聚焦解决模式的心理干预对直肠癌手术患者术后负性情绪及睡眠质量的影响

Effect of psychological intervention based on focused solution model on negative emotion and sleep quality of patients undergoing rectal cancer surgery

目的:探讨直肠癌患者应用基于聚焦解决模式的心理干预后对患者术后负性情绪及睡眠质量的影响。方法:选取2018年4月-2019年4月入院的90例直肠癌患者纳入对照组,采用常规模式干预,2019年5月-2020年4月入院的90例直肠癌患者纳入观察组,采用基于聚焦解决模式的心理干预,两组均为期干预8周。观察两组患者心理状态、自我负担、自我效能、睡眠质量、生命质量。结果:干预后观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分明显低于对照组(t=-4.528,-5.248;P<0.05),观察组自我心理负担感受量表(SPBS)评分明显低于对照组(t=-7.217,P<0.05),而自我效能量表(GSES)评分则明显高于对照组(t=6.809,P<0.05),观察组匹兹堡睡眠质量指数(PSQI)、Epworth嗜睡量表(ESS)评分明显低于对照组(t=-11.438,-5.291;P<0.05);观察组世界卫生组织生存质量测定量表简表(WHOQOL-BREF)中心理、生理、环境、社会关系维度评分明显高于对照组(t=3.153,3.870,11.367,6.247;P<0.05)。结论:直肠癌患者术后采用基于聚焦解决模式下的心理干预可以有效缓解患者的负性情绪,减轻患者的心理负担,改善睡眠质量,并有助于提升患者的生命质量。

Objective:To explore the effect of psychological intervention based on focused solution model on postoperative negative emotion and sleep quality of rectal cancer patients.Methods:A total of 90 patients with rectal cancer admitted to hospital from April 2018 to April 2019 were selected as control group,and routine intervention was adopted.A total of 90 patients with rectal cancer admitted to hospital from May 2019 to April 2020 were taken as observation group,and psychological intervention based on focused solution model was adopted.Both groups were intervened for 8 weeks.The mental state,self-burden,self-efficacy,sleep quality and life quality of patients in the two groups were observed.Results:After intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were significantly lower than those in the control group(t=-4.528,-5.248,P<0.05),and the scores of self-psychological burden feeling scale(SPBS)in the observation group were significantly lower than those in the control group(t=-7.217,P<0.05)The Pittsburgh Sleep Quality Index(PSQI)and Epworth Sleepiness Scale(ESS)scores in the observation group were significantly lower than those in the control group(t=-11.438,-5.291,P<0.05).The scores of psychological,physiological,environmental and social relations in WHOQOL-BREF in observation group were significantly higher than those in control group(t=3.153,3.870,11.367,6.247,P<0.05).Conclusion:Psychological intervention based on focused solution mode can effectively alleviate the negative emotions of patients with rectal cancer,reduce their psychological burden,improve their sleep quality and help to improve their quality of life.