基于治疗性沟通干预策略在肿瘤介入手术患者护理中对心理情绪及希望水平的影响  

Effect of therapeutic communication intervention strategy on psychological emotion and hope level in patients with tumor interventional surgery

作　　者：史妍妍[1] 钱小莉[1] SHI Yanyan;QIAN Xiaoli(Department of Interventional Intervention,Wuxi People's Hospital,Wuxi,Jiangsu,214000,China)

机构地区：[1]无锡市人民医院介入科,江苏无锡214000

出　　处：《当代医学》2024年第7期170-173,共4页Contemporary Medicine

摘　　要：目的探讨基于治疗性沟通干预策略在肿瘤介入手术治疗患者护理中对心理情绪及希望水平的影响。方法选取2019年12月2021年12月无锡市人民医院收治的88例肿瘤患者作为研究对象,按照随机数字表法分为对照组与观察组,每组44例。对照组给予常规护理,观察组在常规护理基础上再行基于治疗性沟通干预策略。比较两组心理情绪[郁自评量表(SDS)、焦虑自评量表(SAS)及正性负性情绪量表(PANAS)]、希望水平[Herth希望量表(HHI)]、主观幸福感改善情况[总体幸福感量表(GWB)]、应对方式变化情况。结果干预后,两组SDS、SAS及PANAS负性情绪评分均低于干预前,PANAS正性情绪评分均高于干预前,且观察组SAS、SDS、PANAS负性情绪评分均低于对照组,PANAS正性情绪评分高于对照组,差异有统计学意义(P<0.05)。干预后,两组HHI、GWB评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组面对评分均高于干预前,屈服、回避、发泄、幻想评分均低于干预前,且观察组面对评分高于对照组,屈服、回避、发泄、幻想评分均低于对照组,差异有统计学意义(P<0.05)。结论肿瘤介入手术患者护理中引入基于治疗性沟通干预策略,能有效改善患者心理情绪,提升疾病治疗期间的希望水平和主观幸福感,进而促进患者改善应对方式。Objective To explore the effect of therapeutic communication intervention strategy on psychological emotion and hope level in patients with tumor interventional surgery.Methods 88 cancer patients who were diagnosed and treated in Wuxi People's Hospital from December 2019 to December 2021 were selected as the research subjects,and they were divided into the control group and the observation group according to the random number table method,with 44 cases in each group.The control group was given routine nursing,and the observation group was given therapeutic communication intervention strategy on the basis of routine nursing,the psychological and emotional status(self-rating depression scale[SDS],self-rating anxiety scale[SAS]and positive and nega-tive affect scale[PANAS]),hope level(Herth hope index[HHI]),improvement of subjective well-being(general well-being scale[GWB])and changes in coping style between the two groups were compared.Results After intervention,the scores of SDS,SAS and PANAS negative emotion of the two groups were lower than those before intervention,and the scores of PANAS positive emotion were higher than before intervention,the scores of SAS,SDS and PANAS negative emotion in the observation group were lower than those in the control group,and the score of PANAS positive emotion was higher than that in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of HHI and GWB of the two groups were higher than before intervention,and the observation group were higher than the control group,the differences were statistically significant(P<0.05).After intervention,the scores of confrontation of the two groups were higher than before intervention,and the scores of resignation,avoidance,venting and fantasy were lower than before intervention,the scores of confrontation in the observation group was higher than that in the control group,and the scores of resignation,avoidance,venting and fantasy were lower than those in the control group,the differences were

关 键 词：肿瘤 介入手术 治疗性沟通 心理状况 希望水平 应对方式 

分 类 号：R473.73[医药卫生—护理学]