基于家属支持的心理-行为-认知干预在舌癌根治术患者中的应用效果

Application effect of psychological-behavioral-cognitive intervention based on family support in patients undergoing radical operation for tongue cancer

目的探讨基于家属支持的心理-行为-认知干预在舌癌根治术患者中的应用效果。方法根据干预方式的不同将116例舌癌根治术患者分为对照组(n=60)和研究组(n=56),对照组患者给予常规干预,研究组患者给予家属支持的心理-行为-认知干预。比较两组患者的负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、生活质量[华盛顿大学生存质量问卷(UW-QOL)]、希望水平[Herth希望量表(HHI)]、术后并发症发生情况、依从性和满意情况。结果干预后,两组患者SDS、SAS评分均低于本组干预前,UW-QOL、HHI各维度评分均高于本组干预前,研究组患者SDS、SAS评分均低于对照组,UW-QOL、HHI各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。研究组患者的术后并发症总发生率低于对照组,总依从率和总满意度均高于对照组,差异均有统计学意义(P﹤0.05)。结论基于家属支持的心理-认知-行为干预能改善舌癌根治术患者的负性情绪、生活质量及希望水平,降低并发症发生率,并且提高患者的依从率和满意度。

Objective To investigate the application effect of psychological-behavioral-cognitive intervention based on family support in patients undergoing radical operation for tongue cancer.Method According to different interven-tion methods,116 patients with tongue cancer who underwent radical operation were divided into control group(n=60)and study group(n=56).Patients in the control group received routine intervention,and patients in the study group re-ceived psychological-behavioral-cognitive intervention based on family support.The negative emotions[self-rating de-pression scale(SDS)and self-rating anxiety scale(SAS)],quality of life[University of Washington quality of life ques-tionnaire(UW-QOL)],hope level[Herth hope index(HHI)],incidence of postoperative complications,compliance and satisfaction of the two groups were compared.Result After intervention,the scores of SDS and SAS in two groups were lower than those before intervention,the dimensional scores of UW-QOL and HHI were higher than those before interven-tion,the scores of SDS and SAS in study group were lower than those in control group,the dimensional scores of UW-QOL and HHI were higher than those in control group,and the differences were statistically significant(P<0.05).The to-tal incidence of postoperative complications of the study group was lower than that of the control group,the total compli-ance rate and total satisfaction rate were higher than those of the control group,and the differences were statistically sig-nificant(P<0.05).Conclusion Psychological-behavioral-cognitive intervention based on family support can improve the negative emotions,quality of life and hope level,reduce the incidence of complications,improve the compliance rate and satisfaction rate of patients with tongue cancer undergoing radical operation.