基于情感适应理论的心理干预对胆管癌患者负性情绪的改善效果

Effect of psychological intervention based on emotional adaptation theory on the improvement of negative emotion in patients with cholangiocarcinoma

目的探讨基于情感适应理论的心理干预对胆管癌患者负性情绪的改善效果。方法选取2014年3月至2018年3月间山东省立第三医院收治的268例胆管癌患者,采用随机抽签分组方法将其均分为对照组和研究组,每组134例。对照组患者采用常规心理护理,研究组患者在对照组患者的基础上实施基于情感适应理论的心理干预,采用汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评价两组患者护理前后的负性情绪。结果治疗前,对照组患者的HAMA和HAMD评分为(27. 5±3. 6)分和(27. 8±3. 1)分,研究组患者的HAMA和HAMD评分为(28. 6±3. 7)分和(27. 5±3. 3)分,两组组间比较,差异无统计学意义(P> 0. 05)。对照组患者治疗后的HAMA和HAMD评分为(23. 6±1. 6)分和(22. 4±1. 0)分,与本组治疗前比较,差异有统计学意义(P <0. 05)。研究组患者治疗后的HAMA和HAMD评分为(18. 7±1. 7)分和(16. 2±1. 1)分,与本组治疗前比较,差异有统计学意义(P <0. 05)。且研究组患者治疗后HAMA和HAMD评分低于对照组患者,差异有统计学意义(P <0. 05)。结论对于胆管癌患者负性情绪的改善治疗来说,在常规心理护理的基础上实施基于情感适应理论的心理干预的方法比单一的心理护理有更好的效果,对患者焦虑及抑郁情况的改善有积极意义,值得推广。

Objective To study the effect of psychological intervention based on emotional adaptation theory on the improvement of negative emotion in patients with cholangiocarcinoma.Methods A total of 268 patients with cholangiocarcinoma admitted to Shandong Province Hospital from March 2014 to March2018 were enrolled.They were divided into a study group and a control group by random lottery with 134 patients in each group.Patients in the study group were given psychological intervention based on the emotional adaptation theory besides routine psychological care.Patients in the control group were given routine psychological care.Negative emotions before and after the nursing were evaluated by Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD).Results The HAMA and HAMD scores were 27.5±3.6 and 27.8±3.1,respectively for the control group and 28.6±3.7 and 27.5±3.3,respectively for the study group before the treatment(all P>0.05).After the treatment,the HAMA and HAMD scores were23.6±1.6 and 22.4±1.0,respectively for the control group and 18.7±1.7 and 16.2±1.1,respectively for the study group(all P<0.05).The HAMA and HAMD scores were significantly lower in the study group than in the control group(all P<0.05).Conclusion To improve negative emotion in patients with cholangiocarcinoma,psychological intervention based on emotional adaptation theory combined with conventional psychological nursing has better efficacy than single psychological nursing in patients with anxiety and depression.It is therefore worthy of clinical popularization.