原发性肝癌手术患者心理弹性状况及集体心理干预效果评价  

Psychological resilience status in patients with primary liver cancer surgery and effects of collective psychological intervention

作　　者：李小侠[1] 毛东方[1] 王文君 刘芳芳 LI Xiaoxia;MAO Dongfang;WANG Wenjun(Surgery Department of Nanyang Central Hospital,Nanyang473000,China)

机构地区：[1]河南省南阳市中心医院外科,473000 [2]南阳市第二人民医院普外科

出　　处：《中国健康心理学杂志》2021年第2期200-203,共4页China Journal of Health Psychology

基　　金：河南省医学科技攻关计划项目(编号:201803249)。

摘　　要：目的:探讨原发性肝癌手术患者心理弹性状况及集体心理干预效果评价。方法:选取2016年7月至2018年9月本院收治的原发性肝癌手术患者148例,采用信封法随机分为观察和对照组各74例,对照组给予常规干预,观察组在此基础上给予集体心理干预,比较两组干预效果,分析对患者心理弹性、情绪状态、生活质量的影响。结果:干预后两组心理弹性状况评分(CD-RISC)均显著升高(t=16.250,7.271;P<0.05),且观察组CDRISC评分显著高于对照组(t=9.768,P<0.05);干预后两组焦虑评分(HAMA)、抑郁评分(HAMD)均显著降低,观察组干预后HAMA评分(t=-25.829,P<0.05)、HAMD评分(t=-29.997,P<0.05)均明显低于对照组;观察组术后下床活动时间(t=1-5.121,P<0.05)、住院时间(t=-18.399,P<0.05)、术后肛门排气时间(t=-22.873,P<0.05)均显著短于对照组,住院费用明显低于对照组(t=-8.027,P<0.05);干预后两组社会关系领域、生理领域、心理领域、环境领域评分均显著升高,且观察组干预后社会关系领域(t=14.236,P<0.05)、生理领域(t=14.628,P<0.05)、心理领域(t=14.408,P<0.05)、环境领域(t=13.396,P<0.05)评分均明显高于对照组;观察组并发症发生率9.46%显著低于对照组22.97%(t=4.973,P<0.05)。结论:集体心理干预在原发性肝癌手术患者中应用较佳,可显著改善患者的心理弹性状态、生活质量,促进术后恢复。Objective:To explore the psychological resilience status in patients with primary liver cancer surgery and the evaluation of effects of collective psychological intervention.Methods:A total of 148patients with primary liver cancer surgery in our hospital from July 2016to September 2018were selected and randomly divided into observation group and control group by envelope method,with 74cases in each group.Control group was given routine intervention,and observation group was given collective psychological intervention on this basis.The intervention effects were compared between two groups,and the effects on psychological resilience,emotional states and quality of life were analyzed.Results:After intervention,the scores of psychological resilience(CD-RISC)in the two groups were significantly increased(t=16.250,7.271;P<0.05),and the CD-RISC score in observation group was significantly higher than that in control group(t=9.768,P<0.05).After intervention,the Hamilton anxiety rating scale score(HAMA)and Hamilton depression rating scale score(HAMD)were significantly decreased in two groups,and the HAMA score(t=-25.829,P<0.05)and HAMD scores(t=-29.997,P<0.05)in observation group after intervention were significantly lower than those in control group.The postoperative ambulation time(t=-15.121,P<0.05),hospital stay(t=-18.399,P<0.05)and postoperative anal exhaust time(t=-22.873,P<0.05)in observation group were significantly shorter than those in control group,and the hospitalization cost was significantly lower than that in control group(t=-8.027,P<0.05).After intervention,the scores of social relation field,physiological field,psychological field and environmental field in the two groups were significantly increased,and the scores of social relation field(t=14.236,P<0.05)and physiological field(t=14.628,P<0.05),psychological field(t=14.408,P<0.05)and environmental field(t=13.396,P<0.05)after intervention in observation group were significantly higher than those in control group.The incidence rate of complications in obser

关 键 词：原发性肝癌手术 心理弹性 集体心理干预 情绪状态 生活质量 

分 类 号：R749.92[医药卫生—神经病学与精神病学]