基于Heider平衡理论的健康教育在CT引导下射频消融治疗早期非小细胞肺癌患者中的应用效果

Application effect of health education based on Heider balance theory in early non-small cell lung cancer patients undergoing CT-guided radiofrequency ablation

目的 探讨基于Heider平衡理论的健康教育在CT引导下射频消融(RFA)治疗早期非小细胞肺癌(NSCLC)患者中的应用效果。方法 根据干预方法的不同将112例行RFA治疗的早期NSCLC患者分为Heider平衡理论健康教育组(n=57,基于Heider平衡理论的健康教育)和常规健康教育组(n=55,常规健康教育)。比较两组患者的疼痛程度[视觉模拟评分法(VAS)]、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、压力感知情况[知觉压力量表(PSS)、抑郁-焦虑-压力量表(DASS)]、疾病不确定感[Mishel疾病不确定感量表(MUIS)]、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)]及并发症发生情况。结果 干预完成时、家访时,两组患者VAS评分均低于本组干预前,Heider平衡理论健康教育组患者VAS评分均低于常规健康教育组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SAS、SDS、PSS、DASS评分均低于本组干预前,Heider平衡理论健康教育组患者SAS、SDS、PSS、DASS评分均低于常规健康教育组,差异均有统计学意义(P﹤0.05)。干预后,两组患者MUIS各维度评分均低于本组干预前,Heider平衡理论健康教育组患者MUIS各维度评分均低于常规健康教育组,差异均有统计学意义(P﹤0.05)。干预后,两组患者EORTC QLQ-C30各维度评分均高于本组干预前,Heider平衡理论健康教育组患者EORTC QLQ-C30各维度评分均高于常规健康教育组,差异均有统计学意义(P﹤0.05)。Heider平衡理论健康教育组患者的并发症总发生率低于常规健康教育组,差异有统计学意义(P﹤0.05)。结论 基于Heider平衡理论的健康教育应用于CT引导下RFA治疗的早期NSCLC患者,可降低疼痛程度,缓解负性情绪,减轻疾病不确定感和压力感知,提高生活质量,降低并发症发生率。

Objective To explore the application effect of health education based on Heider balance theory in early non-small cell lung cancer(NSCLC)patients undergoing CT-guided radiofrequency ablation(RFA).Method A total of 112 patients with early NSCLC received RFA treatment were divided into Heider balance theory health education group(n=57,received health education based on Heider balance theory)and conventional health education group(n=55,re-ceived conventional health education)according to different intervention methods.The pain degree[visual analogue scale(VAS)],negative emotions[self-rating anxiety scale(SAS),self-rating depression scales(SDS)],pressure perception con-dition[perceived stress scale(PSS),depression anxiety stress scale(DASS)],disease uncertainty[Mishel uncertainty of illness scale(MUIS)],quality of life[European Organization for Research and Treatment of Cancer quality of life ques-tionnaire core 30(EORTC QLQ-C30)],and complications were compared between the two groups.Result At the com-pletion of intervention and home visit,the VAS scores in both groups were lower than those before intervention,and the VAS scores in Heider balance theory health education group were lower than those in conventional health education group,and the differences were statistically significant(P<0.05).After intervention,the scores of SAS,SDS,PSS and DASS in both groups were lower than those before intervention,and the scores of SAS,SDS,PSS and DASS in Heider balance theory health education group were lower than those in conventional health education group,and the differences were statistically significant(P<0.05).After intervention,the dimensional scores of MUIS in both groups were lower than those before intervention,and the dimensional scores of MUIS in Heider balance theory health education group were low-er than those in conventional health education group,and the differences were statistically significant(P<0.05).After in-tervention,the dimensional scores of EORTC QLQ-C30 in both groups were higher than those before intervention,and the dimensional scores of EORTC QLQ-C30 in Heider balance theory health education group were higher than those in conventional health education group,and the differences were statistically significant(P<0.05).The total incidence of complications in Heider balance theory health education group was lower than that in conventional health education group,and the difference was statistically significant(P<0.05).Conclusion The application of health education based on Heider balance theory in early NSCLC patients treated with CT-guided RFA can reduce the degree of pain,relieve neg-ative emotions,alleviate disease uncertainty and pressure perception,improve quality of life,and reduce the incidence of complications.