首页|基于希望理论的序贯式心理干预对肺癌根治术患者负性情绪、希望水平及自我管理能力的影响

基于希望理论的序贯式心理干预对肺癌根治术患者负性情绪、希望水平及自我管理能力的影响

Effect of sequential psychological intervention based on hope theory on negative emotion,hope level and self-management ability of patients with radical resection of lung cancer

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目的 探讨基于希望理论的序贯式心理干预对肺癌根治术患者负性情绪、希望水平及自我管理能力的影响.方法 根据干预方法的不同将106例肺癌根治术患者分为常规干预组(n=51)和希望理论组(n=55),常规干预组患者采取常规干预,希望理论组患者在常规干预组的基础上采取基于希望理论的序贯式心理干预.比较两组患者的负性情绪[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、希望水平[Herth希望量表(HHI)]、自我管理能力[中文版癌症患者自我管理效能感量表(C-SUPPH)]、肺功能指标[呼气流量峰值(PEF)和第1秒用力呼气容积(FEV1)]、满意度、住院时间及并发症发生情况.结果 干预后,两组患者SAS、SDS评分均低于本组干预前,希望理论组患者SAS、SDS评分均低于常规干预组,差异均有统计学意义(P<0.05).干预后,两组患者HHI、C-SUPPH各维度评分均高于本组干预前,希望理论组患者HHI、C-SUPPH各维度评分均高于常规干预组,差异均有统计学意义(P<0.05).干预后,两组患者FEV1、PEF均高于本组干预前,希望理论组患者FEV1、PEF均高于常规干预组,差异均有统计学意义(P<0.05).希望理论组患者的总满意度高于常规干预组,差异有统计学意义(P<0.05).两组患者的住院时间和并发症总发生率比较,差异均无统计学意义(P>0.05).结论 基于希望理论的序贯式心理干预可提高肺癌根治术患者的希望水平、自我管理能力及满意度,缓解负性情绪,改善肺功能.
Objective To explore the effect of sequential psychological intervention based on hope theory on nega-tive emotion,hope level and self-management ability of patients with radical resection of lung cancer.Method Accord-ing to different intervention methods,106 patients with radical resection of lung cancer were divided into conventional in-tervention group(n=51)and hope theory group(n=55).Patients in the conventional intervention group received conven-tional intervention,and patients in the hope theory group received sequential psychological intervention based on hope theory on the basis of conventional intervention group.The negative emotions[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],hope level[Herth hope index(HHI)],self-management ability[strategies used by people to promote health-Chinese version(C-SUPPH)],pulmonary function indicators[peak expiratory flow(PEF)and forced expiratory volume in one second(FEV1)],satisfaction,hospitalization time and occurrence of complications were com-pared between the two groups.Result After intervention,the scores of SAS and SDS in both groups were lower than those before intervention,and the scores of SAS and SDS in hope theory group were lower than those in conventional in-tervention group,and the differences were statistically significant(P<0.05).After intervention,the scores of all dimen-sions of HHI and C-SUPPH in both groups were higher than those before intervention,and the scores of all dimensions of HHI and C-SUPPH in hope theory group were higher than those in conventional intervention group,and the differences were statistically significant(P<0.05).After intervention,the FEV1 and PEF in both groups were higher than those before intervention,and the FEV1 and PEF in hope theory group were higher than those in conventional intervention group,and the differences were statistically significant(P<0.05).The total satisfaction rate in hope theory group was higher than that in conventional intervention group,and the difference was statistically significant(P<0.05).There were no significant dif-ferences in hospitalization time and total incidence of complications between the two groups(P>0.05).Conclusion The sequential psychological intervention based on hope theory can improve the hope level,self-management ability and satis-faction of patients with radical resection of lung cancer,relieve negative emotions and improve lung function.

hope theorysequential psychological interventionradical resection of lung cancernegative emotionhope levelself-management ability

周利萍、李帮珍、王艳丽、冯然

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郑州大学附属肿瘤医院/河南省肿瘤医院手术室,郑州 450008

希望理论 序贯式心理干预 肺癌根治术 负性情绪 希望水平 自我管理能力

河南省医学科技攻关计划联合共建项目

LHGJ20200179

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(17)