微信平台的阶梯式干预模式改善胃癌患者心理困扰及恐惧的效果  

Effects of stepwise intervention model based on WeChat platform on improving psychological distress and fear in patients with gastric cancer

作　　者：郭艳荣[1] 王艳[1] 丁菊香[1] 陈燕丽 刘玉萍 潘玉琴[1] GUO Yanrong;WANG Yan;DING Juxiang;CHEN Yanli;LIU Yuping;PAN Yuqin(Jiuquan People's Hospital of Gansu Province,Jiuquan 735000,China)

机构地区：[1]甘肃省酒泉市人民医院,735000

出　　处：《中国健康心理学杂志》2023年第12期1825-1830,共6页China Journal of Health Psychology

基　　金：2019年度甘肃省科技计划项目(编号:9622019Y0218)。

摘　　要：目的:探究基于微信平台的阶梯式干预模式改善胃癌患者心理困扰及恐惧的效果。方法:以2020年4月——2022年4月98例胃癌患者为研究对象,采用随机数字表法将患者分为两组,对照组给予常规护理干预,观察组给予基于微信平台的阶梯式干预模式。采用疾病不确定感量表(MUIS-A)、疾病进展恐惧量表(FoPQ)、自我感受负担量表(SPBS)、心理弹性量表(CD-RISC)评价患者干预前后疾病不确定感及疾病恐惧感、自我感受负担等,采用Morisky服药依从性量表(MAQ)评价患者干预期间的治疗依从性,并观察患者干预前后简易应对方式问卷(SCSQ)、胃癌患者生活质量问卷(QLQ-STO22)。结果:观察组干预后MUIS-A总分低于对照组(t=2.338,P<0.05);观察组干预后同伴/家庭关系评分及FoPQ总分低于对照组(t=2.563,2.234;P<0.05),SPBS评分中心理/情感评分均低于对照组(t=2.221,P<0.05);观察组干预后CD-RISC总评分高于对照组(t=2.625,P<0.05);观察组治疗依从性优于对照组(Z=2.018,P<0.05);观察组干预后QLQ-STO22评分中焦虑评分低于对照组(t=2.108,P<0.05)。结论:微信平台的阶梯式干预模式可减轻胃癌患者不确定感及心理困扰、恐惧,改善疾病应对方式,并能提高其治疗依从性,改善患者生活质量。Objective:To explore the effects of stepwise intervention model based on WeChat platform on improving the psychological distress and fear in patients with gastric cancer.Methods:A total of 98 patients with gastric cancer from April 2020 to April 2022 were selected as the research subjects,and they were divided into two groups by the random number table method.The control group was given routine nursing intervention while the observation group was given stepwise intervention model based on WeChat platform.Mishel's Uncertainty in Illness Scale for Adult(MUIS-A),Fear of Progression Questionnaire(FoPQ),Self-Perceived Burden Scale(SPBS)and Connor-Davidson Resilience Scale(CD-RISC)were used to evaluate the disease uncertainty,fear of disease and self-perceived burden before and after intervention.Morisky Medication Adherence Questionnaire(MAQ)was used to evaluate the treatment compliance of patients during intervention,and Simplified Coping Style Questionnaire(SCSQ)and Quality of Life Questionnaire of Stomach 22(QLQ-STO22)were observed before and after intervention.Results:The total score of MUIS-A in observation group after intervention were lower than those in control group(t=2.338,P<0.05).After intervention,the scores of peer/family relationship and total score of FoPQ and score of psychology/emotion of SPBS in observation group were lower than those in control group(t=2.563、2.234、2.221,P<0.05).After intervention,the CD-RISC total scores in observation group were higher compared with those in control group(t=2.625,P<0.05).The treatment compliance was better in observation group than that in control group(Z=2.018,P<0.05).After intervention,the anxiety score of QLQ-STO22 in observation group was lower compared to control group(t=2.108,P<0.05).Conclusion:Stepwise intervention model based on WeChat platform can relieve the uncertainty,psychological distress and fear,improve the coping styles of disease,enhance the treatment compliance and improve the quality of life in patients with gastric cancer.

关 键 词：微信平台 阶梯式干预模式 胃癌 心理困扰 恐惧 

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