生活希望计划干预对妇科肿瘤患者希望水平、负面情绪及应对方式的影响

Effect of life hope program intervention on hope level,negative emotion and coping style of gynecological tumor patients

目的:探究生活希望计划干预对妇科肿瘤患者希望水平、负面情绪及应对方式影响。方法:选取2019年1月至2020年1月某院收治的200例妇科肿瘤患者为研究对象,按照随机数字表法分为两组,实验组和对照组各100例,对照组接受常规妇科肿瘤疾病健康教育干预,实验组在对照组基础上接受生活希望计划干预,比较两组患者Health希望量表评分、抑郁自评表(SDS)评分、焦虑自评表(SAS)评分、应对方式问卷(SCSQ)评分以及生活质量评价量表(SF-36)评分。结果:干预1个月后,实验组在Health希望量表的积极态度、积极行为、与他人的亲密关系维度的评分均高于对照组(t=5.320,3.873,3.763;P<0.05);在SDS和SAS的评分均低于对照组(t=2.098,3.296;P<0.05);在SCSQ积极应对维度评分高于对照组(t=17.810,P<0.05),消极应对评分均低于对照组(t=21.223,P<0.05);在SF-36各维度评分均高于对照组(t=4.341,20.031,17.403,5.129,14.760,15.879,15.552,33.933;P<0.05)。结论:生活希望计划干预能提高妇科肿瘤患者希望水平、积极应对方式和生活质量,改善患者的负面情绪和消极应对方式。

Objective:To explore the effect of life hope program intervention on hope level,negative emotion,and coping style of gynecological tumor patients.Methods:A total of 200 cases of gynecological tumor patients admitted to our hospital from January 2019 to January 2020 were selected as the research object.According to the random number table method,they were divided into two groups,the experimental group,and the control group,100 cases each.The control group received the routine gynecological tumor disease health education intervention,and the experimental group received the living hope plan intervention on the basis of the control group.Health Hope Scale score,self-rating Depression Scale(SDS)score,Self-rating Anxiety Scale(SAS)score,coping Style Questionnaire(SCSQ)score and quality of life Assessment Scale(SF-36)score were compared between 2 groups.Results:One month after intervention,the scores of positive attitude,positive behavior and intimate relationship with others in the experimental group were higher than those in the control group(t=5.320,3.873,3.763;P<0.05).The scores in SDS and SAS were lower than those in control group(t=2.098,3.296;P<0.05).Positive coping dimension score in SCSQ was higher than that in control group(t=17.810,P<0.05),and coping score was lower than that in control group(t=21.223,P<0.05).SF-36 scores were higher than those of the control group in all dimensions(t=4.341,20.031,17.403,5.129,14.760,15.879,15.552,33.933;P<0.05).Conclusion:The intervention of life hope plan can improve the level of hope,positive coping style and life quality of gynecological tumor patients,and improve the negative emotion and negative coping style of patients.