中晚期食管癌患者运用罗森塔尔效应干预的效果

Effects of Rosenthal effect intervention on patients with advanced esophageal cancer

目的:研究罗森塔尔效应干预对中晚期食管癌(EC)患者希望水平及自我感受负担(SPB)的影响。方法:选取2017年2月至2019年2月某院收治的中晚期EC患者146例进行前瞻性研究,按照住院号采用随机数字表法均分为两组各73例,其中对照组接受常规健康教育和心理支持,观察组采用罗森塔尔效应干预,时间均为3个月,比较两组干预效果。结果:干预后,观察组希望水平高于对照组(t=5.519,P<0.05),SPB水平低于对照组(t=-4.212,P<0.05);观察组SAS和SDS评分低于对照组(t=-2.925,-3.149;P<0.05);观察组自我概念、自我责任感、自护技能评分及总分高于对照组(t=4.504,3.343,4.583,2.287;P<0.05);观察组躯体功能、情绪功能、社会功能评分高于对照组(t=3.016,1.984,2.156;P<0.05)。结论:罗森塔尔效应干预可有效提升中晚期EC患者希望水平,降低SPB水平,从而改善患者心理状态,增加治疗依从性,提升生活质量。

Objective:To study the effects of Rosenthal effect intervention on hope level and self-perceived burden(SPB)in patients with advanced esophageal cancer(EC).Methods:A prospective study was performed on 146patients with advanced EC who were admitted to our hospital from February 2017to February 2019.According to the hospitalization number,patients were evenly divided into two groups according to the random number table method,with 73cases in each group.Control group was given routine health education and psychological support,and observation group was treated with Rosenthal effect intervention,and they were treated for 3months.The intervention effects were compared between two groups.Results:After intervention,the hope level(t=5.519,P<0.05)in observation group was higher than that in control group while the SPB level(t=-4.212,P<0.05)was lower than that in control group.The scores of SAS(t=-2.925,P<0.05)and SDS(t=-3.149,P<0.05)in observation group were lower than those in control group.The scores of self-concept,self-responsibility,self-care skills and total score(t=4.504,3.343,4.583,2.287;P<0.05)in observation group were higher than those in control group.The scores of physical function,emotional function and social function(t=3.016,1.984,2.156;P<0.05)in observation group were higher than those in control group.Conclusion:Rosenthal effect intervention can effectively improve the hope level and reduce the SPB level of patients with advanced EC,thus improving the psychological status,increasing treatment compliance and improving the quality of life.