治疗性沟通对早期胃癌ESD术前患者的干预效果

Intervention Effect of Therapeutic Communication on Patients with Early Gastric Cancer before ESD

目的:探讨治疗性沟通对早期胃癌内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)术前患者的干预效果。方法:采用多阶段整群抽样法,将2022年8月—2023年11月滨州医学院附属医院确诊为早期胃癌且准备进行ESD的142例患者作为研究对象,将2022年8月—2023年3月的71例研究对象作为对照组,2023年4—11月的71例研究对象作为干预组。对照组给予常规护理和一般性沟通,干预组在对照组基础上给予治疗性沟通。使用基本资料调查问卷、中文版疾病不确定感量表和癌症应对方式问卷调查两组基本资料、疾病不确定感与应对方式现状。结果:干预组疾病不确定感及各维度得分及回避和压抑、屈服、幻想和发泄条目均分低于对照组,面对条目均分、就医从医性高于对照组,差异有统计学意义(P<0.05)。结论:治疗性沟通对改善早期胃癌ESD术前患者的疾病不确定感、应对方式和就医从医性是有效的。

Objective:To explore the intervention effect of therapeutic communication on patients with early gastric cancer before endoscopic submucosal dissection(ESD).Method:A multi-stage cluster sampling method was used to select 142 patients who diagnosed with early gastric cancer and prepared for ESD in Binzhou Medical University Hospital from August 2022 to November 2023 as the study subjects,the 71 subjects from August 2022 to March 2023 were as the control group,and the 71 subjects from April to November 2023 were as the intervention group.The control group was given routine nursing and general communication,and the intervention group was given therapeutic communication on the basis of the control group.The basic data questionnaire,Chinese version of Mishel uncertainty of illness scale and cancer coping modes questionnaire were used to investigate the basic data,illness uncertainty and coping style of two groups.Result:The scores of uncertainty in illness and each dimension and the average scores of avoidance and depression,surrender,fantasy and venting items in the intervention group were lower than those in the control group,and the average scores of facing items and medical treatment were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Therapeutic communication is effective in improving the illness uncertainty,coping style and medical treatment of patients with early gastric cancer before ESD.