心理干预对结直肠癌患者术后负性情绪、心理弹性及生活质量的影响

Influence of Psychological Intervention on Negative Emotion,Mental Resilience and Life Quality of Patients with Colorectal Cancer after Operation

目的:探讨心理干预对结直肠癌患者术后负性情绪、心理弹性及生活质量的影响。方法:选取本院2018年10月-2020年5月择期行根治术治疗的70例结直肠癌患者,按照随机数字表分为对照组和观察组,每组35例。两组均给予常规护理干预,观察组在此基础上进行心理干预。比较两组干预前后负性情绪[汉密尔顿焦虑、抑郁量表(HAMA和HAMD)]、心理弹性量表(CD-RISC)、Jalowies应对方式量表及生活质量核心量表(QLQ-C30)评分。结果:干预后,两组HAMA、HAMD评分与干预前相比均显著降低(P<0.05),观察组低于对照组(P<0.05)。干预后,两组CD-RISC量表坚韧、自强、乐观评分及总分均显著高于干预前(P<0.05),观察组CD-RISC量表评分均高于对照组(P<0.05)。干预后,两组Jalowies应对方式量表逃避、姑息、宿命、依靠自我评分均显著低于干预前,面对、乐观、情感宣泄、寻求支持评分均显著高于干预前(P<0.05),观察组Jalowies应对方式量表各项评分均优于对照组(P<0.05)。干预后,观察组QLQ-C30量表各维度评分均显著优于干预前,对照组躯体功能、情绪功能、疼痛、恶心呕吐症状评分显著优于干预前(P<0.05),观察组QLQ-C30量表各评分均显著优于对照组(P<0.05)。结论:心理干预可有效缓解结直肠癌患者术后负性情绪,提高患者的心理弹性及生活质量,干预效果确切。

Objective:To explore the influence of psychological intervention on negative emotion,mental resilience and life quality of patients with colorectal cancer after operation.Method:A total of 70 patients with colorectal cancer who underwent selective radical resection in our hospital from October 2018 to May 2020 were selected.According to random number table,they were divided into control group and observation group,with 35 cases in each group.Both groups were given conventional care,the observation group was given psychological intervention.The negative emotional[Hamilton anxiety and depression scale (HAMA and HAMD)],resilience scale (CD-RISC),Jalowies coping style scale and quality of life questionnaire-core 30 (QLQ-C30) scores were compared between the two groups before and after intervention.Result:After intervention,the HAMA and HAMD scores in both groups were significantly lower than those before intervention (P<0.05),the observation group was lower than the control group (P<0.05).After intervention,the resilience,self-improvement and optimism scores and total score of CD-RISC scale were significantly higher than those before intervention (P<0.05),the scores of CD-RISC in the observation group were higher than those in the control group (P<0.05).After intervention,the escape,tolerance,destiny and self-reliance scores of Jalowies coping style scale in the two groups were lower than those before intervention,the confronting,optimism,emotional catharsis and seeking for help scores were higher than those before intervention (P<0.05),the scores of Jalowies coping style scale in the observation group were better than those in the control group (P<0.05).After intervention,the scores of all dimensions of QLQ-C30 scale in the observation group were significantly better than those before intervention,and the scores of physical function,emotional function,pain,nausea and vomiting in the control group were significantly better than those before intervention (P<0.05),the scores of QLQ-C30 scale in the observation group were significantly better than those in the control group (P<0.05).Conclusion:Application of psychological intervention can effectively ease negative emotion in patients with colorectal cancer after operation and improve their mental resilience and life quality,the effect of intervention is definite.