Effects of behavioral intervention on negative emotions and coping styles of NTM patients with pulmonary disease under the guidance of Snyder’s Hope theory

doi:10.19983/j.issn.2096-8493.20220059

Abstract

Abstract:

Objective: To explore the effects of behavioral intervention under the guidance of Snyder’s Hope theory on negative emotions and coping styles of patients with non-tuberculous mycobacterial (NTM) pulmonary disease. Methods: Seventy-five patients with NTM pulmonary disease admitted to Wuhan Pulmonary Hospital from January to June 2021 were selected as the control group,75 patients with NTM pulmonary disease from July to December 2021 were selected as the observation group. The former were given routine nursing, while the latter were given behavioral intervention under the guidance of Snyder’s Hope theory on the basis of routine nursing. Through the Resilience Scale Simplified (CD-RISC10), Herth Hope Inventory (HHI), Medical Coping Style Questionnaire (MCMQ), Morisky Medication Adherence Scale, as well as total lung capacity (TCL), forced vital capacity (FVC), the diffusing capacity of carbon monoxide (DLCO) were used to evaluate the negative emotions, coping styles (including three dimensions of face, avoidance, and yield), treatment compliance and pulmonary function changes in the two groups of patients after nursing. Results: In the observation group,the scores of Psychological Resilience Scale Simplified (CD-RISC10)(32.22±3.23), Herth Hope Inventory (HHI)(38.36±3.33), the post-nursing medical coping style questionnaire (MCMQ) in the face dimension score (28.84±2.23),the total lung capacity (TCL), force vital capacity (FVC), diffusing capacity of carbon monoxide (DLCO)((5.32±0.73) L, (4.24±0.75) L, (18.68±3.22) ml·min^-1·mmHg^-1) after nursing,were higher than the control group (26.28±3.37), (30.68±3.35), (21.23±2.25) points, (4.83±0.58) L, (3.28±0.53) L, (15.95±2.21) ml·min^-1·mmHg^-1 points (t=11.020, 14.081,20.804, 4.551, 9.053, 6.054, all P<0.001). The treatment compliance of the observation group (97.33% (73/75)) was higher than of the control group (88.00% (66/75)) (χ²=4.807, P=0.028).But the scores of avoidance dimension (15.24±1.25) and yield dimension (7.68±1.22) were lower than the control group (18.98±2.23) and (10.95±2.21) (t=12.680, 11.218, all P<0.001). Conclusion: Behavioral intervention guided by Snyder’s Hope theory can effectively improve the negative emotions and coping styles of NTM patients, and further improve their treatment compliance and lung function.

Key words: Behavior therapy, Intervention studies, Mycobacteria,atypical, Comparative study, Snyder’s theory of hope

CLC Number:

Lin Jing, Li Lan, Liu Ying. Effects of behavioral intervention on negative emotions and coping styles of NTM patients with pulmonary disease under the guidance of Snyder’s Hope theory[J]. Journal of Tuberculosis and Lung Disease , 2022, 3(4): 287-291. doi: 10.19983/j.issn.2096-8493.20220059

Figures/Tables 5

组别	男性[例 (构成比,%)]	女性[例 (构成比,%)]	年龄(岁, $x ¯$ ±s)	初治[例 (构成比,%)]	复治[例 (构成比,%)]	病程(年, $x ¯$ ±s)	住院时间 (d, $x ¯$ ±s)
组(75例)	40(53.3)	35(46.7)	44.50±8.78	53(70.7)	22(29.3)	6.27±1.54	7.00±1.32
对照组(75例)	39(52.0)	36(48.0)	44.12±8.76	52(69.3)	23(30.7)	6.25±1.56	6.80±1.34
统计检验值	χ²=0.027		t=0.265	χ²=0.032		t=0.079	t=0.921
P值	0.870		0.791	0.859		0.937	0.359

组别	CD-RISC10(分, $x ¯$ ±s)		t值	P值	HHI(分, $x ¯$ ±s)		t值	P值
	CD-RISC10(分, $x ¯$ ±s)				护理前	护理后
	护理前	护理后			护理前	护理后
观察组(75例)	19.57±2.47	32.22±3.23	26.942	<0.001	23.23±3.32	38.36±3.33	27.865	<0.001
对照组(75例)	19.56±2.45	26.28±3.37	13.968	<0.001	23.21±3.31	30.68±3.35	13.737	<0.001
t值	0.025	11.020	-	-	0.037	14.081	-	-
P值	0.980	<0.001	-	-	0.971	<0.001	-	-

组别	面对(分, $x ¯$ ±s)		t值	P值	回避(分, $x ¯$ ±s)		t值	P值	屈服(分, $x ¯$ ±s)		t值	P值
组别	护理前	护理后	t值	P值	护理前	护理后	t值	P值	护理前	护理后	t值	P值
观察组 (75例)	16.84± 2.33	28.84± 2.23	32.222	<0.001	23.87± 2.33	15.24± 1.25	28.266	<0.001	16.43± 2.35	7.68± 1.22	28.619	<0.001
对照组 (75例)	16.86± 2.32	21.23± 2.25	11.710	<0.001	23.86± 2.35	18.98± 2.23	13.045	<0.001	16.45± 2.33	10.95± 2.21	14.832	<0.001
t值	0.053	20.804	-	-	0.026	12.680	-	-	0.052	11.218	-	-
P值	0.958	<0.001	-	-	0.979	<0.001	-	-	0.958	<0.001	-	-

组别	TCL(L, $x ¯$ ±s)		t值	P值	FVC(L, $x ¯$ ±s)		t值	P值	DLCO(ml·min^-1· mmHg^-1, $x ¯$ ±s)		t值	P值
组别	护理前	护理后	t值	P值	护理前	护理后	t值	P值	护理前	护理后	t值	P值
观察组 (75例)	3.84± 0.63	5.32± 0.73	13.292	<0.001	2.97± 0.43	4.24± 0.75	12.722	<0.001	14.43± 2.35	18.68± 3.22	9.233	<0.001
对照组 (75例)	3.86± 0.62	4.83± 0.58	9.895	<0.001	2.96± 0.45	3.28± 0.53	3.985	<0.001	14.45± 2.33	15.95± 2.21	4.045	<0.001
t值	0.196	4.551	-	-	0.139	9.053	-	-	0.052	6.054	-	-
P值	0.845	<0.001	-	-	0.890	<0.001	-	-	0.958	<0.001	-	-

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组别	完全依从	部分依从	不依从	依从性
观察组(75例)	29(38.67)	44(58.67)	2(2.67)	73(97.33)
对照组(75例)	46(61.33)	20(26.67)	9(12.00)	66(88.00)
χ²值	7.707	15.698	4.807	4.807
P值	0.006	0.000	0.028	0.028