摘要
目的探讨罗伊适应模式干预对前列腺癌手术患者生活质量、心理状态、希望水平及心理韧性的影响。方法采用奇偶数分组法将186例前列腺癌手术患者随机分为对照组和观察组,每组93例,对照组患者术后进行常规干预,观察组患者在对照组的基础上进行罗伊适应模式干预。比较两组患者的生活质量[癌症康复评价系统简表(CARES-SF)]、心理状态[抑郁自评量表(SDS)和焦虑自评量表(SAS)]、心理韧性[Connor-Davidson心理韧性量表(CD-RISC)]、希望水平[Herth希望量表(HHI)]以及满意度。结果干预后,两组患者CARES-SF评分均高于本组干预前,SDS、SAS评分均低于本组干预前,观察组患者CARES-SF评分高于对照组,SDS、SAS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CD-RISC各维度评分及总分均高于本组干预前,观察组患者CD-RISC各维度评分及总分均高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组患者HHI评分和满意度均高于对照组,差异均有统计学意义(P<0.05)。结论罗伊适应模式干预可改善前列腺癌手术患者的生活质量,缓解患者的抑郁焦虑情绪,提高患者的心理韧性、希望水平及满意度。
Objective To investigate the effect of Roy’s adaptation mode intervention on quality of life,mental state,hope level and psychological resilience of patients undergoing prostate cancer surgery.Method A total of 186 surgically treated patients with prostate cancer were randomly divided into control group(n=93,received routine intervention after surgery)and observation group(n=93,received Roy’s adaptation mode intervention on the basis of the control group)by odd-even grouping method,with 93 cases in each group.The quality of life[cancer rehabilitation evaluation system-short form(CARES-SF)],mental state[self-rating depression scale(SDS)and self-rating anxiety scale(SAS)],psychological resilience[Connor-Davidson resilience scale(CD-RISC)],hope level[Herth hope index(HHI)]and satisfaction were compared between the two groups.Result After intervention,the scores of CARES-SF in both groups were higher than those before intervention,the SDS and SAS scores were lower than those before intervention,with higher CARES-SF score and lower SDS and SAS scores in observation group than those in control group,and the differences were statistically significant(P<0.05).After intervention,the dimensional scores and total scores of CD-RISC in both groups were higher than those before intervention,with higher scores in observation group than those in control group,and the differences were statistically significant(P<0.05).After intervention,the HHI score and satisfaction of observation group were significantly higher than those in control group,and the differences were statistically significant(P<0.05).Conclusion Roy’s adaptation model intervention can improve the quality of life of patients undergoing prostate cancer surgery,relieve depression and anxiety,and improve the psychological resilience,hope level and satisfaction.
作者
王丽会
王飞杰
王璐
黄丽洁
常小霞
楚银萍
WANG Lihui;WANG Feijie;WANG Lu;HUANG Lijie;CHANG Xiaoxia;CHU Yinping(Department of Urology,Zhengzhou University People’sHospital/He’nan Provincial People’sHospital,Zhengzhou 450003,He’nan,China)
出处
《癌症进展》
2023年第9期970-973,共4页
Oncology Progress
关键词
罗伊适应模式
前列腺癌
生活质量
心理状态
希望水平
心理韧性
Roy’s adaptation model
prostate cancer
quality of life
mental state
hope level
psychological resilience