摘要
目的 探索基于RIM模型的积极心理方案对妇科恶性肿瘤患者的干预效果。方法 纳入2019年1月至2021年6月诊治的94例首发妇科恶性肿瘤患者作为试验对象,利用随机数字表法将其纳入试验组与对照组,各47例。对照组接受常规干预,试验组在对照组基础上增加基于RIM模型的积极心理方案,干预时间为9周。利用失志量表(DS-MV)、恐惧疾病进展量表(FoP-Q-SF)、癌症疲乏量表(CFS)和Herth希望指数量表(HHI)对干预前后两组患者开展评测以判定干预效果。结果 因有妇科恶性肿瘤患者在研究中途退出,最终有试验组46例和对照组46例纳入研究分析。干预前,两组DS-MV各维度及总分、FoP-Q-SF评分及恐惧疾病进展患病率、CFS各维度及总分、HHI各维度及总分比较,差异无统计学意义(P>0.05)。干预后,试验组DS-MV各维度及总评分、FoP-Q-SF评分、CFS各维度及总分、恐惧疾病发生率均低于对照组,HHI各维度及总评分高于对照组,差异有统计学意义(均P<0.05)。结论 基于RIM模型的积极心理干预可改善妇科恶性肿瘤患者失志综合征、恐惧疾病进展及癌症相关疲乏感,增强患者希望水平。
Objective To explore the intervention effect of positive psychological program based on RIM model on gynecological malignant tumor patients. Methods 94 patients with first-episode gynecological malignant tumors diagnosed and treated in our hospital from January 2019 to June 2021 were included as the test objects. They were included in the experimental group and the control group with 47 cases in each group by random number table method. The control group received routine program, and the experimental group added a positive psychological program based on RIM model on the basis of the control group. The intervention time was 9 weeks. The effect of intervention was determined by using demoralization scale mandarin version(DS-MV), fear of progression questionnaire-short form(FoP-Q-SF), cancer fatigue scale(CFS) and herth hope index(HHI). Results 46 cases in each group were included in the study and analysis because some subjects withdrew halfway. Before the intervention, there was no significant difference between the two groups in the dimensions and total scores of DS-MV, FoP-Q-SF score, prevalence of fear of disease progress, CFS dimensions and total scores, HHI dimensions and total scores(P>0.05). After the intervention, the dimensions and total scores of DS-MV, FoP-Q-SF, CFS and the prevalence of fear of disease progress in the experimental group were lower than those in the control group, and the dimensions and total scores of HHI were higher than those in the control group(all P<0.05). Conclusion Positive psychological intervention based on RIM model can improve dyslexia syndrome, fear of disease progression and cancer-related fatigue in patients with gynecological malignant tumors, and enhance the level of hope of patients.
作者
张文娜
齐歆
辛乐
ZHANG Wenna;QI Xin;XIN Le(Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing Maternal and Child Health Care Hospital,Gynecological Minimally Invasive Center,Beijing 100006,China)
出处
《中国优生与遗传杂志》
2022年第10期1761-1766,共6页
Chinese Journal of Birth Health & Heredity
基金
国家自然科学基金(81802742)。
关键词
妇科恶性肿瘤
积极心理
RIM模型
gyneclolgical malignancy
positive psychology
RIM model
