芳香疗法结合认知领悟疗法对老年原发性肝癌术后患者复发恐惧、自我效能及幸福感的影响  

Effects of aromatherapy combined with cognitive insight therapy on recurrence fear,self-efficacy and well-being in elderly patients with primary hepatocellular carcinoma after surgery

作　　者：花园园 马于丽 Hua Yuanyuan;Ma Yuli(Department of Hepatobiliary and Pancreatic Surgery,Tumor Hospital of Nantong City,Nantong,Jiangsu,226361,P.R.China)

机构地区：[1]南通市肿瘤医院肝胆胰外科,江苏南通226361

出　　处：《老年医学与保健》2023年第6期1150-1154,1179,共6页Geriatrics & Health Care

摘　　要：目的探究芳香疗法结合认知领悟疗法干预对老年原发性肝癌(PHC)术后患者复发恐惧、自我效能及幸福感的影响。方法选择2021年3月—2023年3月于南通市肿瘤医院就诊的老年PHC患者80例,按照随机数字表法分成观察组(n=40)和对照组(n=40)。对照组采用芳香疗法进行干预,观察组在芳香疗法基础上加用认知领悟疗法干预。比较2组干预前、后的焦虑(HAMA评估)、抑郁(HAMD评估)、癌症复发恐惧(FOP-Q-SF评估)、自我效能(GSES评估)、睡眠质量(PSQI评估)、幸福感(GWB评估)、生活质量(QLQ-C30评估)、护理满意度。结果2组干预后的HAMA、HAMD、FOP-Q-SF、PSQI评分均低于同组干预前,且观察组低于对照组(P均<0.05);干预后,2组GSES、GWB评分高于同组干预前,且观察组高于对照组(P均<0.05);干预后,2组QLQ-C30量表中的身体功能、情绪功能、认知功能、疼痛评分高于同组干预前,且观察组高于对照组(P均<0.05);且观察组干预前、后的HAMA、HAMD、FOP-Q-SF、GSES、GWB、PSQI及QLQ-C30评分差值均高于对照组,差异均有统计学意义(P<0.05);干预后,观察组的患者健康知识指导、沟通技巧、服务质量、服务态度评分均高于对照组(P<0.05)。结论芳香疗法结合认知领悟疗法干预可能改善老年PHC患者不良情绪,减轻其术后复发恐惧,提高患者的自我效能、幸福感及生活质量,护理满意度高。Objective To explore the effects of aromatherapy combined with cognitive insight therapy on recurrence fear,self-efficacy and well-being in elderly patients with primary hepatocellular carcinoma(PHC).Methods A total of 80 elderly patients with PHC treated in Tumor Hospital of Nantong City between March 2021 and March 2023 were enrolled.According to random number table method,they were divided into observation group(n=40)and control group(n=40).The control group was treated with aromatherapy,while the observation group was treated with cognitive insight therapy on the basis of aromatherapy.The anxiety(HAMA),depression(HAMD),fear of cancer recurrence(FOP-Q-SF),self-efficacy(GSES),sleep quality(PSQI),well-being(GWB)and quality of life(QLQ-C30)and nursing satisfaction were compared between the two groups before and after intervention.Results The scores of HAMA,HAMD,FOP-Q-SF and PSQI of both groups after intervention were lower than those of the same group before intervention,and the observation group was lower than the control group(P<0.05).The scores of GSES and GWB of both groups after intervention were higher than those of the same group,and the observation group was higher than the control group(P<0.05).The scores of the physical function,emotional function,cognitive function and pain in QLQ-C30 of both groups after intervention were higher than those of the same group,and the observation group was higher than the control group(P<0.05).The difference in the scores of HAMA,HAMD,FOP-Q-SF,GSES,GWB,PSQI and QLQ-C30 before and after intervention in the observation group was larger than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of health knowledge guidance,communication skills,service quality and service attitude in the observation group were higher than those in the control group(P<0.05).Conclusion The combination of aromatherapy and cognitive insight therapy may improve the negative emotions of elderly patients with PHC,reduce their postoperati

关 键 词：老年 芳香疗法 认知领悟疗法 原发性肝癌 复发恐惧 自我效能 幸福感 

分 类 号：R47[医药卫生—护理学]