二元应对模式干预对膀胱癌患者情绪 希望水平 生活质量及照顾者情绪的影响

Effects of dual coping model intervention on emotion, hope level, quality of life and caregiver emotion of patients with bladder cancer

目的探讨二元应对模式干预对膀胱癌患者情绪、希望水平、生活质量及照顾者情绪的影响。方法将96例膀胱癌患者及其照顾者按随机数字表法分为对照组(48例)和研究组(48例)。对照组采用常规护理干预,研究组在对照组基础上采用二元应对模式干预,观察2个月。比较干预前后两组患者及照顾者焦虑自评量表、抑郁自评量表评分,以及两组患者Herth希望量表、世界卫生组织生存质量测定量表评分。结果干预后两组患者及照顾者焦虑自评量表、抑郁自评量表评分均较干预前显著降低(P<0.01),研究组显著低于对照组(P<0.05或0.01)。干预后研究组患者Herth希望量表的对未来的态度、采取积极行动、与他人亲密关系维度评分均较干预前显著升高(P<0.01),且显著高于对照组(P<0.01),对照组仅对未来的态度、采取积极行动2个维度评分较干预前显著升高(P<0.01)。干预后研究组世界卫生组织生存质量测定量表总分及心理状态、情绪状态维度评分均较干预前显著升高(P<0.01),且显著高于对照组(P<0.05或0.01),对照组仅心理状态、情绪状态维度评分较干预前显著升高(P<0.05或0.01)。结论二元应对模式干预能够明显减轻膀胱癌患者及其照顾者的负性情绪,提高患者的希望水平及生活质量,对治疗有积极作用。

Objective To explore the effects of dual coping model intervention on emotion,hope level,quality of life and caregiver emotion of patients with bladder cancer.Methods A total of 96 patients with bladder cancer and their caregivers were divided into control group(48 cases)and study group(48 cases)according to random number table method.The control group was treated with conventional nursing intervention,and the study group was treated with dual coping model intervention based on the control group for 2 months.The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of patients and caregivers in the two groups,as well as the scores of the Herth hope index(HHT)and the World Health Organization quality of life assessment-100(WHOQOL-100)were compared before and after intervention.Results After the intervention,the scores of SAS and SDS of patients and caregivers in both groups were significantly lower than those before intervention(P<0.01),and the study group was significantly lower than the control group(P<0.05 or 0.01).After the intervention,the dimension scores of future attitude,positive action and close relationships with others of HHT in the study group were significantly higher than those before intervention(P<0.01),and were significantly higher than those of the control group(P<0.01).In the control group,only the future attitude and positive action scores were significantly higher than those before intervention(P<0.01).After the intervention,the total score of WHOQOL-100 and the dimension scores of psychological state and emotional state in the study group were significantly higher than those before intervention(P<0.01),and were significantly higher than those of the control group(P<0.01 or 0.01).In the control group,only the scores of psychological state and emotional state were significantly higher than those before intervention(P<0.05 or 0.01).Conclusions Dual coping model intervention can significantly reduce the negative emotions of patients with bladder cancer and their caregivers,improve the level of hope and quality of life of patients,and has a positive effect on treatment.