摘要
目的:观察动机性访谈(MI)干预对宫颈癌患者及其伴侣生活质量、心理状态的影响。方法:调查2017年5月至2019年5月某院宫颈癌患者及其伴侣共68对,按随机数表法分为研究组(MI干预,34对)和常规组(常规干预,34对)。于干预前(T1)及干预1个月后(T2)评估两组患者及其伴侣心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、生活质量[宫颈癌治疗功能评价系统(FACT-Cx)、生活质量综合评定问卷(GQOLI-74)]。结果:T2时,两组宫颈癌患者SDS、SAS评分均较T1时降低(t=9.632,9.044,5.910,5.395;P<0.05),且研究组低于常规组(t=2.188,2.999;P<0.05);两组宫颈癌患者伴侣SDS、SAS评分均较T1时降低(t=12.036,9.004,3.606,3.399;P<0.05),且研究组低于常规组(t=-2.832,-3.986;P<0.05);两组FACT-Cx量表各维度评分均较T1时升高(t=12.045,9.975,12.446,11.662,10.285,,4.940,4.287,6.256,3.649,3.513;P<0.05),且研究组高于常规组(t=5.777,4.798,4.684,4.828,3.075;P<0.05);两组宫颈癌患者伴侣GQOLI-74心理功能、社会功能评分均较T1时升高(t=24.621,15.038,11.000,10.492;P<0.05),且研究组高于常规组(t=4.009,2.581;P<0.05);两组宫颈癌患者伴侣T1、T2时GQOLI-74物质生活状态、躯体功能评分差异无统计学意义(P>0.05)。结论:MI干预有助于减轻宫颈癌患者及其伴侣负性情绪,改善其心理状态,提升其生活质量。
Objective:To observe the effects of motivational interviewing(MI)intervention on the quality of life and psychological states of patients with cervical cancer and their partners.Methods:The study subjects were 68pairs of patients with cervical cancer and their partners in our hospital from May 2017to May 2019,and they were divided into study group(MI intervention,34pairs)and routine group(routine intervention,34pairs)according to the random number table method.The psychological status[Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS)]and quality of life[Functional Assessment of Cancer Therapy-Cervix(FACT-Cx),Generic Quality of Life Inventory(GQOLI-74)]were evaluated in the two groups of patients and their partners before intervention(T1)and after 1month of intervention(T2).Results:At T2,the scores of SDS and SAS in the two groups of patients with cervical cancer were lower than those at T1(t=9.632,9.044,5.910,5.395;P<0.05),and the scores in study group were lower than those in routine group(t=-2.188,-2.999;P<0.05).The scores of SDS and SAS in the two groups of partners of patients with cervical cancer were lower than those at T1(t=12.036,9.004,3.606,3.399;P<0.05),and study group was lower than routine group(t=-2.832,-3.986;P<0.05);The scores of fact-CX scale in both groups increased compared with T1(t=12.045,9.975,12.446,11.662,10.285,4.940,4.287,6.256,3.649,3.513;P<0.05),and study group was higher than routine group(t=5.777,4.798,4.684,4.828,3.075;P<0.05);The GQOLI-74scores of psychological function and social function in the partners of cervical cancer patients in the 2 groups were higher than those in T1(t=24.621,15.038,11.000,10.492;P<0.05),and the scores in study group were higher than those in routine group(t=4.009,2.581;P<0.05).There were no significant differences in the scores of material living status and physical function of GQOLI-74score between the two group of partners of pa-tients with cervical cancer at T1and T2(P>0.05).Conclusion:MI intervention can help alleviate the negative emotions of patients with cervical cancer and their partners,improve the psychological states and promote the quality of life.
作者
马艳
李瑞霞
何政霞
MA Yan;LI Ruixia;HE Zhengxia(Department of Obstetrics and Gynecology,First Affiliated Hospital of Zhengzhou University,Henan Zhengzhou 450000,China)
出处
《中国健康心理学杂志》
北大核心
2021年第10期1540-1545,共6页
China Journal of Health Psychology
基金
河南省医学科技攻关计划项目(编号:201701465)。
关键词
宫颈癌
伴侣
动机性访谈
心理状态
生活质量
Cervical cancer
Partners
Motivational interviewing
Psychological states
Quality of life
