基于积极心理学理论的心理干预对膀胱癌根治术患者消极情绪、希望水平的影响

Effects of psychological nursing based on positive psychology theory on the negative emotion and hope level of patients undergoing bladder cancer radical operation

目的探讨基于积极心理学理论下对膀胱癌根治术患者开展心理护理,对改善患者消极情绪、提高希望水平和生活质量的作用。方法选取2019年1月至2020年6月收治并行根治术治疗的膀胱癌患者88例为研究对象,将其按随机数字表法分为对照组和研究组,每组44例。其中对照组患者按照常规方法进行护理,研究组患者则在常规基础上,以积极心理学理论为指导,加强对患者心理护理。在干预前、干预1个月后,分别采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对患者消极情绪进行评估;采用慢性疾病病耻感量表-8(SSCI-8)对患者病耻感进行评估;采用希望量表(Herth)对患者希望水平进行评估;同时采用采用健康调查简表-36(SF-36)评估患者生活质量水平变化情况。结果干预1个月后,2组消极情绪比较,研究组SAS、SDS评分低于对照组(P<0.05);病耻感比较,研究组SSCI-8评分低于对照组(P<0.05);希望水平比较,研究组Herth评分高于对照组(P<0.05);生活质量比较,研究组患者SF-36各项评分高于对照组(P<0.05)。结论基于积极心理学理论下对膀胱癌根治术患者开展心理护理,对缓解患者消极情绪、减轻病耻感、提升患者对生存的希望水平和改善患者生活质量,效果显著。

Objective To investigate the effects of psychological nursing based on positive psychology theory on the negative emotion and hope level of patients undergoing bladder cancer radical operation.Methods A total of 88 patients with bladder cancer who were treated by bladder cancer radical operation in our hospital from January 2019 to June 2020 were enrolled in the study,who were randomly divided into control group and research group,with 44 cases in each group.The patients in control group were treated by conventional nursing,however,those in research group,on the basis of control group,were treated by psychological nursing based on positive psychology theory.The Self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS)were used to evaluate the negative emotions of patients before intervention and at 1 month after interventionand.Chronic disease Stigma scale-8(SSCI-8)was used to evaluate the patients’stigma,and Hope scale(Herth)was used to evaluate the hope level of patients.Moreover the changes of life quality were assessed by using the health survey Brief Form-36(SF-36).Results After 1-month intervention,the scores of SAS and SDS as well as SSCI-8 scores in research group were significantly lower than those in control group(P<0.05),however,the Herth scores in research group were significantly higher than those in control group(P<0.05).Moreover SF-36 scores in research group were significantly higher than those in control group(P<0.05).Conclusion The psychological nursing for the patients undergoing bladder cancer radical operation can alleviate the negative emotions and sense of shame of patients,improve the hope levels and life quality of patients.