基于希望理论心理干预对皮肤鳞癌术后患者心理状态影响

Impact of psychological intervention based on hope theory on the psychological status of postoperative patients with skin squamous cell carcinoma

目的 分析基于希望理论的心理干预在皮肤鳞癌术后患者中的应用效果。方法 选取2020-01-06-2023-01-06郑州大学第一附属医院收治的300例皮肤鳞癌术后患者为研究对象。依照建档时间不同分为对照组(2020-01-06-2021-05-31)和观察组(2021-06-01-2023-01-06),各150例。对照组接受常规护理干预,观察组在对照组基础上接受基于希望理论的心理干预,比较2组干预前后心理状态、希望水平、睡眠质量、生活质量。结果 干预后,观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分分别为(45.13±4.27)、40.17±5.39)分,低于干预前的(64.02±5.88)、(68.43±7.12)分;对照组SAS、SDS评分分别为(52.08±5.39)、(46.23±6.78)分,低于干预前的(62.97±6.14)、(66.92±6.34)分;干预后观察组均低于对照组,F值分别为234.56、294.33,均P<0.001。干预后,观察组Herth希望量表(HHI)、皮肤病生活质量指标调查表(DLQI)评分分别为(39.66±3.57)、(7.47±2.56)分,对照组分别为(34.08±3.16)、(10.98±3.14)分;干预前,观察组分别为(26.49±2.31)、(13.86±3.29)分,对照组分别为(27.05±2.68)、(13.41±2.87)分;干预后2组希望水平、生活质量均提升,且观察组HHI评分较对照组高、DLQI评分较对照组低,F值分别为138.09、82.71,均P<0.001。干预前,2组睡眠质量比较差异无统计学意义,u=0.947,P=0.344;干预后,2组睡眠质量均改善,且观察组改善程度更为显著,u=2.538,P=0.011。结论 基于希望理论的心理干预应用于皮肤鳞癌术后患者,能有效提高其希望水平,降低不良心理状态,提升睡眠质量及生活质量。

Objective To analyze the application effect of psychological intervention based on hope theory in postoperative patients with skin squamous cell carcinoma.Methods From January 6,2020 to January 6,2023,300 postoperative patients with skin squamous cell carcinoma admitted to the First Affiliated Hospital of Zhengzhou University were selected as the research objects.They were divided into a control group(January 6,2020 to May 31,2021)and an observation group(June 1,2021 to January 6,2023)based on different filing times,with 150 cases each.The control group received routine nursing intervention,while the observation group received psychological intervention based on the hope theory on the basis of the control group.The psychological status,hope level,sleep quality,and quality of life of the two groups were compared before and after the intervention.Results After the intervention,the scores of self rating anxiety scale(SAS)and self rating depression scale(SDS)in the observation group were(45.13±4.27)and(40.17±5.39)scores,respectively,which were lower than the scores of(64.02±5.88)and(68,43±7.12)scores before the intervention;The SAS and SDS scores of the control group were(52.08±5.39)and(46.23±6.78)scores,respectively,lower than the pre intervention(62.97±6.14)and(66.92±6.34)scores;After intervention,the observation group was lower than the control group,with F values of 234.56 and 294.33,respectively,P<0.001.After intervention,the observation group scored(39.66±3.57)and(7.47±2.56)scores on the Herth hope scale(HHI)and dermatology quality of life index(DLQI),respectively,while the control group scored(34.08±3.16)and(10.98±3.14)scores,respectively;Before intervention,the observation group had(26.49±2.31)and(13.86±3.29)scores,while the control group had(27.05±2.68)and(13.41±2.87)scores,respectively;After the intervention,the hope level and quality of life of both groups were improved,and the HHI score of the observation group was higher than that of the control group,while the DLQI score was lower than that of the control group,the F-values were 138.09 and 82.71,respectively,with P<0.001 for both groups.Before intervention,there was no statistically significant difference in sleep quality between the two groups,u=0.947,P=0.344;After intervention,both groups improved their sleep quality,and the observation group showed more significant improvement,with u=2.538 and P=0.011.Conclusion The application of psychological intervention based on hope theory in postoperative patients with skin squamous cell carcinoma can effectively improve their hope level,reduce adverse psychological states,and improve sleep quality and quality of life.