目的 探讨发生预期性恶心、呕吐的患者在化疗期间的应对方式,通过ABC情绪管理,改善患者情绪状态及应对方式,为今后的心理护理给予指导.方法 以30名发生预期性恶心、呕吐患者为研究对象,运用焦虑、抑郁自评量表及简易应对问卷测量患者的情绪及应对方式,运用ABC情绪管理对预期性恶心、呕吐的患者进行干预,形式为集体培训与沙龙交流,内容包括化疗与情绪的关系、ABC情绪机制、有关疾病及化疗相关知识、应对不良情绪的技巧及不良情绪自我分析.结果 预期性恶心、呕吐的患者在情绪管理后焦虑、抑郁得分显著下降,恶心呕吐程度显著下降,应对方式在干预后,积极应对方式评分明显提高,差异有显著意义(P＜0.05).结论 ABC情绪管理有助于改良预期性呕吐患者的应对方式,改善患者的不良情绪,提高生活质量.%Objective To explore the coping strategies for patients with anticipated nausea and vomiting during chemotherapy, improve the emotional state of patients with the ABC emotional management, and guide future psychological care. Methods Thirty patients with anticipated nausea and vomiting were included in the study. Self - rating scale of anxiety and depression and questionnaire were employed to measure emotions and coping strategies of patients. The ABC emotional management was taken to intervene in patients with anticipated nausea and vomiting in forms of group training and salon which included the relationship between chemotherapy and emotions, ABC emotional mechanisms, disease - and chemotherapy — related knowledge, coping strategies for bad emotions, and self — analysis of bad emotions. Results After emotional management, the anxiety and depression score, and degree of nausea and vomiting of patients with anticipated nausea and vomiting were significantly decreased. After the intervention, the coping strategies were significantly improved and the difference was statistically significant (P<0.05). Conclusion ABC e-motional management is helpful to improve patients' coping strategies to deal with anticipated nausea and vomiting and bad emotions, and improve the quality of life.
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