IMB模型引导的心理干预方案在膀胱癌根治术患者中的应用

Application of psychological intervention program guided by information-motivation-behavioral skills model in patients undergoing radical cystectomy for bladder cancer

目的探讨信息-动机-行为技巧(IMB)模型引导的心理干预方案在膀胱癌根治术患者中的应用效果。方法选取郑州大学第一附属医院收治的900例行膀胱癌根治术的患者为研究对象,按照随机数字表法分为常规心理干预组(对照组)与IMB模型引导的心理干预组(研究组),每组各450例。干预前后,采用抑郁自评量表(SDS)、焦虑自评量表(SAS)、世界卫生组织生存质量测定简表(WHOQOL-BREF)评估两组患者抑郁、焦虑及生存质量水平。统计对比两组患者的疾病复发率、生存率、排尿及并发症情况。结果干预后,研究组患者SAS、SDS评分均低于对照组,WHOQOL-BREF评分高于对照组(P<0.01);研究组患者1个月内日间控尿率、夜间控尿率高于对照组,排尿异常率低于对照组(P<0.01)。随访2 a,两组患者疾病复发率、生存率及并发症发生率比较无明显差异(P>0.05)。结论IMB模型引导的心理干预方案对膀胱癌根治术患者具有积极意义,可临床推广应用。

Objective To explore the application effect of psychological intervention program(PIP)guided by information-motivation-behavioral(IMB)skills model in patients undergoing radical cystectomy for bladder cancer(RCBC).Methods A total of 900 RCBC patients treated in the First Affiliated Hospital of Zhengzhou University were selected as research objects and were divided into routine psychological intervention group(control group)and IMB-guided psychological intervention group(research group)according to random number table method,with 450 ones in each.Before and after intervention depression,anxiety and quality of life were assessed for both groups using Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS)and World Health Organization quality of life-BREF(WHOQOLBREF),respectively.The recurrence rates,survival rates,urination and complications of both groups were counted.Results After intervention scores on the SAS and SDS were lower and WHOQOL-BREF score was higher in research than control group(P<0.01).The rates of daytime and nighttime urinary continence were higher and that of abnormal urination was lower in research than control group within1 month after operation(P<0.01).Intergroup differences in recurrence rates,survival rates,and the incidence of complications weren't statistically significant in two year follow-up(P>0.05).Conclusion The psychological intervention program guided by the IMB model has positive significance for the patients undergoing RCBC and can be promoted and applied clinically.