心理干预对CPA肿瘤患者术后自我效能感及负性情绪的影响

Effect of psychological intervention on postoperative self-efficacy and negative emotion in patients with CPA tumor

目的探讨心理干预对小脑桥脑角肿瘤(CPA)患者术后自我效能感及负性情绪的影响。方法选取2019年1月至2020年12月复旦大学附属华山医院神经外科收治的CPA肿瘤手术患者80例为研究对象,进行回顾性研究,2019年1~12月的患者应用常规护理模式设为A组共40人,2020年1~12月应用心理干预模式设定为B组,共40例。比较两组护理效果。结果出院后A组SDS及SAS评分均高于B组,差异有统计学意义(P<0.05),表明在应用心理护理后B组患者的负性情绪明显低于A组。干预前两组GSES评分比较无差异;干预后B组GSES评分高于A组,差异有统计学意义(P<0.05)。A组失眠率高于B组,差异有统计学意义(P<0.05)。A组各项QOL-C30评分均低于B组,差异有统计学意义(P<0.05)。B组护理满意度高于A组,差异有统计学意义(P<0.05)。A组MCMQ量表面对评分低于B组,回避及屈服评分A组高于B组,差异有统计学意义(P<0.05)。结论心理干预在CPA手术患者中应用可以有效改善自我效能感及负性情绪并提高患者生活质量,值得推广应用。

Objective To explore the effects of psychological intervention on postoperative self-efficacy and negative emotions in patients with Cerebellopontocerebellar horn tumor(CPA).Methods A total of 80 patients with CPA tumor surgery admitted to this hospital from January 2019 to December 2020 were selected as the research objects,do a retrospective study.Patients from January to December 2019 were set up as group A with a total of 40 patients applying the conventional care model,and from January to December 2020 were set up as group B with a total of 40 patients applying the psychological intervention model.Compared the nursing effects of the two groups.Results The SDS and SAS scores in group A were higher than those in group B after discharge,and the difference was statistically significant(P<0.05).It indicates that the negative emotions of patients in group B were significantly lower than those in group A after the application of psychological care.No difference in GSES scores between the two groups before the intervention.After the intervention,the GSES scores in group B were higher than those in group A.The difference was statistically significant(P<0.05).The rate of insomnia in group A was higher than that in group B,and the difference was statistically significant(P<0.05).All QOLC30 scores in group A were lower than those in group B,and the difference was statistically significant(P<0.05).Nursing satisfaction in group B was higher than that in group A,and the difference was statistically significant(P<0.05).The MCMQ confrontation pair scores in group A were lower than those in group B.The avoidance and submission scores in group A were higher than those in group B,and the difference was statistically significant(P<0.05).Conclusions The application of psychological intervention in CPA patients can effectively improve self-efficacy and negative emotions and improve the quality of life.It is worthy popularizing and applying.