赋能理论构建下的情绪与压力管理方案改善胃癌患者心理弹性、希望水平的影响  

Improvement effect of emotion-stress management scheme based on empowerment theory on psychological resilienceand hope level in patients with gastric cancer

作　　者：孙茜 王俊华 吴晓倩 田仲华 SUN Qian;WANG Junhua;WU Xiaoqian;TIAN Zhonghua(Jinan People's Hospital(Affiliated People's Hospital of Shandong First Medical University),Jinan 271100,China)

机构地区：[1]山东省济南市人民医院(山东第一医科大学附属人民医院),271100

出　　处：《中国健康心理学杂志》2023年第12期1815-1819,共5页China Journal of Health Psychology

基　　金：山东省自然科学基金项目(编号:202003030440)。

摘　　要：目的:探究赋能理论构建下的情绪与压力管理方案改善胃癌患者心理弹性、希望水平的影响。方法:选取2019年10月至2022年2月住院治疗的胃癌患者110例,根据数字法随机分为对照组(55例)和观察组(55例)。对照组患者给予常规护理干预,观察组在对照组基础上给予赋能理论构建下的情绪与压力管理方案干预。比较两组患者心理弹性、希望水平、疾病应对方式及生活质量的差异。结果:干预后,观察组Connor-Davidson心理弹性量表(CD-RISC)中坚韧、力量、乐观及总分高于对照组(t=2.746,4.049,10.058,10.749;P<0.05),中文版Herth希望量表(HHI)中对现实和未来的积极态度、采取积极行动及与他人保持亲密关系评分高于对照组(t=6.922,5.242,7.267;P<0.05),中文版医学应对方式问卷(MCMQ)中面对评分高于对照组(t=5.248,P<0.05),回避和屈服评分低于对照组(t=-6.512,-3.485;P<0.05),癌症患者生活质量测定量表(EORTC QLQ-C30)中角色功能、情绪功能、社会功能评分高于对照组(t=5.097,5.267,3.604;P<0.05),疲倦症状和疼痛症状评分低于对照组(t=-8.342,-11.814;P<0.05)。结论:赋能理论构建下的情绪与压力管理方案可提高胃癌患者心理弹性、希望水平,促进其正向面对疾病,改善生活质量。Objective:To explore the improvement effect of emotion-stress management scheme based on empowerment theory on psychological resilience and hope level in patients with gastric cancer.Methods:A total of 110 patients with gastric cancer treated in the hospital were enrolled between October 2019 and February 2022.According to random number table method,they were divided into control group(55 cases)and observation group(55 cases).The control group was given routine nursing,while observation group was additionally given emotion-stress management scheme based on empowerment theory.The differences in psychological resilience,hope level,disease coping styles and quality of life were compared between the two groups.Results:After intervention,scores of toughness,strength and optimism dimensions,and total score of Connor-Davidson resilience scale(CD-RISC)in observation group were higher than those in control group(t=2.746,4.049,10.058,10.749;P<0.05),scores of Herth Hope Index(HHI,including positive attitude towards reality and future,taking positive actions and maintaining close relationship with others)were higher than those in control group(t=6.922,5.242,7.267;P<0.05),score of facing dimension in medical coping modes questionnaire(MCMQ)was higher than that in control group(t=5.248,P<0.05),while scores of avoidance and submission dimensions were lower than those in control group(t=-6.512,-3.485;P<0.05),scores of role function,emotional function and social function dimensions in European Organizationfor Research and Treatment of cancer quality of life questionnaire core 30(EORTC QLQ-C30)were higher than those in control group(t=5.097,5.267,3.604;P<0.05),and scores of fatigue and pain symptoms were lower than those in control group(t=-8.342,-11.814;P<0.05).Conclusion:The emotion-stress management scheme based on empowerment theory can improve psychological resilience and hope level in patients with gastric cancer,promote positive coping to diseases and improve quality of life.

关 键 词：赋能 情绪与压力管理 胃癌患者 心理弹性 希望水平 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]