than 83.33% in conventional group. Conclusion Adaptation-system dual-model psychological nursing can significantly enhance the psychological resilience of elderly patients with lung cancer chemotherapy, improve the coping styles, alleviate the adverse psychological emotions, and promote the quality of life and nursing job satisfaction.
Key words
lung cancer /
elderly patients with chemotherapy /
adaptation-system dual model /
psychological nursing /
improvement effect
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