静默疗法联合思维转换对肝癌术后患者的效果  

The effect of silent therapy combined with thinking conversion in liver cancer patients after surgery

作　　者：郭路路 刘新爱 GUO Lulu;LIU Xin'ai(Henan Provincial Hospital of Traditional Chinese Medicine(The Second Affiliated Hospital of Henan University of Traditional Chinese Medicine),Zhengzhou 450002,China)

机构地区：[1]河南省中医院(河南中医药大学第二附属医院),郑州450002

出　　处：《国际精神病学杂志》2023年第5期1239-1242,共4页Journal Of International Psychiatry

基　　金：河南省高等学校重点科研项目计划(编号:21B320002)。

摘　　要：目的探讨静默疗法联合思维转换在肝癌术后患者护理中的运用效果。方法本研究对象为2019年2月~2021年6月我院90例肝癌手术患者,采用数字表法随机分组。两组均进行常规术后护理,对照组采用常规心理护理,观察组采用静默疗法联合思维转换进行心理护理,均干预4周。干预前、后评价焦虑自评量表(SAS)、抑郁自评量表(SDS)、癌症病人生活质量量表(EORTCQLQ-C30)以及Karnofsky功能状态(KPS)评分,记录并发症发生情况。结果两组护理后SAS评分、SDS评分均较护理前降低,且护理后观察组显著低于对照组(P<0.05);两组护理后EORTCQLQ-C30评分、KPS评分均较护理前升高,且护理后观察组显著高于对照组(P<0.05);两组并发症发生率差异无统计学意义(P>0.05)。结论静默疗法联合思维转能够降低肝癌术后患者的焦虑、抑郁情绪,提升其生活质量和功能状态。Objective To explore the application effect of silent therapy combined with thinking conversion in liver cancer patients after surgery.Methods Ninety liver cancer patients after surgery in our hospital from February 2019 to June 2021 were selected and randomly divided into two groups according digital table method.The control group received routine psychological nursing,and the observation group received psychological nursing using silent therapy combined with thinking conversion,both of which were intervened for 4 weeks.Self-rating anxiety scale(SAS),selfrating depression scale(SDS),quality of life scale for cancer patients(EORTCQLQ-C30)and Karnofsky functional status(KPS)score were compared before and after the intervention.The complications after surgery were recorded.Results The SAS and SDS scores of the two groups after nursing were lower than those before nursing,and the observation group after nursing was significantly lower than the control group(P<0.05).The EORTCQLQ-C30 score and KPS score of both groups after nursing were higher than those before nursing,and the observation group after nursing was significantly higher than the control group(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Silence therapy combined with thought conversion for postoperative psychological care of liver cancer can reduce patients'anxiety and depression,and improve their quality of life and functional status.

关 键 词：静默疗法 思维转换 肝癌 

分 类 号：R749.99[医药卫生—神经病学与精神病学]