首页|团体自我肯定干预对直肠癌肠造口患者焦虑抑郁及病耻感的影响

团体自我肯定干预对直肠癌肠造口患者焦虑抑郁及病耻感的影响

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目的:探讨团体自我肯定干预对直肠癌肠造口患者焦虑、抑郁及病耻感的影响。方法:选取2020年4月至2023年1月,本院治疗的86例直肠癌肠造口患者,随机法分为观察组42例和对照组44例。对照组采用常规护理干预,观察组在对照组基础上联合团体自我肯定干预模式。观察比较2组干预前后焦虑(SAS)、抑郁(SDS)、社会影响量表(SIS)、卡氏评分(KPS)和癌症生活质量评估表(EORTCQLQ-C30)评分情况。结果:干预后,2组SAS和SDS评分均低于干预前,且观察组评分均低于对照组(P<0。05);2组SIS量表各项评分显著低于干预前,且观察组均低于对照组(P<0。05);2组患者KPS和EORTCQLQ-C30评分均显著高于干预前,且观察组各项评分均高于对照组(P<0。05)。结论:团体自我肯定干预能够有效减轻直肠癌肠造口患者焦虑、抑郁情绪及病耻感,提高患者生活质量。
Effect of Group Self-Affirmation Intervention on Anxiety,Depression and Stigma in Patients with Enterostomy for Rectal Cancer
Objective To investigate the effect of group self-affirmation intervention on anxiety,depres-sion and stigma in patients with enterostomy for rectal cancer.Methods From April 2020 to January 2023,total 86 patients with enterostomy for rectal cancer treated in our hospital were randomly divided in-to the observation group(42 cases)and the control group(44 cases).The control group received routine nursing intervention,and the observation group was combined with group self-affirmation intervention mode on the basis of the control group.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),social impact scale(SIS),Karnofsky scale(KPS)and quality of Life scale for cancer patients(EORTCQLQ-C30)were observed and compared between the two groups before and after the interven-tion.Results After intervention,the scores of SAS and SDS in both groups were lower than before in-tervention,and the scores in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of SIS in both groups were significantly lower than before interven-tion,and were lower in the observation group than in the control group(P<0.05).KPS and EORTC-QLQ-C30 scores in both groups were significantly higher than before intervention,and all scores in the ob-servation group were higher than those in the control group(P<0.05).Conclusion Group self-affir-mation intervention can effectively reduce anxiety,depression and stigma in patients with enterostomy for rectal cancer,and improve their quality of life.

Enterostomy for rectal cancerGroup self-affirmation interventionEffect

曹萍萍

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河南省安阳市肿瘤医院(河南安阳 455000)

直肠癌肠造口 团体自我肯定干预 效果

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(3)
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