归因训练对食管癌患者术后负面情绪的影响

Effect of attribution training on negative emotion in patients following esophageal cancer surgery

目的:探讨归因训练对食管癌患者术后负面情绪的影响。方法:选取安庆市立医院收治并拟行手术治疗的124例食管癌患者,随机分为观察组与对照组各62例。对照组实施常规干预,观察组在常规干预基础上给予归因训练。对比干预前后汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、归因方式问卷(ASQ)评分及中文版Mishel疾病不确定感量表(MUIS)评分,并比较患者满意度。结果:两组干预后HAMD、HAMA、ASQ量表中负性事件评分及MUIS量表总评分均低于干预前(P<0.05),ASQ量表中正性事件评分均高于干预前(P<0.05),但观察组干预后上述各项评分改善程度均优于对照组(P<0.05);观察组患者总满意率(93.55%)高于对照组(80.65%)(P<0.05)。结论:归因训练可有效缓解食管癌患者术后负性情绪,促进患者形成积极的归因方式,减轻其不确定感,并提高患者满意度。

Objective:To observe the effect of attribution training on negative emotion in patients after esophageal cancer surgery.Methods:One hundred and twenty-four patients with esophageal cancer treated in our hospital were included,and randomize to observational group and control group(n=62 in each group).Patients in the control group received simple routine intervention,and those in the observational group were given attribution training on routine intervention basis.Then the two groups were compared regarding the scores on Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA),Attribution style questionnaire(ASQ)and Chinese version of mishel uncertainty in illness scale(MUIS)before and after intervention as well as the patients′satisfaction with the care.Results:The scores of HAMD,HAMA,negative events in the ASQ scale and the total scores of MUIS scale of the two groups were lower after intervention than those before intervention(P<0.05),and the scores of positive events in the ASQ scale were higher than those before intervention(P<0.05),yet the improvement of the above scores was better in the observation than in the control group(P<0.05).Patients in the observational group had higher total satisfaction rate than those in the control group(93.55%vs.80.65%,P<0.05).Conclusion:Attribution training can effectively alleviate the postoperative negative emotion of patients with esophageal cancer,promote formation of positive attribution style,reduce their sense of uncertainty,yet upgrade the patients′satisfaction with the care.