行为动力干预对肝癌介入治疗患者心理行为矛盾及生活质量的影响

Effect of dynamic behavior intervention on the psychological contradiction and the quality of life maintenance in patients with liver cancer receiving interventional therapy

目的分析肝癌介入治疗患者的各种心理矛盾,探讨行为动力干预对肝癌介入治疗患者心理行为矛盾、医嘱依从性及生活质量的影响。方法将60例肝癌行介入治疗患者随机分成两组,观察组30例,对照组30例,对照组给予常规心理护理,包括心理安慰,认知干预,健康教育。观察组在此基础上给予行为动力干预,主要揭示患者的心理行为矛盾,纠正患者的认知行为失调,改变不良生活方式,促进健康行为。通过对患者出院1个月后的随访,比较两组患者医嘱依从性和生活质量{Sf-36}。结果观察组的遵医嘱行为明显增加,生活质量明显提高。结论对肝癌介入治疗患者在实施常规心理护理的基础上,进行行为动力干预,患者不仅获得了健康知识,平稳了情绪,更重要的是主动采取了有利健康的行为,纠正了认知和行为的不协调性,从而提高了患者生活质量。

[Abstract] Objective To analyze the various psychological contradictions of the patients with liver cancer who are receiving interventional therapy, and to discuss the effect of dynamic behavior intervention on the psychological contradiction, the compliance and the life quality of the patients. Methods A total of 60 patients with liver cancer were randomly divided into two groups： observation group （n = 30） and control group （n = 30）. Routine psychological nursing care, including psychological comfort, cognitive intervention and health education, was carried out in the control group. In addition to the routine psychological nursing care, dynamic behavior intervention was also carried out in the observation group in order to reveal the patient＇s psychological contradiction, correct the imbalance of cognitive behavior, change the harmful lifestyle and promote the healthy behavior. All the patients were followed up for one month. The quality of life and the compliance of the patients were compared between the two groups. Results The compliance of the patients in the observation group was much better than that in the control group, and the quality of life of patients in the observation group was significantly higher than that in the control group. Conclusion The performance of dynamic behavior intervention as well as routine psychological nursing care can give patients more health knowledge, calm their emotions, make the patients to develop healthy behavior and correct the imbalance of cognitive behavior, thus, to improve the patient＇s life quality. （J Intervent Radiol, 2014, 23： 172-t74）