激励式心理干预在骨肿瘤术后患者中的应用效果

Application effect of motivational psychological intervention in patients after bone tumor surgery

目的探讨激励式心理干预在骨肿瘤术后患者中的应用效果。方法根据干预方式的不同将100例接受手术治疗的骨肿瘤患者分为对照组和观察组,每组50例,对照组患者采取常规护理干预,观察组患者采取激励式心理干预。比较两组患者的负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、心理状态[症状自评量表(SCL-90)]及生活质量[健康调查简表(SF-36)]。结果干预后,两组患者SAS和SDS评分均低于本组干预前,观察组患者SAS和SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者敌对、偏执、躯体化、敏感评分均低于本组干预前,观察组患者敌对、偏执、躯体化、敏感评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者生理机能、一般健康状况、活力、情感职能评分均高于本组干预前,观察组患者生理机能、一般健康状况、活力、情感职能评分均高于对照组,差异均有统计学意义(P﹤0.05)。结论激励式心理干预可改善骨肿瘤术后患者的负性情绪、心理状态和生活质量,值得临床推广应用。

Objective To investigate the application effect of motivational psychological intervention in patients after bone tumor surgery.Method A total of 100 bone tumor patients who underwent surgical treatment were divided into control group and observation group according to different intervention methods,with 50 cases in each group.Patients in the control group received routine nursing intervention,and patients in the observation group received motivational psychological intervention.The negative mood[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],psychological state[symptom check list 90(SCL-90)],and quality of life[the MOS 36-item short form health survey(SF-36)]of the two groups were compared.Result After the intervention,the SAS and SDS scores of the two groups were lower than those before the intervention,and the SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the hostility,paranoia,somatization and sensitivity scores of the two groups were lower than those before the intervention,and the above scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the physiological function,general health,vitality and emotional function scores of the two groups were higher than those before the intervention,and foregoing scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Motivational psychological intervention can improve the negative mood,psychological state and quality of life of patients after bone tumor surgery,and is worthy of clinical promotion and application.