基于斯金纳强化理论的健康教育对甲状腺癌手术患者悲观情绪、应对方式及睡眠质量的影响

The impact of health education based on Skinner's reinforcement theory on pessimistic emotions,coping strategies,and sleep quality in patients undergoing thyroid cancer surgery

目的:探讨基于斯金纳强化理论的健康教育对甲状腺癌手术患者悲观情绪、应对方式及睡眠质量的影响。方法:选取90例甲状腺癌患者作为研究对象,所有患者均行手术治疗,且病理类型均为乳头状癌。按照干预方法分为斯金纳组(基于斯金纳强化理论的健康教育)与常规组(常规健康教育)各45例。观察患者悲观情绪、应对方式及睡眠质量变化。结果:干预后,两组抑郁自评量表(SDS)及焦虑自评量表(SAS)与干预前比较均明显降低,且斯金纳组显著低于常规组,差异有统计学意义(P<0.05)。干预后,两组消极评分与干预前比较明显降低,且斯金纳组显著低于常规组,差异有统计学意义(P<0.05);积极评分与干预前比较明显升高,且斯金纳组明显高于常规组,差异有统计学意义(P<0.05)。干预后,两组睡眠质量各分值与干预前比较明显降低,且斯金纳组明显低于常规组,差异有统计学意义(P<0.05)。结论:甲状腺癌手术患者应用基于斯金纳强化理论的健康教育,可减轻患者悲观情绪,提高积极的应对方式,改善睡眠质量。

Objective To explore the influence of health education based on Skinner's reinforcement theory on pessimism,coping style and sleep quality of patients undergoing thyroid cancer surgery.Method 90 patients with thyroid cancer in our hospital were selected as the research subjects,and all patients underwent surgical treatment,with a pathological type of papillary carcinoma.According to different patient care methods,they were divided into two groups:the Skinner group of 45 cases(health education based on Skinner's reinforcement theory)and the conventional group of 45 cases(conventional health education).Observe the patient's pessimistic emotions,coping strategies,and changes in sleep quality.Results After the intervention,the self-rating depression scale(SDS)and self-rating anxiety scale(SAS)of the skinner group and the routine group were significantly lower than before the intervention,and the skinner group was significantly lower than the routine group(P<0.05).After the intervention,the negative scores of skinner group and routine group were significantly lower than before the intervention,and the skinner group was significantly lower than the routine group(P<0.05).The positive score was significantly higher than that before intervention,and the Skinner group was significantly higher than the routine group(P<0.05).After the intervention,the scores of sleep quality in skinner group and routine group were significantly lower than those before the intervention,and the scores in skinner group were significantly lower than those in routine group(P<0.05).Conclusion The application of health education based on Skinner's reinforcement theory in patients undergoing surgery for thyroid cancer reduces and improves pessimism,positive coping,and sleep quality.