心理弹性训练联合问题导向干预对卵巢癌患者心理状态和生活质量的临床研究

A clinical study of psychological training and problem oriented intervention on psychological status and quality of life in patients with ovarian cancer

目的探讨心理弹性训练联合问题导向干预对卵巢癌患者心理状态和生活质量的影响观察。方法选取我院2014年4月~2016年12月期间收治的80例卵巢癌患者作为研究对象,按照随机数字表的方法分为观察组(n=40)和对照组(n=40),两组患者均实施针对性治疗和常规护理,观察组于此基础上再加以开展心理弹性训练联合问题导向干预。采用抑郁自评量表(SDS)和焦虑自评量表(SAS)评定两组患者的心理状态,并采用成人心理弹性量表(RSA)分别对两组患者干预前后的心理弹性进行评估,同时比较两组患者的自我护理能力测定量表(ESCA)和生活质量量表(SF-36)。结果经比较,干预后,观察组患者的SDS和SAS评分明显低于对照组和干预前,差异显著(P<0.05);干预前,两组患者的RSA量表评分无显著性差异(P>0.05),干预后,两组患者的评分均有了一定程度的提高,但是观察组患者明显优于对照组(P<0.05);此外,观察组患者的ESCA和SF-36量表评分亦更优于对照组,差异显著(P<0.05)。结论心理弹性训练联合问题导向干预可以有助于提升卵巢癌患者的心理弹性,降低患者的负性情绪,且促进了患者的自我护理能力和生活质量,因而值得推广。

Objective To investigate the effect of psychological training combined with problem-based intervention on the psychological status and quality of life in patients with ovarian cancer. Methods 80 cases of ovarian cancer patients in our hospital from January 2014 to January 2015 were collected and were divided into observation group（n=40）and control group（n=40）according to the random number table method. Both groups were given specific treatment and routine nursing,the observation group were also given resilience the training combined with the problem oriented intervention. Self rating Depression Scale（SDS）and self rating Anxiety Scale（SAS）were used to assess the mental status of the two groups of patients,and the Resilience Scale for adults（RSA）were used to assess the resilience on the two groups of patients before and after intervention. and the self nursing ability of patients in two groups were compared for determination of scale（ESCA）and the quality of life scale（SF-36）. Results The SDS and SAS score of the intervention group were significantly lower than that of the control group and before intervention（P〈0.05）;before the intervention,RSA scale score were not different between the the two groups（P〈0.05）;after the intervention,the two groups of patients were improved to some extent however,the patients in the observation group were significantly better than the control group（P〈0.05）;in addition,the observation group of patients with ESCA and SF-36 scores were more than the control group,the difference was significant（P〈0.05）. Conclusion The resilience training combined with problem oriented intervention can help to improve the resilience of the ovarian cancer patients,reduce the negative emotion of patients,and promote self care ability and quality of life of the patients,and is worthy of promotion.