基于智谋理论的心理干预在早期胃癌内镜术后患者中的应用效果

Application effects of resourcefulness theory-based psychological intervention in patients with early gastric cancer after endoscopic surgeries

目的:观察基于智谋理论的心理干预在早期胃癌内镜术后患者中的应用效果。方法:回顾性分析2018年6月至2020年8月该院收治的104例早期胃癌患者的临床资料,依照入院先后顺序分为对照组和研究组各52例。两组均行经内镜手术,对照组术后采用常规心理干预,研究组在对照组基础上采用基于智谋理论的心理干预,比较两组干预前后简明心境状态量表(POMF)评分、创伤后成长量表(PTGI)评分、智谋量表(RS)评分和癌症疲乏量表(CFS)评分。结果:干预后,研究组紧张、抑郁、慌乱等POMF评分均低于对照组,与他人关系、新的可能性、个人力量、精神改变和欣赏人生等PTGI评分均高于对照组,差异有统计学意义(P<0.05);研究组个人智谋、社会智谋等RS评分均高于对照组,认知疲乏、情感疲乏、躯体疲乏等CFS评分均低于对照组,差异有统计学意义(P<0.05)。结论:在常规心理干预基础上采用基于智谋理论的心理干预可提高早期胃癌内镜术后患者PTGI和RS评分,降低POMF和CFS评分,效果优于单纯常规心理干预。

Objective:To observe application effects of resourcefulness theory-based psychological intervention in patients with early gastric cancer after endoscopic surgeries.Methods:The clinical data of 104 patients with early gastric cancer admitted to this hospital from June 2018to August 2020 were retrospectively analyzed,and they were divided into control group and study group according to the order of admission,52 cases in each group.Both groups underwent endoscopic surgeries.The control group was given routine psychological intervention after the surgery,while the study group was given the resourcefulness theory-based psychological intervention on the basis of that of the control group.The profile of mood states(POMF),posttraumatic growth inventory(PTGI) score,resourcefulness scale(RS) score and cancer fatigue scale(CFS) score were compared between the two groups before and after the treatment.Results:After the intervention,the POMF scores of nervousness,depression and panic in the study group were lower than those in the control group;the PTGI scores of relationships with others,new possibilities,personal strength,mental change and appreciation of life were all higher than those in the control group;and the differences were statistically significant(P<0.05).The RS scores of personal resourcefulness and social resourcefulness in the study group were higher than those in the control group;the CFS scores such as cognitive fatigue,emotional fatigue,and physical fatigue were lower than those in the control group;and the differences were statistically significant(P<0.05).Conclusions:On the basis of routine psychological intervention,the resourcefulness theory-based psychological intervention can improve the PTGI score and the RS score,and reduce the POMF score and the CFS score in the patients with early gastric cancer after endoscopic surgeries.Moreover,it is superior to single routine psychological intervention.