癌症进展2024,Vol.22Issue(22) :2525-2528,2533.DOI:10.11877/j.issn.1672-1535.2024.22.22.23

系统化健康教育联合坚强概念心理干预在结肠癌根治术患者中的应用效果

Application effect of systematic health education combined with strong concept psychological intervention in patients with radical resection of colon cancer

师思源 黄俊诚
癌症进展2024,Vol.22Issue(22) :2525-2528,2533.DOI:10.11877/j.issn.1672-1535.2024.22.22.23

系统化健康教育联合坚强概念心理干预在结肠癌根治术患者中的应用效果

Application effect of systematic health education combined with strong concept psychological intervention in patients with radical resection of colon cancer

师思源 1黄俊诚1
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作者信息

  • 1. 郑州大学第一附属医院急诊外科,郑州 450000
  • 折叠

摘要

目的 探讨系统化健康教育联合坚强概念心理干预在结肠癌根治术患者中的应用效果.方法 根据干预方式的不同将83例结肠癌根治术患者分为观察组(n=42,系统化健康教育联合坚强概念心理干预)和对照组(n=41,常规健康教育).比较两组患者的围手术期指标、心理状态[患者健康问卷抑郁量表(PHQ-9)、广泛性焦虑障碍量表(GAD-7)]、疾病应对方式[医学应对方式问卷(MCMQ)]、并发症发生情况及满意度.结果 观察组患者首次下床时间、首次排气时间、首次排便时间均短于对照组,差异均有统计学意义(P﹤0.05).出院前和干预3个月后,两组患者PHQ-9、GAD-7评分均低于本组干预前,观察组患者PHQ-9、GAD-7评分均低于对照组,差异均有统计学意义(P﹤0.05).干预3个月后,两组患者面对评分均高于本组干预前,屈服、回避评分均低于本组干预前,观察组患者面对评分高于对照组,屈服、回避评分均低于对照组,差异均有统计学意义(P﹤0.05).两组患者并发症总发生率比较,差异无统计学意义(P﹥0.05).观察组患者总满意度高于对照组,差异有统计学意义(P﹤0.05).结论 系统化健康教育联合坚强概念心理干预可促进结肠癌根治术患者快速恢复,改善负性情绪,提高满意度,并促进患者积极面对疾病.

Abstract

Objective To explore the application effect of systematic health education combined with strong concept psychological intervention in patients with radical resection of colon cancer.Method According to different intervention methods,83 patients with radical resection of colon cancer were divided into observation group(n=42,systematic health education combined with strong concept psychological intervention)and control group(n=41,conventional health educa-tion).The perioperative indicators,mental state[patient health questionnaire-9(PHQ-9),generalized anxiety disorder-7(GAD-7)],disease coping style[medical coping modes questionnaire(MCMQ)],complications and satisfaction were compared between the two groups.Result The first getting out of bed time,first exhaust time and first defecation time in observation group were shorter than those in control group,and the differences were statistically significant(P<0.05).Before discharge and 3 months after intervention,the PHQ-9 and GAD-7 scores in both groups were lower than those be-fore intervention,and the PHQ-9 and GAD-7 scores in observation group were lower than those in control group,the dif-ferences were statistically significant(P<0.05).Three months after intervention,the face scores in both groups were high-er than those before intervention,the yield and avoidance scores were lower than those before intervention,the face score in observation group was higher than that in control group,and the yield and avoidance scores were lower than those in control group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).The total satisfaction rate in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion Systematic health educa-tion combined with strong concept psychological intervention can promote rapid recovery of patients with radical resec-tion of colon cancer,improve negative emotions and satisfaction,and promote patients to face the disease positively.

关键词

系统化健康教育/坚强概念心理干预/结肠癌根治术/心理状态/疾病应对方式/满意度

Key words

systematic health education/strong concept psychological intervention/radical resection of colon can-cer/mental state/disease coping style/satisfaction

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出版年

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
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