基于信息-动机-行为理念的认知干预结合心理弹性支持对骨肉瘤手术患者生活质量及预后的影响

Effects of Quality of Life and Prognosis of Cognitive Intervention Based on Information-motivation-behavioral Concept Combined with Mental Resilience Support on Patients with Osteosarcoma Undergoing Surgery

目的:探讨基于信息-动机-行为(IMB)理念的认知干预结合心理弹性支持对骨肉瘤手术患者生活质量及预后的影响。方法:选取2020年1月—2022年1月南昌大学第一附属医院收治的80例行骨肉瘤手术患者作为此次研究对象,根据随机数字表法将其分成常规组和试验组,各40例。常规组采取心理弹性支持干预,试验组在常规组基础上加入基于IMB理念的认知干预。对比两组干预前后心理状态、日常生活活动能力(activity of daily living,ADL)评分、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分、生活质量及马斯洛需要层次的变化情况。结果:随访6个月后,两组抑郁自评量表(self-rating depression scale,SDS)、焦虑自评量表(self-rating anxiety scale,SAS)评分均低于干预前,且试验组均低于常规组(P<0.05)。随访6个月后,两组ADL评分均高于干预前,且试验组高于常规组(P<0.05)。随访6个月后,两组PSQI评分均高于干预前,且试验组均低于常规组(P<0.05)。随访6个月后,两组生活质量评分均高于干预前,且试验组均高于常规组(P<0.05)。随访6个月后,试验组安全需要比例低于常规组(P<0.05),但两组归属与爱的需要、尊重需要、自我实现、生理需要比例比较,差异均无统计学意义(P>0.05)。结论:骨肉瘤手术患者给予基于IMB理念的认知干预结合心理弹性支持效果显著,能够改善患者心理状态和睡眠功能,提高生活质量。

Objective:To explore the effects of quality of life and prognosis of cognitive intervention based on information-motivation-behavioral(IMB)concept combined with mental resilience support on patients with osteosarcoma undergoing surgery.Method:A total of 80 patients with osteosarcoma underwent surgery in the First Affiliated Hospital of Nanchang University from January 2020 to January 2022 were selected as the objects of this study,and were divided into conventional group and experimental group according to random number table method,with 40 cases in each group.The conventional group received mental resilience support intervention,and the experimental group added cognitive intervention based on IMB concept on the basis of conventional group.The mental state,activity of daily living(ADL)scores,Pittsburgh sleep quality index(PSQI)scores,quality of life and the change of Maslow hierarchy of needs before and after intervention were compared between the two groups.Result:After 6 months of fllow-up,the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)in both groups were significantly lower than those before intervention,and those in experimental group were lower than those in conventional group(P<0.05).After 6 months of fllow-up,ADL scores in both groups were significantly higher than those before intervention,and that in experimental group was higher than that in conventional group(P<0.05).After 6 months of fllow-up,PSQI scores in both groups were significantly lower than those before intervention,and those in experimental groups were lower than those in conventional group(P<0.05).After 6 months of fllow-up,the quality of life scores in both groups were significantly higher than those before intervention,and those in experimental groups were higher than those in conventional group(P<0.05).After 6 months of fllow-up,the proportion of safety need in experimental group was lower than that in conventional group(P<0.05),but there were no significant differences in the proportions of belonging to love need,respect need,self-actualization and physiological need between the two groups(P>0.05).Conclusion:Cognitive intervention based on IMB concept combined with mental resilience support has significant effects on patients with osteosarcoma undergoing surgery,which can improve their mental state and sleep function and improve their quality of life.