协同家属干预模式对肝癌患者负性情绪及自我效能的影响

Effect of cooperative family intervention mode on negative emotion and selfefficacy of patients with liver cancer

目的探讨协同家属干预模式对肝癌患者负性情绪及自我效能的影响。方法将125例肝癌患者按治疗期间干预方式不同分为对照组(常规干预模式,n=60)和观察组(协同家属干预模式,n=65)。干预前后,分别采用Herth希望量表(HHI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我效能感量表及生活质量(QOL)量表对患者希望水平、负性情绪、自我效能及生活质量进行评价,并统计两组患者干预期间的不良反应发生情况。结果干预后,观察组患者HHI量表[对现实和未来的积极态度(T)、采取积极的行动(P)、与他人保持亲密的关系(I)]、自我效能(自我概念、自我认知、自我执行能力、自我责任感)及QOL量表(心理领域、躯体领域、生活领域、社会领域)各维度评分均高于对照组,SAS及SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。两组患者干预期间不良反应发生率比较,差异无统计学意义(P﹥0.05)。结论协同家属干预模式不仅有助于提高肝癌患者希望水平,降低焦虑抑郁负性情绪,还能提高患者自我效能,改善生活质量。

Objective To explore the effect of cooperative family intervention mode on negative emotion and self-efficacy of patients with liver cancer.Method A total of 125 patients with liver cancer were divided into control group(routine intervention mode,n=60)and observation group(cooperative family intervention mode,n=65)based on different intervention modes.Before and after intervention,Herth hope index(HHI),self-rating anxiety scale(SAS),self-rating depression scale(SDS),self-management efficacy scale and quality of life scale(QOL)were used to evaluate the patients’hope level,negative emotion,self-efficacy and quality of life.The adverse reactions of the two groups during intervention period were counted.Result After intervention,the scores of HHI[positive attitude for present and future(T),taking positive action(P),maintaining close relationship with others(I)],self-management efficacy scale(self-concept management,self-cognition,self-execution ability,self-responsibility)and QOL scale(psychological domain,physical domain,life domain,social domain)in the observation group were higher than those in the control group(P<0.05).The scores of SAS and SDS were lower than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups during the intervention period(P>0.05).Conclusion The cooperative family intervention can not only improve the hope level of patients with liver cancer,reduce the negative emotion of anxiety and depression,but also improve the patients’self-efficacy and quality of life.