多学科心理干预对胃癌术前分期诊断患者情绪及配合度的影响  

The effect of multi-disciplinary psychological intervention on anxiety and depression mood and cooperation of patients with preoperative stage diagnosis of gastric cancer

作　　者：马青 冯浩 王丽丽[1] 王丽娜 任继媛[1] 李春星[1] MA Qing;FENG Hao;WANG Lili(Baoding Second Hospital,functional examination Department,Baoding 071000,China)

机构地区：[1]保定市第二医院功能检查科,保定071000 [2]定州市人民医院肝胆外科

出　　处：《国际精神病学杂志》2024年第5期1674-1677,共4页Journal Of International Psychiatry

基　　金：河北省医学科学研究课题(编号:20220437)。

摘　　要：目的 探讨基于压力与应对理论的多学科心理干预在胃癌术前分期诊断中的应用及其对患者焦虑抑郁情绪、配合程度的影响。方法 选取本院2020年1月~2023年1月期间82例病理确诊胃癌需行术前分期评估的住院患者为研究对象,按随机数字表法分为对照组和观察组,住院期间对照组41例给予常规心理干预措施,观察组41例在此基础上给予基于压力与应对理论的多学科心理干预措施,对比两组患者干预前后焦虑抑郁情绪、检查评估配合度及满意度、腹部超声诊断符合率。结果 观察组干预后焦虑评分及抑郁评分均低于对照组(P<0.05);观察组检查配合度及满意度均高于对照组(P<0.05);两组腹部超声诊断符合率差异无统计学意义(P>0.05),检查耗时短于对照组(P<0.05)。结论 综上所述,基于压力与应对理论的多学科心理干预能有效改善病理确诊胃癌需行术前分期评估的住院患者焦虑抑郁等消极状态,提高检查评估配合度及患者满意度,缩短检查时间,超声结果与病理诊断结果符合。Objective To explore the application of multidisciplinary psychological intervention based on stress and coping theory in preoperative staging diagnosis of gastric cancer and its influence on anxiety,depression and cooperation degree of patients.Methods A total of 82 hospitalized patients with pathologically confirmed gastric cancer requiring preoperative staging assessment from January 2020 to January 2023 in our hospital were selected as research objects,and divided into control group and observation group according to random number table method.During hospitalization,41patients in the control group were given routine psychological intervention measures,while 41 patients in the observation group were given multidisciplinary psychological intervention measures based on stress and coping theory.The anxiety and depression,the degree of cooperation and satisfaction of examination and evaluation,and the coincidence rate of abdominal ultrasound diagnosis were compared between the two groups before and after intervention.Results The anxiety scores and depression scores of the observation group were lower than those of the control group(P<0.05).The cooperation degree and satisfaction degree of observation group were higher than those of control group(P<0.05).There was no significant difference in the coincidence rate of abdominal ultrasound diagnosis between the two groups(P>0.05),and the examination time was shorter than that of the control group(P<0.05).Conclusion In summary,the multidisciplinary psychological intervention based on the stress and coping theory can effectively improve the anxiety,depression and other negative states of hospitalized patients with pathologically confirmed gastric cancer who need preoperative staging assessment,improve the cooperation of examination and evaluation and patient satisfaction,shorten the examination time,and the ultrasound results are consistent with the pathological diagnosis results.

关 键 词：压力与应对理论 胃癌术前分期诊断 多学科心理干预 焦虑抑郁 

分 类 号：R740.05[医药卫生—神经病学与精神病学]