主体双元一体化干预模式对大肠癌患者术后疾病认知、情感寄托及生活质量的影响

Effects of the subject and intervention mode of the main body and its integration,emotional support and quality of life in patients with colorectal cancer after surgery

目的探讨主体双元一体化干预模式在大肠癌患者术后中的应用,同时观察其对疾病认知、情感寄托及生活质量的影响。方法选取2018年3月—2020年3月首都医科大学附属北京世纪坛医院收治的大肠癌80例为研究对象,采用随机数字表法分为对照组及观察组,各40例,对照组给予常规术后干预,观察组在对照组基础上实施主体双元一体化干预模式,比较两组干预后疾病认知、情感寄托及生活质量。结果观察组各项目认知程度的疾病认知合格率均高于对照组,差异有统计学意义(P<0.05)。两组干预后希望患者比例高于干预前,观察组个人信念患者比例高于干预前,观察组干预后希望、个人信念患者比例高于对照组,无情感寄托患者比例低于对照组,差异有统计学意义(P<0.05)。干预后两组躯体功能、角色功能、情绪功能、认知功能、社会功能以及疲乏评分均高于干预前,且观察组均高于对照组,差异有统计学意义(P<0.05)。结论主体双元一体化干预模式在大肠癌患者中应用后能够明显提高其对疾病正确认知的态度,并树立了更高的情感寄托,从而获得更好的生活质量。

Objective To explore the application of the subject and intervention mode of the main body and its integration in patients with colorectal cancer after surgery,and to observe its effects on disease cognition,emotional support and quality of life.Methods Eighty cases of colorectal cancer admitted to Beijing Shijitan Hospital,Capital Medical University from March 2018 to March 2020 were selected as the research subjects,they were divided into control group and observation group by random number table method,with 40 cases in each group.The control group was given routine postoperative intervention,and the observation group was given the subject and intervention mode of the main body and its integration on the basis of the control group,the cognition of disease,emotional sustenance and quality of life were compared between the two groups.Results The qualification rate of disease cognition of each item in the observation group was higher than that in the control group,with statistical significance(P<0.05).The proportion of patients with hope after intervention was higher in the two groups than before intervention,the proportion of patients with personal belief in the observation group was higher than before intervention,and the proportion of patients with hope,personal belief in the observation group was higher than that in the control group after intervention,the proportion of patients with no emotional suppont was lower than that in the control group,with statistical significances(P<0.05).After intervention,the physical function,role function,emotional function,cognitive function,social function and fatigue scores in the two groups were higher than those before intervention,and all scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The subject and intervention mode of the main body and its integration in patients with colorectal cancer can significantly improve their correct attitude towards the disease,and set up a higher emotional support,so as to obtain a better quality of life.