摘要
目的:探究计划行为理论模式干预对甲状腺癌患者术后负性情绪和健康行为的影响。方法:选取2020年9月-2021年9月某院收治的行手术治疗的甲状腺癌患者106例,随机分为对照组和观察组,各53例,对照组给予常规干预,观察组在对照组基础上给予计划行为理论模式干预。比较两组负性情绪[焦虑自评表(SAS)和抑郁自评表(SDS)]、应对方式[简易应对方式问卷(SCSQ)]、癌因性疲乏[Piper疲乏修订自评量表(RPFS)]、健康行为[健康促进生活方式量表Ⅱ(HPLP-Ⅱ)评分]及生活质量[癌症患者生活质量测定量表(EORTC QLQ-C30)]。结果:干预后,相较于对照组,观察组SAS评分和SDS评分均明显较低(t=-6.070,-6.859;P<0.001),积极应对评分明显较高(t=5.784,P<0.001),消极应对评分明显较低(t=-4.983,P<0.001),RPFS各维度评分均明显较低(t=-5.456,-5.655,-5.095,-5.549;P<0.001),HPLP-Ⅱ各维度评分均明显较高(t=11.227,6.568,5.651,9.235,5.650,3.884;P<0.001),EORTC QLQ-C30各维度评分均明显较高(t=6.082,7.898,4.615,5.341,5.397;P<0.001)。结论:计划行为理论模式干预可缓解甲状腺癌患者术后负性情绪,增加积极应对方式,减轻癌因性疲乏,改善健康行为,提高生活质量。
Objective:To explore the effect of planned behavior theory intervention on negative emotions and health behavior of thyroid cancer patients after operation.Methods:A total of 106 patients with thyroid cancer who underwent surgical treatment in our hospital from September 2020 to September 2021 were randomly divided into control group and observation group,with 53 patients in each group.The control group was given routine intervention,and the observation group was given planned behavior theory model intervention based on the control group.The two groups were compared in terms of negative emotion[SAS and SDS],coping style[Simple coping style questionnaire(SCSQ)],cancer-related fatigue[Piper fatigue revised self-assessment scale(RPFS)],health behavior[Health promotion lifestyle scale II(HPLP-II)score]and quality of life[EORTCQLQ-C30)].Results:After intervention,compared with the control group,the SAS score and SDS score were significantly lower(t=-6.070,-6.859;P<0.001),the positive coping score was significantly higher(t=5.784,P<0.001),the negative coping score was significantly lower(t=-4.983,P<0.001),the RPFS scores in all dimensions were significantly lower(t=-5.456,-5.655,-5.095,-5.549;P<0.001),HPLP-Ⅱscores in all dimensions were significantly higher(t=11.227,6.568,5.651,9.235,5.650,3.884;P<0.001),and EORTC QLQ-C30 scores in all dimensions were significantly higher(t=6.082,7.898,4.615,5.341,5.397;P<0.001)in the observation group.Conclusion:The intervention of planned behavior theory model can alleviate the negative emotion of thyroid cancer patients after operation,increase positive coping styles,reduce cancer-related fatigue,improve health behavior,and improve quality of life.
作者
石青
李佳
SHI Qing;LI Jia(General Surgery Department of the First Affiliated Hospital of Nanyang Medical College,Nanyan 473000,China;General Surgery Department of the Second Affiliated Hospital of Zhengzhou University)
出处
《中国健康心理学杂志》
北大核心
2023年第11期1675-1680,共6页
China Journal of Health Psychology
基金
河南省科技攻关项目(编号:192102630098)。
关键词
计划行为理论模式干预
甲状腺癌
术后
负性情绪
健康行为
Planned behavior theory model intervention
Thyroid cancer
Postoperative
Negative emotions
Health behavior
