摘要
目的 探讨巴林特小组团体心理干预对晚期肝癌介入治疗患者术后心理状态、应对方式及生存质量的影响。方法 将行介入治疗的159例晚期肝癌患者按入院顺序分为对照组(79例)和研究组(80例)。对照组给予常规干预,研究组在对照组基础上给予巴林特小组团体心理干预,观察4周。统计两组护理满意度,比较手术前后遵医行为及症状自评量表、自我感受负担量表、医学应对方式问卷、癌症患者生存质量评定量表评分。结果 (1)遵医行为:术后4周两组遵医率均较术前显著升高(P<0.01),研究组显著高于对照组(P<0.05)。(2)心理状态:术后1周研究组症状自评量表的各因子评分和对照组的7个因子评分均较术前显著降低(P<0.05或0.01),术后2周、4周两组均较术前显著降低(P<0.05或0.01);术后1周、2周、4周研究组显著低于对照组(P<0.01)。(3)自我感受负担:术后4周两组自我感受负担量表评分均显著低于术前(P<0.01),且研究组显著低于对照组(P<0.01)。(4)应对方式:术后4周两组医学应对方式问卷的回避、屈服维度评分均较术前显著降低(P<0.01),应对维度评分较术前显著升高(P<0.01),研究组回避、屈服维度评分显著低于对照组(P<0.01),应对维度评分显著高于对照组(P<0.01)。(5)生存质量:术后4周两组癌症患者生存质量评定量表的心理功能、社会功能、生理功能及躯体功能维度评分均较术前显著升高(P<0.01),研究组心理功能维度评分显著高于对照组(P<0.01),两组社会功能、生理功能、躯体功能维度评分比较差异无统计学意义(P>0.05)。(6)护理满意度:研究组护理总满意度为90.00%,对照组为77.22%,研究组显著高于对照组(P<0.05)。结论 巴林特小组团体心理干预有助于晚期肝癌介入治疗患者术后心理状态调节,减轻其自我感受负担,建立积极应对方式,改善遵医行为,提高生存质量及护理满意度。
Objective To investigate the effects of psychological intervention of Balint group on psychological state, coping style and quality of life of patients with advanced liver cancer after interventional therapy. Methods A total of 159 patients with advanced liver cancer who underwent interventional therapy were divided into control group(79 patients) and study group(80 patients) according to the order of admission. The control group was given conventional intervention, and the study group was given psychological intervention of Balint group based on the control group for 4 weeks. Nursing satisfaction of the two groups was compared. The compliance behavior, and the scores of symptom check-list 90(SCL-90), medical coping modes questionnaire(MCMQ), European organization for the research and treatment of cancer QLQ-C30(EORTC QLQ-C30)were compared before and after surgery.Results (1)Compliance behavior:Four weeks after operation,the compliance rates of the two groups were significantly higher than those before operation(P<0.01),and the study group was significantly higher than the control group(P<0.05).(2)Psychological state:One week after operation,all factor scores of SCL-90in the study group and 7factor scores in the control group were significantly lower than those before operation(P<0.05or 0.01).Two weeks and four weeks after operation,both groups were significantlylower than those before operation(P<0.05or 0.01).One week,two weeks and four weeks after operation,the study group was significantly lower than the control group(P<0.01).(3)Self-perceived burden:Four weeks after operation,the self-perceived burden scale scores of the two groups were significantly lower than those before operation(P<0.01),and the study group was significantly lower than the control group(P<0.01).(4)Coping style:Four weeks after operation,the avoidance and yield dimension scores of MCMQ in both groups were significantly lower(P<0.01),and the coping dimension scores were significantly higher(P<0.01).The avoidance and yield dimension scores in the study group were significantly lower than those in the control group(P<0.01),and the coping dimension scores in the study group were significantly higher than those in the control group(P<0.01).(5)Quality of life:Four weeks after operation,the scores of psychological function,social function,physical function and somatic function dimensions of EORTC QLQ-C30in both groups were significantly higher than those before operation(P<0.01),and the psychological function dimension scores in the study group were significantly higher than those in the control group(P<0.01),while the differences between the scores of social function,physical function and somatic function dimensions in the two groups were not statistically significant(P>0.05).(6)Nursing satisfaction:The total satisfaction of nursing was 90.00%in the study group and 77.22%in the control group,which was significantly higher in the study group than in the control group(P<0.05).Conclusions The psychological intervention of Balint group applied to patients with advanced liver cancer after interventional therapy can help adjust their psychological state,reduce the burden of self-perception,establish active coping styles and compliance behaviors,improve the quality of life and nursing satisfaction.
作者
刘佳佳
郑琳
李红杰
杨静静
Liu Jiajia;Zheng Lin;Li Hongjie;Yang Jingjing(Cancer Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,Henan,China)
出处
《临床心身疾病杂志》
CAS
2022年第6期68-75,102,共9页
Journal of Clinical Psychosomatic Diseases
基金
河南省医学科技攻关计划(省部共建)项目(编号SBGJ2018090)。
关键词
晚期肝癌
介入术
巴林特小组
团体心理干预
心理状态
应对方式
生活质量
advanced liver cancer
interventional therapy
Balint group
group psychological intervention
psychological state
coping style
quality of life
