循S-ABC框架的系统心理干预对食管癌术后化疗患者负性情绪及生活质量的影响  

Effects of systematic psychological intervention based on the S-ABC framework on negative emotions and quality of life in patients with esophageal cancer undergoing postoperative chemotherapy

作　　者：肖荣倩 刘闪 孙燕[1] XIAO Rongqian;LIU Shan;SUN Yan(Department of Gastroenterology,Nanyang Central Hospital,Nanyang 473000,He’nan,China)

机构地区：[1]南阳市中心医院消化内科,河南南阳473000

出　　处：《癌症进展》2025年第1期119-123,共5页Oncology Progress

摘　　要：目的探讨循S-ABC框架的系统心理干预对食管癌术后化疗患者负性情绪及生活质量的影响。方法根据干预方法的不同将120例食管癌术后化疗患者分为对照组(n=67)和观察组(n=53),对照组患者给予常规干预,观察组患者给予循S-ABC框架的系统心理干预。比较两组患者的心境状态[简式简明心境量表(POMSSF)]、负性情绪[焦虑自评量表(SAS)、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)、生活质量综合评定问卷(GQOLI-74)]、不良反应发生情况和满意度。结果干预后,两组患者紧张焦虑、抑郁沮丧、愤怒敌意、疲乏迟钝、迷惑混乱评分均低于本组干预前,精力活力评分均高于本组干预前,观察组患者紧张焦虑、抑郁沮丧、愤怒敌意、疲乏迟钝、迷惑混乱评分均低于对照组,精力活力评分高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SAS、SDS评分均低于本组干预前,观察组患者SAS、SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者EORTC QLQ-C30、GQOLI-74量表各维度评分均高于本组干预前,观察组患者EORTC QLQ-C30、GQOLI-74量表各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,观察组患者的各不良反应发生率均低于对照组,总满意度为81.13%,高于对照组患者的61.19%,差异均有统计学意义(P﹤0.05)。结论循S-ABC框架的系统心理干预可明显改善食管癌术后化疗患者的心理状态,减轻负性情绪,提高生活质量,且安全性和满意度均较高。Objective To explore the effects of systematic psychological intervention based on the S-ABC framework on negative emotions and quality of life in patients with esophageal cancer undergoing postoperative chemotherapy.Method According to different intervention methods,120 patients with esophageal cancer undergoing postoperative chemotherapy were divided into control group(n=67)and observation group(n=53).Patients in the control group received routine intervention,while patients in the observation group received systematic psychological intervention based on the S-ABC framework.The mood state[profile of mood states-short form(POMS-SF)],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),generic quality of life inventory-74(GQOLI-74)],incidence of adverse reactions,and satisfaction were compared between the two groups.Result After intervention,the scores of anxiety and tension,depression and frustration,anger and hostility,fatigue and sluggishness,confusion and disorder in both groups were lower than those before intervention,and the scores of energy and vitality were higher than those before intervention,the scores of anxiety and tension,depression and frustration,anger and hostility,fatigue and sluggishness,confusion and disorder in observation group were lower than those in control group,and the score of energy and vitality was higher than that in control group,and the differences were statistically significant(P<0.05).After intervention,the SAS and SDS scores in both groups were lower than those before intervention,the SAS and SDS scores in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).After intervention,the scores of all dimensions of EORTC QLQ-C30 and GQOLI-74 scales in both groups were higher than those before intervention,the scores of all dimensions of EORTC QLQ-C30 and GQOLI-74 sc

关 键 词：食管癌 术后化疗 循S-ABC框架的系统心理干预 负性情绪 生活质量 

分 类 号：R735.1[医药卫生—肿瘤]