基于技能的压力管理在颅脑肿瘤患者中的应用效果

Application eff ect of skill-based stress management in patients with craniocerebral tumor

目的探讨基于技能的压力管理对颅脑肿瘤患者心理社会适应、应对策略与自我效能的影响。方法选取2018年1月—2021年9月医院收治的颅内肿瘤患者98例为研究对象,按照组间基本特征具有可比性的原则将其分为对照组与观察组,各49例。对照组实施常规护理,观察组实施基于技能的压力管理,观察比较两组患者应对方式、心理状态及自我效能的改善情况。结果干预后,观察组屈服、回避维度评分低于对照组,观察组面对维度评分高于对照组,差异有统计学意义(P<0.05)。干预后,观察组焦虑、抑郁、压力得分低于对照组,组间比较差异有统计学意义(P<0.05)。干预前,两组癌症自我效能感量表(SUPPH)、创伤后成长量表(PTGI)评分比较差异无统计学意义(P>0.05);干预后,观察组SUPPH、PTGI评分高于对照组,组间比较差异有统计学意义(P<0.05)。结论基于技能的压力管理能有效增强患者自我效能,改善其心理状态,减轻身心压力,提高应对策略,促进颅内肿瘤患者心理社会适应能力。

Objective To investigate the eff ects of skills-based stress management on psychosocial adaptation,coping strategies and self-effi cacy in patients with craniocerebral tumors was as the study subject.Methods A total of 98 patients with intracranial tumors admitted to the hospital from January 2018 to September 2021 were selected as the study objects,and they were divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 49 cases in each group.The control group was given routine nursing,and the observation group was given skill-based stress management to observe and compare the improvement of coping style,psychological state and self-effi cacy of the two groups.Results After the intervention,the yield and avoidance dimension scores of the observation group were lower than those of the control group,and the face dimension scores of the observation group were higher than those of the control group,and the diff erences were statistically signifi cant(P<0.05).After the intervention,the anxiety,depression and stress scores of the observation group were lower than those of the control group,and the diff erences between the groups were statistically signifi cant(P<0.05).Before intervention,there was no signifi cant diff erence in the strategies used by people to promote health(SUPPH)and posttraumatic growth inventory(PTGI)scores between the two groups(P>0.05).After the intervention,the SUPPH and PTGI scores of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The application of skill-based stress management can effectively enhance patients'self-efficacy,improve their psychological state,reduce physical and mental stress,improve coping strategies,and promote psychosocial adaptation in patients with intracranial tumors.