基于THRIVE模型的动机性访谈对原发性肝癌患者创伤后成长及生活质量的影响

Impact of motivational interviewing based on THRIVE model on post-traumatic growth and survival quality in patients with primary liver cancer

目的探讨基于THRIVE模型的动机性访谈对原发性肝癌患者创伤后成长及生活质量的影响。方法选取2020年9月至2021年5月该院收治的100例原发性肝癌患者作为研究对象,采用随机数字表法分为对照组和观察组,每组50例。对照组给予常规心理护理,观察组在常规心理护理基础上给予基于THRIVE模型的动机性访谈干预。比较两组患者干预前,出院后1、3个月简体中文版创伤后成长评定量表(C-PTGI)、肝癌患者生活质量量表(QOL-LC V2.0)得分情况。结果两组患者干预前一般资料、C-PTGI总分及各维度、QOL-LC V2.0总分及各维度得分比较,差异均无统计学意义(P>0.05);观察组患者出院后1、3个月C-PTGI总分及各维度得分均明显高于对照组,差异均有统计学意义(P<0.05);两组患者出院后1、3个月QOL-LC V2.0除躯体功能维度得分比较,差异无统计学意义(P>0.05)外,总分及心理功能、症状不良反应、社会功能维度得分均较干预前明显改善,且观察组患者总分及心理功能、症状不良反应、社会功能维度得分改善程度均较对照组更优,差异均有统计学意义(P<0.05)。结论基于THRIVE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,改善其生活质量。

Objective To explore the impact of motivational interviewing based on the THRIVE model on post-traumatic growth and survival quality in the patients with primary liver cancer.Methods One hundred patients with primary liver cancer treated in this hospital from September 2020 to May 2021 were selected as the study subjects and randomly divided into the control group and observation group,50 cases in each group.The control group was given the routine psychological care,and on this basis the observation group was given the motivational interview intervention based on the THRIVE model.The scores of C-PTGI and QOL-LCV2.0 before intervention and in 1,3 months after discharge were compared between the two groups.Results Before intervention,there were no statistically significant differences in the general data,C-PTGI total score and each dimension score,QOL-LC V2.0 total score and each dimension score between the two groups(P>0.05).The C-PTGI total score and scores of various dimensions in 1,3 months after discharge in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).The QOL-LC V2.0 scores in1,3 months after discharge had no statistical differences between the two groups except for the somatic function(P>0.05).The total score and the scores of psychological function,symptom adverse reactions and social function dimensions were significantly improved compared with those before intervention,moreover the improvement degrees of the total score and scores of psychological function,symptom adverse reactions and social function dimensions in the observation group were much suprior to those in the control group,and the differences were statistically significant(P<0.05).Conclusion The motivational interviewing intervention based on the THRIVE model can effectively enhance the level of post-traumatic growth and improve the quality of life in the patients with liver cancer.