中晚期肺癌手术患者负性情绪因素分析及跨理论模型干预的应用效果

Analysis of Negative Emotional Factors in Patients with Advanced Lung Cancer Surgery and the Application Effect of Interdisciplinary Model Intervention

目的：探讨中晚期肺癌手术患者负性情绪因素分析及跨理论模型干预的应用效果。方法：选取2015年10月-2016年10月我院76例中晚期肺癌手术患者作为研究组,选取同期60例健康体检者作为对照组,调查入选对象的负性情绪,并按跨理论模型指导进行护理干预,采取焦虑自评量表（SAS）、抑郁自评量表（SDS）对患者负性情绪变化进行评定。结果：研究组负性事件频数及刺激量、生活事件总频数及刺激量均高于对照组（t=23.030,22.489,11.009,9.690;P〈0.05）;而两组正性事件频数、正性事件刺激量比较差异无统计学意义;研究组焦虑、抑郁、躯体化、敌对、恐慌、偏执、人际关系敏感、精神病性等心理状况评分均高于对照组（t=17.123,19.487,18.528,23.791,13.847,19.083,14.969,14.877;P〈0.05）;研究组干预后SAS、SDS评分均低于对照组,差异有统计学意义（t=-55.110,-43.054;P〈0.05）。结论：在中晚期肺癌手术中,针对肺癌患者存在的负性情绪,开展以跨理论模型为指导的护理干预,可改善患者心理状态。

Objective：To explore the negative emotional factors in patients with advanced lung cancer surgery and the application effect of interdisciplinary model intervention.Methods：A total of 76 cases of patients with advanced lung cancer surgery in our hospital from October 2015 to October 2016 were selected as the study group,60 healthy subjects were selected as the control group.The negative emotions of the selected subjects were investigated and the nursing intervention was conducted according to the theoretical model.Self-rating anxiety scale（SAS）and SelfRating Depression Scale（SDS）were used to assess the negative mood changes.Results：The frequency of the negative events and the amount of stimulation,the total frequency of life events and the amount of stimulation were higher than those in the control group（t=23.030,22.489,11.009,9.690;P〉0.05）,while there was no significant difference between the two groups in the frequency of positive events and positive events（P〈0.05）.The scores of anxiety,depression,somatization,hostility,panic,paranoia,interpersonal sensitivity,psychosis and other psychological status were higher than those of the control group（t=17.123,19.487,18.528,23.791,13.847,19.083,14.969,14.877;P〈0.05）.The scores of SAS and SDS were significantly higher in the study group than that in the control group after intervention（t=-55.110,-43.054;P〈0.05）.Conclusion：In the operation of lung cancer in the middle and late stage,the nursing intervention on the lung cancer patients can improve the mental state of the patients.