基于积极心理学的动机性访谈对提高直肠癌结肠造口患者自尊的作用  

Influence of Positive-psychology-based Motivational Interview on Self-esteem of Colorectal Cancer Patients with Stoma

作　　者：文莎丽[1] 卢彦芳[1] 金自卫 张静平[3] 

机构地区：[1]中南大学湘雅二医院普外器官移植科,湖南长沙410011 [2]中南大学湘雅二医院乳甲外科 [3]中南大学护理学院,湖南长沙410013

出　　处：《解放军护理杂志》2015年第16期11-15,共5页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的：探讨基于积极心理学的动机性访谈对直肠癌结肠造口患者自尊的影响.方法便利选取2012年8月至2013年3月92例直肠癌住院患者,采用随机数字表法分为对照组和干预组.对照组采用常规护理；干预组以积极心理学为基础,结合跨理论模型对患者进行动机性访谈,分别于患者术后2~4d、出院前2d、出院后第1、3个月各进行1次干预.分别于术后第2天（即基线资料）、出院前2 d及出院后1、3、6个月（分别用 T、T0、T1、T3、T6表示）采用状态自尊量表（state self-es-teem,SSES）对两组患者进行评定.结果92例患者自尊总分为（54．71±7．426）分,其外表自尊、行为自尊及社会自尊分别为（13．05±1．793）、（21．55±5．265）、（16．42±2．778）分；自尊总分和各维度的干预主效应及时间主效应均具有统计学意义（P＜0．05）,且存在交互效应（P＜0．05）；T1、T3和T6时间点两组各维度得分差异均有统计学意义（P＜0．05）,干预组不同时间点各维度差异均有统计学意义（P＜0．05）.结论以积极心理学为理论基础,将健康行为改变的跨理论模型运用于动机性访谈,有助于提高直肠癌结肠造口患者的自尊水平.Objective To discuss the influence of positive-psychology-based motivational interview on self-esteem of colorectal cancer patients with stoma.Methods A total of 9 2 colorectal cancer patients with stoma were randomly divided into control group and intervention group.The control group received conventional nursing,while the intervention group received positive-psychology-based motivational interview in 2-4 d after surgery,2 d before discharge,first and third month after discharge.Two groups of patients were evaluated by state self-esteem scale in 2 days after surgery,2 days before discharge and first,third and sixth months after discharge （T、T0、T1、T3、T6 ）. Results The total self-esteem score was （54.71 ±7.426）for 92 patients,their appearance self-esteem,behavioral esteem and social esteem were （13.05±1.793）、（21.55±5.265）、（16.42±2.778）,respectively.There was statistical significance of the total score of self-esteem and main intervention effect and main time effect（P〈0.05）,which has interactive effects（P〈0.05）.There were statistical significance of the scores in each dimensions showed in T1、T3 and T6 between two groups（P〈0.05）,with the difference in each dimension in different time point（P〈0.05）. Conclusion Positive-psychology-based motivational interview can improve the self-efficacy of colorectal cancer patients with stoma.

关 键 词：直肠癌 肠造口 积极心理学 动机性访谈 自尊 

分 类 号：R735.37[医药卫生—肿瘤] R735.35[医药卫生—临床医学]