感恩-拓展行为理论干预对宫颈癌术后放化疗患者的影响  

The Impact of Gratitude Expansion Behavior Theory Intervention on Postoperative Radiotherapy and Chemotherapy Patients with Cervical Cancer

作　　者：江何珍 JIANG Hezhen(National Regional Medical Center,Binhai Campus of the First Affiliated Hospital,Fujian Medical University,Fuzhou,Fujian 350212,China)

机构地区：[1]福建医科大学附属第一医院滨海院区国家区域医疗中心,福建福州350212

出　　处：《中国医药指南》2025年第6期173-175,共3页Guide of China Medicine

摘　　要：目的分析宫颈癌患者术后放化疗时采取感恩-拓展行为理论干预的影响。方法选择2022年8月至2024年8月在福建医科大学附属第一医院滨海院区接受宫颈癌手术治疗的患者90例作为研究对象,用随机数字表法分组,对照组(45例)采取常规护理;观察组(45例)采取感恩-拓展行为理论干预;对比两组患者护理前后疲乏程度、自我效能、应对方式及心理弹性变化。结果观察组疲乏评估得分均低于对照组,自我效能评估得分、心理弹性评估得分均高于对照组,应对方式中面对评分高于对照组,回避、屈服评分低于对照组(P<0.05)。结论宫颈癌患者术后放化疗同时经过感恩-拓展行为理论干预可缓解患者癌因疲乏问题,提高自我效能,使患者更积极的面对疾病。Objective To analyze the impact of gratitude expansion behavior theory intervention on postoperative radiotherapy and chemotherapy in cervical cancer patients.Methods Ninety patients who underwent surgical treatment for cervical cancer in Comprehensive Surgery Zone 6,Binhai Campus of the First Affiliated Hospital of Fujian Medical University from August 2022 to August 2024 were selected as the study subjects.Group by random number table method,with a control group(45 cases)receiving routine nursing care.The observation group(45 cases)received intervention using the gratitude expansion behavior theory.Compare the changes in fatigue level,self-efficacy,coping strategies,and psychological resilience between two groups of patients before and after nursing care.Results The scores of fatigue evaluation in the observation group were lower than those in the control group,the scores of self-efficacy evaluation and mental resilience evaluation were higher than those in the control group,the scores of coping styles in the observation group were higher than those in the control group,and the scores of avoidance and submission were lower than those in the control group(P<0.05).Conclusions Postoperative radiotherapy and chemotherapy combined with gratitude expansion behavior theory intervention can alleviate cancer-related fatigue,improve self-efficacy,and enable patients to face the disease more positively in cervical cancer patients.

关 键 词：感恩-拓展行为理论干预 宫颈癌 术后放疗 自我效能 

分 类 号：R737.33[医药卫生—肿瘤] R473.73[医药卫生—临床医学]