基于ADOPT模式的团体心理干预对老年直肠癌患者自我管理能力、生活质量及希望水平的影响  

Influence of group psychological intervention based on ADOPT model on self-management ability,quality of life,and hope level in elderly patients with rectal cancer

作　　者：翟盛楠[1] 王琳婧 窦雯 ZHAI Shengnan;WANG Linjing;DOU Wen(Operating Room,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院手术室,郑州4500000

出　　处：《癌症进展》2024年第11期1269-1273,共5页Oncology Progress

摘　　要：目的 探讨基于ADOPT模式的团体心理干预对老年直肠癌患者自我管理能力、生活质量及希望水平的影响。方法 依据干预方法的不同将200例老年直肠癌患者分为观察组(n=109)和常规组(n=91),常规组患者给予常规干预,观察组患者给予基于ADOPT模式的团体心理干预。比较两组患者的造口适应情况[造口适应量表(OAS)]、自我管理能力、负性情绪[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]、希望水平[Herth希望量表(HHI)]和满意度。结果 出院时和出院后6个月,两组患者OAS量表各维度评分和总分均高于本组术后1天,且观察组患者OAS量表各维度评分和总分均高于常规组,差异均有统计学意义(P﹤0.05)。出院时,两组患者SAS、SDS评分均低于本组术后1天,肠造口病人自我管理能力问卷、EORTC QLQ-C30、HHI量表各维度评分均高于本组术后1天,观察组患者SAS、SDS评分均低于常规组,肠造口病人自我管理能力问卷、EORTC QLQ-C30、HHI量表各维度评分均高于常规组,差异均有统计学意义(P﹤0.05)。观察组患者的总满意度为98.17%,明显高于常规组患者的89.01%,差异有统计学意义(P﹤0.01)。结论 基于ADOPT模式的团体心理干预可明显缓解老年直肠癌患者的负性情绪,强化患者适应情况和自我管理能力,提高生活质量、希望水平和满意度。Objective To explore the influence of group psychological intervention based on ADOPT model on selfmanagement ability,quality of life,and hope level in elderly patients with rectal cancer.Method According to different intervention methods,200 elderly patients with rectal cancer were divided into observation group(n=109) and routine group(n=91).The control group received routine intervention,while the observation group received group psychological intervention based on the ADOPT model.The stoma adaptation [ostomy adjustment scale(OAS)],self-management ability,negative emotions [self-rating anxiety scale(SAS),self-rating depression scale(SDS)],quality of life [European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],hope level[Herth hope index(HHI)],and satisfaction were compared between the two groups.Result At discharge and 6 months after discharge,the scores of all dimensions and total score of OAS scales in the two groups were higher than those one day after surgery,and the scores of all dimensions and total score of OAS scale in the observation group were higher than those in the routine group,and the differences were statistically significant(P<0.05).At discharge,the SAS and SDS scores of the two groups were lower than those one day after surgery,the scores of all dimensions of the self management ability questionnaire for colostomy patients,EORTC QLQ-C30 scales,and HHI scales in the two groups were higher than those one day after surgery,the SAS and SDS scores in the observation group were lower than those in the routine group,and scores of all dimensions of the self-management ability questionnaire for colostomy patients,EORTC QLQ-C30scale,and HHI scale were higher than those in the routine group,and the differences were statistically significant(P<0.05).The total satisfaction rate in the observation group was 98.17%,which was higher than 89.01% in the routine group,the difference was statistically significant(P<0.01).Conclusion The group psychological

关 键 词：基于ADOPT模式的团体心理干预 老年直肠癌患者 生活质量 希望水平 自我管理能力 

分 类 号：R735735.37[医药卫生—肿瘤]