跨理论模型的情绪干预对肝癌患者术后心理状态和健康行为的影响

Influence of emotional intervention across theoretical models on psychological stateand health behavior of patients with liver cancer after operation

目的:探究跨理论模型的情绪干预对肝癌患者术后心理状态和健康行为的影响。方法:选取2021年3月-2022年3月某院收治的100例肝癌手术患者,随机分为对照组(n=50)和观察组(n=50),对照组给予常规干预,观察组在对照组基础上给予跨理论模型的情绪干预。比较两组心理状态[焦虑自评表(SAS)和抑郁自评表(SDS)]、应对方式[简易应对方式问卷(SCSQ)]、健康行为[健康促进生活方式量表Ⅱ(HPLPⅡ)]、癌因性疲乏[Piper疲乏修订自评量表(RPFS)]及生活质量[癌症患者生活质量测定量表(EORTC QLQ-C30)]。结果:干预后,相较于对照组,观察组各评分均明显较低(t=-5.464,-4.690;P<0.001),积极应对评分明显较高(t=6.648,P<0.001),消极应对评分明显较低(t=-5.281,P<0.001),HPLPⅡ各维度评分均明显较高(t=13.417,7.631,3.784,10.940,3.623,6.260;P<0.001),RPFS各维度评分明显较低(t=-10.078,-5.284,-4.445,-4.246;P<0.001),EORTC QLQ-C30各维度评分明显较高(t=6.285,8.501,6.328,6.832,5.380;P<0.001)。结论:对肝癌患者实施跨理论模型的情绪干预在术后心理状态、应对方式、健康行为、癌因性疲乏及生活质量方面均有较好的改善作用。

Objective:To explore the effect of emotional intervention across theoretical models on the psychological state and health behavior of patients with liver cancer after surgery.Methods:A total of 100 patients with liver cancer who were admitted to our hospital from March 2021 to March 2022 were randomly divided into control group(n=50)and observation group(n=50).The control group was given routine intervention,and the observation group was given cross-theoretical emotional intervention based on the control group.The psychological status[SAS and SDS],coping style[simple coping style questionnaire(SCSQ)],health behavior[health promotion lifestyle scale II(HPLP II)],cancer-related fatigue[Piper fatigue revised self-assessment scale(RPFS)]and quality of life[EORTC QLQ-C30)]were compared between the two groups.Results:After intervention,compared with the control group,the scores of each dimension of the observation group were significantly lower(t=-5.464,-4.690;P<0.001),the scores of positive coping were significantly higher(t=6.648,P<0.001),the scores of negative coping were significantly lower(t=-5.281,P<0.001),and the scores of HPLP II were significantly higher(t=13.417,7.631,3.784,10.940,3.623,6.260;P<0.001),RPFS scores were significantly lower(t=-10.078,-5.284,-4.445,-4.246;P<0.001),while EORTC QLQ-C30 scores were significantly higher(t=6.285,8.501,6.328,6.832,5.380;P<0.001).Conclusion:Emotional intervention across theoretical models can improve postoperative psychological state,coping style,health behavior,cancer-related fatigue and quality of life.