基于SBAR模式的心理干预在鼻咽癌放化疗患者中的应用效果

Application effect of psychological intervention based on SBAR mode in patients with nasopharyngeal carcinoma undergoing radiotherapy and chemotherapy

目的探讨基于现状-背景-评估-建议(SBAR)模式的心理干预在鼻咽癌放化疗患者中的应用效果。方法根据干预方法的不同将102例鼻咽癌放化疗患者分为对照组(n=50,常规干预)和研究组(n=52,常规干预+基于SBAR模式的心理干预)。比较两组患者的自我感受负担[自我感受负担量表(SPBS)]、医学应对方式[医学应对方式问卷(MCMQ)]、心理弹性[Connor-Davidson心理弹性量表(CD-RISC)]。结果干预后,两组患者SPBS评分均明显低于本组干预前,研究组患者SPBS评分明显低于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者面对评分均高于本组干预前,回避、屈服评分均低于本组干预前,研究组患者面对评分高于对照组,回避、屈服评分均低于对照组,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,研究组患者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)。结论基于SBAR模式的心理干预应用于鼻咽癌放化疗患者中,能够减轻患者的自我感受负担,使其积极面对疾病,提高心理弹性。

Objective To explore the application effect of psychological intervention based on situation-backgroundassessment-recommendation(SBAR)mode in patients with nasopharyngeal carcinoma undergoing radiotherapy and chemotherapy.Method A total of 102 patients with nasopharyngeal carcinoma undergoing radiotherapy and chemotherapy were divided into the control group(n=50,received conventional intervention)and study group(n=52,received conventional intervention+psychological intervention based on SBAR mode)according to the different intervention methods.The self-perceived burden[self-perceived burden scale(SPBS)],medical coping mode[medical coping modes questionnaire(MCMQ)]and psychological resilience[Connor-Davidson resilience scale(CD-RISC)]were compared between the two groups.Result After intervention,the SPBS scores of the two groups were lower than those before intervention,with lower score in the study group than that in the control group(P<0.01).After intervention,the facing scores in both groups were higher than those before intervention,and avoidance and yield scores were lower than those before intervention,with higher facing score and lower avoidance and yield scores in the study group than those in the control group(P<0.05).After intervention,the total and dimensional scores of CD-RISC in both groups were higher than those before intervention,with higher scores in the study group than those in the control group(P<0.05).Conclusion Psychological intervention based on SBAR mode for patients with nasopharyngeal carcinoma undergoing radiotherapy and chemotherapy can reduce the self-perceived burden of patients,enable them to actively face the disease,and improve the psychological resilience.