中医情志管理联合PERMA干预模式对年轻膀胱癌患者心理状况及生活质量的影响  

Effect of emotional nursing of traditional Chinese medicine combined with PERMA intervention mode on mental status and quality of life in young patients with bladder cancer

作　　者：李成 朱笑丛 LI Cheng;ZHU Xiaocong(Department of Urology,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100096)

机构地区：[1]首都医科大学附属北京积水潭医院泌尿外科,北京100096

出　　处：《河北中医》2024年第12期1973-1976,共4页Hebei Journal of Traditional Chinese Medicine

摘　　要：目的观察中医情志管理联合PERMA干预模式对年轻膀胱癌患者心理状况及生活质量的影响。方法选择2021年5月至2022年5月首都医科大学附属北京积水潭医院泌尿外科年轻膀胱癌患者62例为研究对象,按照随机数字表法分为2组。对照组31例予常规干预,观察组31例在对照组基础上予中医情志管理联合PERMA干预模式,2组均每周干预1次,共干预8次。比较2组干预前后健康调查简表、焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我管理行为量表及医学应对方式问卷(MCMQ)评分变化。结果干预后,2组健康调查简表心理功能、躯体功能、物质功能、生活功能评分及自我管理行为量表各维度评分均较本组干预前升高(P<0.05),且观察组均高于对照组(P<0.05)。干预后,2组SAS、SDS评分均较本组干预前降低(P<0.05),且观察组均低于对照组(P<0.05)。干预后,2组MCMQ面对评分均较本组干预前升高(P<0.05),且观察组高于对照组(P<0.05),2组回避、屈服评分均较本组干预前降低(P<0.05),且观察组均低于对照组(P<0.05)。结论中医情志管理联合PERMA干预模式能改善年轻膀胱癌患者心理状态,帮助患者以积极的方式面对疾病、治疗,同时可提高患者生活质量。Objective To explore the effect of emotional nursing of traditional Chinese medicine(TCM)combined with PERMA(positive emotion,engagement,relationships,meaning,and accomplishment)intervention mode on mental status and quality of life in young patients with bladder cancer(BC).Methods A total of 62 young patients with BC treated in the Department of Urology,Beijing Jishuitan Hospital,Capital Medical University from May 2021 to May 2022 were enrolled,and they randomly assigned into observation group(n=31)and control group(n=31).All patients were managed by routine intervention,and those in observation group were additionally given emotional nursing of TCM combined with PERMA intervention mode.Both groups were intervened for 8 weeks,once a week.The 36-item short-form health survey questionnaire(SF-36),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Self-management Behavior Scale,Medical Coping Modes Questionnaire(MCMQ)scores were included as comparators.Results After intervention,SF-36 scores(mental function,physical function,material function,life function)and Self-management Behavior Scale scores in groups were significantly increased(P<0.05),which increased notably in the observation group compared with the control group(P<0.05).SAS and SDS scores in groups were significantly decreased(P<0.05),the decrease in the observation group was more prevalent compared with the control group(P<0.05).After intervention,significantly increased facing scores and decreased avoidance and yielding scores of MCMQ were found in groups(all P<0.05),which were significantly pronounced in observation group(all P<0.05).Conclusion Emotional nursing of TCM combined with PERMA intervention mode can improve mental state,establish a positive attitude for disease and treatment,and improve the quality of life in young patients with BC.

关 键 词：膀胱肿瘤 情志疗法 PERMA干预模式 心理状况 生活质量 

分 类 号：R737.14[医药卫生—肿瘤] R493.25[医药卫生—临床医学]