基于King互动达标理论的心理疏导在腹腔镜肝癌切除术患者的应用效果分析  

Application effect analysis of psychological counseling based on King interactive reaching theory in patients undergoing laparoscopic hepatocellular carcinoma resection

作　　者：高金红 陈玉梅[1] 郭韵[1] Gao Jinhong;Chen Yumei;Guo Yun(Hepatobiliary Center of Jiangsu Provincial People's Hospital,Nanjing Jiangsu province 210009,China)

机构地区：[1]江苏省人民医院肝胆中心,南京210009

出　　处：《中华普外科手术学杂志（电子版）》2024年第5期517-520,共4页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：江苏省青年医学重点人才培养项目(QNRC2020833)。

摘　　要：目的:探究基于King互动达标理论的心理疏导对腹腔镜肝癌切除术患者的应用效果。方法:选择2022年1月至2022年12月102例肝癌患者为研究对象,所有患者均行腹腔镜肝癌切除术,根据护理方法不同随机分成试验组和对照组,每组各51例;对照组行常规护理,试验组行基于King互动达标理论的心理干预。采用SPSS 22.0软件处理数据,心理状态、生活质量、满意度和疾病认知等计量资料以(x±s)表示,组间比较采用LSD-t检验,组内不同时间采用配对样本t检验;计数资料采用卡方检验,以P<0.05为差异有统计学意义。结果:干预前两组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、生活质量评定表(SF-36)8个方面得分等差异均无统计学意义(P>0.05),干预后两组患者SAS、SDS评分均降低,试验组显著低于对照组(P<0.05);干预后两组患者SF-36量表8个方面得分均增高且试验组显著高于对照组(P<0.05);干预后,试验组患者护理满意度评分和疾病知识问卷得分均显著高于对照组(P<0.05)。结论:腹腔镜肝癌切除术患者应用基于King互动达标理论的心理干预能有效改善患者心理状态,提升其生活质量、护理满意度及疾病知识。Objective:To explore the application effect of psychological counseling based on King interactive reaching theory on patients undergoing laparoscopic hepatocellular carcinoma resection.Methods:A total of 102 patients with liver cancer from January 2022 to December 2022 were selected as the study objects.All patients underwent laparoscopic hepatocellular carcinoma resection and were randomly divided into experimental group and control group according to different nursing methods,with 51 cases in each group.The control group received routine nursing,and the experimental group received psychological intervention based on King interactive reaching theory.SPSS 22.0 software was used to process the data.Measurement data such as mental state,quality of life,satisfaction and disease cognition were expressed as(x±s).LSD-t test was used for inter-group comparison,and paired sample t test was used at different times within the group.Chi-square test was used for counting data,and P<0.05 was considered to be statistically significant.Results:Before intervention,there were no significant differences in the scores of self-rating Anxiety Scale(SAS),self-rating Depression Scale(SDS)and SF-36 before intervention(P>0.05).After intervention,SAS and SDS scores of both groups were decreased,and the test group was significantly lower than the control group(P<0.05).After intervention,SF-36 scores in 8 aspects of both groups were increased,and the experimental group was significantly higher than the control group(P<0.05).After intervention,the scores of nursing satisfaction and disease knowledge questionnaire in experimental group were significantly higher than those in control group(P<0.05).Conclusion:Psychological intervention based on the King interactive reaching theory can effectively improve the psychological state of patients with laparoscopic hepatocellular carcinoma resection,improve their quality of life,nursing satisfaction and disease knowledge.

关 键 词：肝癌 腹腔镜肝癌切除术 互动达标理论 心理干预 焦虑抑郁情绪 

分 类 号：R735.7[医药卫生—肿瘤]