基于心理复原模型的动机性访谈对原发性肝癌患者创伤后成长的影响

Effect of Motivational Interviewing based on Psychological Recovery Model on Post-traumatic Growth in Patients with Primary Liver Cancer

目的探讨基于心理复原模型的动机性访谈对原发性肝癌患者创伤后成长和焦虑、抑郁的影响。方法便利抽样法选取2020年9月—2021年5月的100例原发性肝癌患者,采用Excel Rand函数生成随机数字的方法分为对照组50例和观察组50例。对照组给予常规心理护理,观察组在对照组基础上给予基于心理复原模型的动机性访谈干预,评估2组患者在干预前、干预后1个月末、干预后3个月末的创伤后成长和焦虑、抑郁得分情况。结果干预前,2组患者创伤后成长各维度得分及总分、焦虑、抑郁得分比较,差异均无统计学意义(P>0.05);出院后1个月末及出院后3个月末,2组患者创伤后成长各维度得分及总分、焦虑、抑郁得分比较,差异有统计学意义(P<0.05);观察组的创伤后成长各维度得分及总分均高于对照组,差异有统计学意义(P<0.05);观察组的焦虑、抑郁得分均低于对照组,差异有统计学意义(P<0.05);不同时间点创伤后成长各维度得分及总分、焦虑、抑郁得分比较,差异有统计学意义(P<0.05),组别与时间存在交互效应(P<0.05)。结论基于心理复原模型的动机性访谈干预可有效提升肝癌患者创伤后成长水平、改善焦虑和抑郁情绪,从而提高其心理适应水平和生活质量。

Objective To explore the effects of motivational interviewing based on psychological recovery model on anxiety,depression and post-traumatic growth(PTG)in patients with primary liver cancer.Methods Convenient sampling method was used to select 100 patients with primary liver cancer from September 2020 to May 2021.And they were divided into control group(n=50)and observation group(n=50).The control group was given conventional psychological care and the observation group an additional motivational interviewing based on psychological recovery model.The score of PTG,anxiety and depression in the 2 groups before intervention,1 month and 3 months after discharge was compared.Results There was no statistically significant difference between the total score and the score of each dimension of PTG,and the score of anxiety and depression of the two groups before the intervention(P>0.05).There was statistically significant difference between the total score and the score of each dimension of PTG,and the score of anxiety and depression of the two groups 1 month and 3 months after intervention(P<0.05).The total score and the score of each dimension of PTG of the observation group were higher than those of the control group,indicating statistical significance(P<0.05).The score of anxiety and depression in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The difference was statistically significant(P<0.05)in terms of the total score,the score of each dimension of PTG and,anxiety and depression at different time points,and there was an interaction effect between group and time(P<0.05).Conclusion The motivational interviewing based on psychological recovery model can effectively enhance the level of PTG,improve the anxiety and depression in patients with hepatocellular carcinoma,and thus improve the level of psychological adaptation and quality of life.