摘要
目的:探究标准化心理干预对直肠癌患者术后自理能力状态及自我管理效能的影响。方法:以2018年1月-2022年3月在某院接受治疗的90例直肠癌患者为研究对象,用随机数字表法简单随机分组为对照组和观察组,每组45例。对照组予以支持性心理干预,观察组予以标准化心理干预。比较两组干预前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、癌症自我管理效能感量表(SUPPH)评分及化疗依从性。结果:干预后,两组后SAS、SDS评分均明显下降(t=5.898,5.964,11.142,10.029;P<0.05),且观察组干预后后SAS、SDS评分均较对照组更低(t=-5.226,-4.279;P<0.05)。干预后,两组SUPPH评分在正性态度、自我减压、自我决策3项上均明显上升(t=2.346,2.489,2.183,8.192,4.840,4.354;P<0.05),且观察组各项评分较对照组明显更高(t=5.899,2.673,2.288;P<0.05)。从干预后两组自我管理效能感等级例率来看,观察组自我管理效能感较对照组明显提升(Z=4.151,P<0.05)。从化疗依从性等级例率来看,观察组干预后化疗依从程度较对照组明显更高(Z=7.871,P<0.05),且观察组化疗依从率明显更高(χ^(2)=4.186,P<0.05)。结论:标准化心理干预可对直肠癌患者术后心理状态带来积极影响,缓解负面情绪,有效增强患者自我管理效能感,并提高化疗依从性。
Objective:To explore the effect of standardized psychological intervention on postoperative self-care status and self-management efficiency of patients with rectal cancer.Methods:Atotal of 90 patients with rectal cancer who received treatment in our hospital from January 2018 to March 2022 were selected as the research objects,and randomly divided into control group and observation group by random number table method,with 45 patients in each group.The control group received supportive psychological intervention,and the observation group received standardized psychological intervention.Self-rating Anxiety Scale(SAS)score,self-rating Depression Scale(SELF-rating Depression Scale),SDS,Strategies Used People to Promote Health(SUPPH)and chemotherapy compliance.Results:After intervention,the SAS and SDS scores of the two groups decreased significantly(t=5.898,5.964,11.142,10.029;P<0.05),and the SAS and SDS scores of the observation group were lower than those of the control group(t=-5.226,-4.279;P<0.05).After intervention,SUPPH scores of the two groups were significantly increased in positive attitude,self-decompression and self-decision(t=2.346,2.489,2.183,8.192,4.840,4.354;P<0.05),and scores of the observation group were significantly higher than those of the control group(t=5.899,2.673,2.288;P<0.05).According to the case rate of self-management efficacy grade of the two groups after intervention,self-management efficacy of the observation group was significantly improved compared with the control group(Z=4.151,P<0.05).From the case rate of chemotherapy compliance grade,the chemotherapy compliance degree of the observation group was significantly higher than that of the control group after intervention(Z=7.871,P<0.05),and the chemotherapy compliance rate of the observation group was significantly higher(χ^(2)=4.186,P<0.05).Conclusion:Standardized psychological intervention can positively affect postoperative psychological state of patients with rectal cancer,alleviate negative emotions,effectively enhance self-manag
作者
付玉平
FU Yuping(Disinfection Supply Center of Zhumadian Downtown Hospital,Zhumadian 463000,China)
出处
《中国健康心理学杂志》
2024年第10期1536-1540,共5页
China Journal of Health Psychology
关键词
标准化心理干预
心理状态
自我管理效能
直肠癌术后
Standardized psychological intervention
Psychological state
Self-management effectiveness
Postoperative rectal cancer
