Effects of motivational belief intervention combined with early rehabilitation guidance on stress response,negative emotions,and quality of life in postoperative glioma patients
Objective To explore the effects of motivational belief intervention combined with early rehabilitation guidance on stress response,negative emotions,and quality of life in postoperative glioma patients.Method A total of 92 glioma patients were divided into control group and observation group based on different intervention methods,with 46 patients in each group.The control group received early rehabilitation guidance on the basis of routine intervention,while the observation group received motivational belief intervention on the basis of the control group.The stress re-sponse indicators[adrenocorticotropic hormone(ACTH),norepinephrine(NE),cortisol],negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],neurological deficits[National Institutes of Health stroke scale(NIHSS)],and quality of life[generic quality of life inventory-74(GQOLI-74)]were compared between the two groups.Result Three days after surgery,the levels of ACTH,NE,and cortisol in both groups were higher than those before sur-gery,but the levels of ACTH,NE,and cortisol in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).One month after surgery,the SAS,SDS,and NIHSS scores of both groups were lower than those before surgery,the SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05),however,there was no statistically signifi-cant difference in NIHSS scores between the two groups(P>0.05).One month after surgery,the scores of physical func-tion,social function,role function,psychological function and total scores of both groups were higher than those before surgery,the scores of physical function,social function,role function,psychological function and total score of the obser-vation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Con-clusion Motivational belief intervention combined with early rehabilitation guidance can reduce stress response indica-tors,improve negative psychological states and neurological deficits,and improve the quality of life in postoperative glio-ma patients.
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