积极心理干预联合有氧运动对胃癌患者自我感受负担及社会适应能力的影响

Effects of Positive Psychological Intervention Combined with Aerobic Exercise on Self-perceived Burden and Social Adaptability in Patients with Gastric Cancer

目的:探讨积极心理干预联合有氧运动对胃癌患者自我感受负担及社会适应能力的影响。方法:选取2018年1月-2020年12月辽阳市中心医院肿瘤科收治的330例胃癌患者,按照随机数字表法将患者分成干预组和对照组,各165例。对照组给予常规护理模式,干预组在对照组的基础上辅以积极心理干预联合有氧运动。评估和对比两组患者癌因性疲乏、希望水平、自我感受负担、生活质量及社会适应能力。结果:干预后,两组患者行为、情感、躯体和认知等癌因性疲乏维度评分均明显降低,且干预组行为、情感、躯体和认知等癌因性疲乏维度评分均明显低于对照组(P<0.05);两组患者采取的积极行动、对现实与未来的积极态度和与他人保持亲密关系等希望水平维度评分均明显提高,且干预组患者采取的积极行动、对现实与未来的积极态度和与他人保持亲密关系等希望水平维度评分均明显高于对照组(P<0.05);两组患者生活质量各维度评分均明显提高,且干预组患者生活质量各维度评分均明显高于对照组(P<0.05);两组患者经济、身体和情感等自我感受负担维度评分均明显降低,且干预组患者经济、身体和情感等自我感受负担维度评分均明显低于对照组(P<0.05);两组患者焦虑和抑郁、自尊和自我接纳、态度、归属感、自我控制和自我效能等社会适应能力维度评分均明显提高,且干预组患者社会适应能力维度评分均明显高于对照组(P<0.05)。结论:积极心理干预联合有氧运动应用于胃癌患者,可有效降低癌因性疲乏,提高希望水平,改善生活质量,降低自我感受负担,增强社会适应能力,值得临床进一步研究并推广。

Objective:To explore the effects of positive psychological intervention combined with aerobic exercise on self-perceived burden and social adaptability in patients with gastric cancer.Method:A total of 330 patients with gastric cancer treated in the oncology department of Liaoyang Central Hospital from January 2018 to December 2020 were divided into intervention group (n=165) and control group (n=165) according to the random number table method.The control group was given routine nursing mode,and the intervention group was supplemented with positive psychological intervention combined with aerobic exercise on the basis of the control group.Cancer-related fatigue,hope level,self-perceived burden,quality of life and social adaptation were evaluated and compared between the two groups.Result:After intervention,the dimensions of cancer-related fatigue scores such as behavior,emotion,body and cognition in the two groups decreased significantly,and the dimensions of cancer-related fatigue scores such as behavior,emotion,body and cognition in the intervention group were significantly lower than those in the control group (P<0.05);the dimensions of of hope levels scores such as positive action,positive attitude towards reality and future and maintaining close relationship with others in the two groups were significantly improved,and those of the intervention group were significantly higher than those of the control group (P<0.05);the scores of all dimensions of quality of life in the two groups were significantly improved,and the scores of quality of life in the intervention group were significantly higher than those in the control group (P<0.05);the dimensions of economic,physical and emotional self-feeling burden scores in the two groups were significantly reduced,and the dimensions of economic,physical and emotional self-feeling burden scores in the intervention group were significantly lower than those in the control group (P<0.05);the dimensions of social adaptability scores such as anxiety and depression,self-esteem and self-acceptance,attitude,sense of belonging,self-control and self-efficacy were significantly improved in the two groups,and the dimensions of social adaptability scores in the intervention group were significantly higher than those in the control group (P<0.05).Conclusion:The application of positive psychological intervention combined with aerobic exercise in patients with gastric cancer can effectively reduce cancer fatigue,improve the hope level and the quality of life,reduce the burden of self-perception,and enhance social adaptability,which is worthy of further clinical research and promotion.