基于动机行为转化的渐进性康复干预对肺癌化疗患者负性情绪的影响

Effect of progressive rehabilitation intervention based on motivational behavior transformation on negative emotion in patients with lung cancer undergoing chemotherapy

目的探讨基于动机行为转化的渐进性康复干预对肺癌化疗患者负性情绪的影响。方法将105例肺癌化疗患者根据干预方式的不同分为对照组(n=50)和观察组(n=55)。对照组予以常规干预,观察组在对照组的基础上予以基于动机行为转化的渐进性康复干预。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)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]以及癌因性疲乏(Piper疲乏量表)。结果干预后,两组患者SAS、SDS评分均较干预前降低,且观察组患者SAS、SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者行为、情感、感觉、认知评分均较干预前降低,且观察组患者行为、情感、感觉、认知评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者躯体功能、社会功能、情绪功能、角色功能、认知功能评分均较干预前升高,且观察组患者躯体功能、社会功能、情绪功能、角色功能、认知功能评分均高于对照组,差异均有统计学意义(P﹤0.05)。结论基于动机行为转化的渐进性康复干预应用于肺癌化疗患者,可改善患者负性情绪,减轻患者癌因性疲乏症状,提高患者生活质量。

Objective To investigate the effect of progressive rehabilitation intervention based on motivational behavior transformation on negative emotion in patients with lung cancer undergoing chemotherapy.Method A total of 105 lung cancer chemotherapy patients were divided into control group(n=50)and observation group(n=55)according to different intervention methods.The control group received conventional intervention,and the observation group received progressive rehabilitation intervention based on motivational behavior transformation on the basis of the control group.The negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],and cancerrelated fatigue(Piper fatigue scale)were compared between the two groups.Result After the intervention,the SAS and SDS scores of the two groups were lower than those before the intervention,and the 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 behavioral,emotional,sensory,and cognitive scores of the two groups were lower than those before the intervention,and the 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 physical function,social function,emotional function,role function,and cognitive function scores of the two groups were higher than those before the intervention,and the scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Progressive rehabilitation intervention based on motivational behavior transformation in lung cancer chemotherapy patients,can improve patients’negative emotions,reduce their cancer-related fatigue symptoms,and improve their quality of life.