自我超越思维架构下的干预策略对结直肠癌根治性切除患者的影响  

Effect of Intervention Strategies Based on Self-transcendence Thinking in Patients with Colorectal Cancer Undergoing Radical Resection

作　　者：杨敏[1] 张宁[1] 曾舒倩 陈文文 Yang Min;Zhang Ning;Zeng Shuqian(Xiehe Hospital Affiliated to Tongji Medical College Huazhong University of Science and Technology,Wuhan Hubei 430000,China)

机构地区：[1]华中科技大学同济医学院附属协和医院,湖北武汉430000

出　　处：《齐鲁护理杂志》2023年第4期1-4,共4页Journal of Qilu Nursing

摘　　要：目的:探讨自我超越思维结构下的干预策略对结直肠癌根治性切除患者心理负担、应对方式及希望水平的影响。方法:选取结直肠癌根治性切除患者138例为研究对象;将2019年6月1日~2020年6月30日收治的68例患者分为对照组,术后接受常规护理;将2020年7月1日~2021年6月30日收治的70例患者分为观察组,术后在常规护理基础上增加自我超越思维架构下的干预策略。使用汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)评估患者焦虑、抑郁情况,使用心理困惑管理量表(DM)评估患者心理困扰,使用Jalowies应对方式量表、Herth希望量表(HHI)和中文版癌症自我管理效能感量表(C-SUPPH)评估患者的应对方式、希望水平和自我效能感;比较两组干预前后心理负担、心理困扰、应对方式、希望水平和自我管理效能变化情况。结果:干预后,两组HAMA、HAMD、DM评分和姑息、逃避、宿命、依靠自我等应对方式评分均低于干预前(P<0.05),乐观、面对、寻求支持、情感宣泄等应对方式评分和HHI、C-SUPPH评分均高于干预前(P<0.05),且观察组均优于对照组(P<0.01)。结论:自我超越思维结构下的干预策略可以改善结直肠癌根治性切除患者的心理负担,提高积极应方式、希望水平,增强自我效能感。Objective: To explore the effect of intervention strategies based on self-transcendence thinking on psychological burden, coping styles and hope level in patients with colorectal cancer undergoing radical resection.Methods: A total of 138 patients undergoing radical resection of colorectal cancer were enrolled as the research objects, 68 cases admitted during June 1,2019 to June 30,2020 were divided into the control group, the control group received routine nursing after operation, 70 cases admitted during July 1,2020 to June 30,2021 were divided into the observation group, the observation group was added intervention strategies based on self-transcendence thinking combined with routine nursing.The anxiety and depression of patients were assessed by Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD).The psychological distress was evaluated by Distress Management(DM)scale.The coping styles, hope level and self-efficacy were evaluated by Jalowies coping style scale, Herth hope index(HHI)and Chinese-version SUPPH(C-SUPPH).The changes in psychological burden, psychological distress, coping styles, hope level and self-efficacy before and after intervention between the two groups were compared.Results: After intervention, the scores of HAMA,HAMD,DM and coping styles such as palliative style, avoidance, predestination, and self-dependence were lower in both groups than those before intervention(P<0.05),while the scores of coping styles such as optimism, facing, seeking support, and emotional catharsis, and the HHI and C-SUPPH scores were higher in both groups than those before intervention(P<0.05),and better in the observation group than those in the control group(P<0.01).Conclusion: The intervention strategies based on self-transcendence thinking can improve psychological burden, positive copying styles and hope level, and enhance self-efficacy in patients undergoing radical resection of colorectal cancer.

关 键 词：结直肠癌 自我超越思维 干预策略 心理负担 应对方式 希望水平 

分 类 号：R473.73[医药卫生—护理学]