信息-动机-行为技巧模型联合心理干预对乳腺癌术后患者情绪状态及生活质量的影响

Influence of information-motivation-behavior skills model combined with psychological intervention on emotional state and quality of life in postoperative patients with breast cancer

目的探讨信息-动机-行为技巧模型(IMB)联合心理干预对乳腺癌术后患者情绪状态及生活质量的影响。方法依据干预方式的不同将92例乳腺癌手术患者分为对照组(n=50)和联合组(n=42),对照组患者给予常规干预,联合组患者给予IMB模式联合心理干预。比较两组患者的情绪状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、功能锻炼依从性、生活质量[世界卫生组织生存质量测定量表简表(WHOQOL-BREF)]、并发症发生情况及干预满意度。结果干预后,两组患者SDS、SAS评分均低于本组干预前,WHOQOL-BREF各维度评分均高于本组干预前,联合组患者SDS、SAS评分均低于对照组,WHOQOL-BREF各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者术后注意事项依从、身体功能锻炼依从、主动寻求建议依从评分均高于本组干预前,联合组患者术后注意事项依从、身体功能锻炼依从、主动寻求建议依从评分均高于对照组,差异均有统计学意义(P﹤0.05)。联合组患者的术后并发症总发生率低于对照组,总满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论IMB模式联合心理干预能明显改善乳腺癌术后患者的情绪状态,提高生活质量和功能锻炼依从性,降低术后并发症发生率,从而提高干预满意度。

Objective To explore the influence of information-motivation-behavior skills model(IMB)combined with psychological intervention on emotional state and quality of life in postoperative patients with breast cancer.Method According to the different intervention methods,92 patients with breast cancer surgery were divided into control group(n=50)and combination group(n=42).The patients in the control group were given routine intervention,and the patients in the combination group were given IMB combined with psychological intervention.The emotional state[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],functional exercise compliance,quality of life[World Health Organization quality of life-brief(WHOQOL-BREF)],complications and intervention satisfaction were compared between the two groups.Result After intervention,the SDS and SAS scores of both groups were lower than those before intervention,the scores of all dimensions of WHOQOL-BREF were higher than those before intervention,the SDS and SAS scores of the combination group were lower than those of the control group,and scores of all dimensions of WHOQOLBREF were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the compliance scores of postoperative precautions,physical function exercise,and actively seeking advice in both groups were higher than those before intervention,the compliance scores of postoperative precautions,physical function exercise,and actively seeking advice in the combination group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the combination group was lower than that in the control group,and the overall satisfaction rate was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion IMB combined with psychological intervention can significantly improve the emotional state of postoperative breast cancer patients,improve the quality of life and functional exercise compliance,reduce the incidence of postoperative complications,and thus improve the satisfaction of inter-vention.