心理危机干预对卵巢癌手术患者心理危机水平及应对方式的影响

Influence of psychological crisis intervention on psychological crisis level and coping style in patients with ovarian cancer surgery

目的:探究心理危机干预对卵巢癌(OC)手术患者心理危机水平及应对方式的影响。方法:纳入在某院进行卵巢癌手术的138例患者为研究对象,收治时间为2021年1月至2023年6月。采用随机数字表法将OC术后患者分为对照组(n=69,给与常规护理)和干预组(n=69,在对照组基础上加以心理危机干预)。两组均持续干预2周。采用心理危机评定量表(CAS)、应对方式问卷(CSQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活质量(SF-36量表)和社会支持(SSRS量表)对两组OC手术患者进行评估。结果:干预后,干预组在情绪反应、认知功能、行为表现以及社会功能4个维度的CAS评分显著低于对照组(t=-9.981,-8.381,-7.304,-10.099;P<0.05)。干预组SAS评分和SDS评分均显著低于对照组(t=-9.419,-9.125;P<0.05)。干预组CSQ量表各维度评分均显著高于对照组(t=6.919,7.626,6.284,7.585,6.257,5.349;P<0.05)。干预后,干预组在SF-36评分和SSRS评分显著高于对照组(t=8.141,8.981;P<0.05)。结论:心理危机干预可有效降低OC手术患者的心理危机水平,改善其应对方式,减轻焦虑和抑郁症状。

Objective:To explore the influence of psychological crisis intervention on psychological crisis level and coping style in patients undergoing ovarian cancer(OC)surgery.Methods:A total of 138 patients who received OC surgery in the hospital were enrolled in the study from January 2021 to June 2023.Patients after OC surgery were divided into control group(n=69,routine nursing)and intervention group(n=69,psychological crisis intervention on the basis of control group)by adopting random number table method.Both groups were continuously intervened for 2 weeks.Crisis Assessment Scale(CAS),Coping Style Questionnaire(CSQ),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),quality of life(SF-36 scale)and social support(SSRS scale)were used to evaluate the two groups of patients with OC surgery.Results:After intervention,the CAS scores of the intervention group in the dimensions of emotional response,cognitive function,behavioral performance,and social function were significantly lower than those of the control group(t=-9.981,-8.381,-7.304,-10.099;P<0.05).The SAS and SDS scores of the intervention group were also significantly lower than those of the control group(t=-9.419,-9.125;P<0.05).Additionally,the scores of the intervention group in all dimensions of the CSQ scale were significantly higher than those of the control group(t=6.919,7.626,6.284,7.585,6.257,5.349;P<0.05).After intervention,the SF-36 score and SSRS score were significantly higher in the intervention group than those in the control group(t=8.141,8.981;P<0.05).Conclusion:Psychological crisis intervention can effectively reduce the level of psychological crisis,improve the coping style,and relieve the anxiety and depression symptoms in patients undergoing OC surgery,and it has important clinical application value.