基于Roy适应模式的心理干预对宫颈癌患者心理状态及自我感受负担的影响  

Influences of RAM-based psychological intervention on the psychological state and self-perceived burden in patients with cervical cancer

作　　者：张华[1] 丁娟[1] 崔海霞[1] 刘艳杰[1] Zhang Hua;Ding Juan;Cui Haixia;Liu Yanjie(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《临床心身疾病杂志》2023年第4期63-69,共7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SBGJ2018004)。

摘　　要：目的 探讨基于Roy适应模式的心理干预对宫颈癌患者心理状态及自我感受负担的干预效果。方法 将120例宫颈癌患者按照不同入院顺序分为研究组与对照组各60例,对照组患者给予常规护理干预,研究组患者在对照组基础上给予基于Roy适应模式的心理干预。两组患者干预前后采用心理弹性量表评估心理状态、自我感受负担量表评估自我感受负担变化、纽芬兰纪念大学幸福度量表评估主观幸福感、自我护理能力测定量表测评自我护理能力、简明健康状况量表评估生活质量变化,并在干预后采用服务质量量表评估两组患者干预满意度。结果 干预后两组患者心理弹性量表、纽芬兰纪念大学幸福度量表(正性情感、正性体验维度)、自我护理能力测定量表、简明健康状况量表及各维度评分均较干预前升高,且研究组高于对照组,差异有统计学意义(P<0.01)。干预后两组患者纽芬兰纪念大学幸福度量表(负性情感、负性体验维度)、自我感受负担量表总分及各维度评分均较干预前降低,且研究组低于对照组,差异有统计学意义(P<0.01)。研究组患者服务质量量表的可靠性、移情性、反应性、有形性、保证性5个维度评分高于对照组,差异有统计学意义(P<0.05)。结论 基于Roy适应模式的心理干预能提高宫颈癌患者心理弹性水平,减轻自我感受负担,提升主观幸福感及生活质量,并有助于增强患者自我管理能力,提高干预满意度。Objective To explore the influences of RAM(Roy adaptation model)-based psychological intervention on the psychological state and self-perceived burden in patients with cervical cancer(CC).M ethods A total of 120 CC patients were assigned to research(n=60)and control(n=60)group according to admission sequence,control group received routine nursing intervention,and on the basis of control group the observation was plus RAM-based psychological intervention.Before and after intervention psychological states were assessed with the Connor-Daviddson Resilience Scale(CD-RISC),changes of self-perceived burden with the Self-perceived Burden Scale(SPBS),subjective well-beings with the Memorial University of Newfoundland Scale of Happiness(MUNSH),self-care abilities with the Exercise of Self-care Agency(ESCA)scale,and changes of life quality with the Short Form 36 Health Survey(SF-36),respectively;intervention satisfactions were assessed with the Service Quality(SERVQUAL)after intervention in the two groups.Results After intervention scores on the CD-RISC,positive affection and positive experience of the MUNSH,ESCA,SF-36 and its all dimensions in both groups elevated compared with pre-intervention and were higher in research than control group,differences were statistically significant(P<0.01).After intervention scores on negative affection and negative experience of the MUNSH,the SPBS and its all dimensions lowered in both groups compared with pre-intervention and were lower in research than control group,differences were statistically significant(P<0.01).Scores on the reliability,empathy,reactivity,tangibility,and assurance of the SERVQUAL were higher in research than control group,differences were statistically significant(P<0.01).Conclusion RAM-based psychological intervention could raise psychological resilience levels of CC patients,lower self-perceived burden,promote subjective well-being and quality of life,is conduce to the enhancement of self-management ability,and raises intervention satisfaction.

关 键 词：宫颈癌 心理干预 心理状态 自我感受负担 自护能力 生活质量 

分 类 号：R737.33[医药卫生—肿瘤]