认知-心理-社会支持干预对颅内肿瘤患者术后负性情绪、应对方式及生活质量的影响

Effect of cognitive-psychological-social support intervention on postoperative negative emotions,coping styles and quality of life in patients with intracranial tumor

目的探讨认知-心理-社会支持干预对颅内肿瘤患者术后负性情绪、应对方式及生活质量的影响。方法将158例颅内肿瘤患者依据术后干预方式不同分为观察组和对照组,每组79例。观察组采用认知-心理-社会支持方式进行干预,对照组采用常规方式进行干预。术后和术后4周,采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、应对方式量表(CSQ)、生活质量(QOL)量表评价两组患者负面情绪、应对方式和生活质量情况。结果术后4周两组患者HAMA、HAMD评分均降低,且观察组患者HAMA、HAMD评分均低于对照组,差异均有统计学意义(P<0.05)。术后4周两组患者解决问题、求助、合理化评分均升高,自责、幻想、退避评分均降低,且观察组患者解决问题、求助、合理化评分均高于对照组,自责、幻想、退避评分均低于对照组,差异均有统计学意义(P<0.05)。术后4周两组患者心理功能、躯体功能、生理功能、社会功能评分均升高,且观察组患者心理功能、躯体功能、生理功能、社会功能评分均高于对照组,差异均有统计学意义(P<0.05)。结论认知-心理-社会支持干预对颅内肿瘤患者术后负性情绪、应对方式及生活质量有较好的影响,值得临床广泛应用。

Objective To explore the effects of cognitive-psychological-social support intervention on postoperative negative emotions,coping styles and quality of life in patients with intracranial tumors.Method A total of 158 patients with intracranial tumor were included and divided into study group and control group according to different postoperative interventions administered,and each group was allocated with 79 cases.The study group was managed with cognitive-psychological-social support,and the control group was given conventional interventions.The Hamilton anxiety rating scale(HAMA),Hamilton depression rating scale(HAMD),coping style scale(CSQ) and quality of life(QOL)scales were used to assess the postoperative negative emotions,coping styles and quality of life in the two groups.Result At 4 weeks after surgery,the HAMA and HAMD scores were decreased in both groups,and those in study group were significantly lower compared to control group(P<0.05).The problem solving,seeking help,rationalizing scores increased,while self-blame,illusion,and avoidance scores decreased in the two groups at 4 weeks post surgery,besides,the changes observed in study group were significantly greater compared to control group(P<0.05).The psychological,physical,physiological,and social functions were improved as evidenced by higher scores,with greater change from baseline noted in study group versus control group(P<0.05).Conclusion Cognitive-psychological-social support intervention exerts positive influences on the postoperative negative emotions,coping style and quality of life in patients with intracranial tumors,and it is worthy of clinical application.