应激系统模型心理干预对宫颈癌手术患者的影响  

Effect of psychological intervention based on stress system model on psychological resilience and self-efficacy of cervical cancer surgery patients

作　　者：赵奇静 琚英 彭薛 ZHAO Qijing;JU Ying;PENG Xue(Department of Gynaecology,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院妇科,450000

出　　处：《中国健康心理学杂志》2025年第3期449-453,共5页China Journal of Health Psychology

基　　金：河南省医学科技攻关计划联合共建项目(编号:LHGJ20210460)。

摘　　要：目的:探究基于应激系统模型的心理干预对宫颈癌手术患者的影响。方法:选取2021年5月至2024年5月在某院择期手术的宫颈癌患者120例,采用随机数字表法分为对照组和观察组,各60例。对照组进行常规护理干预,观察组则在对照组的基础上予以基于应激系统模型的心理干预,两组均干预至患者出院。采用中文版心理弹性量表(connor-davidson resilience scale,CD-RISC)、健康促进策略量表(strategies used by people to promote health,SUPPH)、应激反应问卷(stress response questionnaire,SRQ)分别评价两组患者干预前后心理弹性、自我效能感以及应激反应情况,并统计两组患者的干预满意度率。结果:干预后,观察组患者CD-RISC中坚韧、乐观、力量以及总分均高于对照组的,差异有统计学意义(t=8.809,11.113,12.289,10.326;P<0.05)。干预后,观察组患者SUPPH中自我决策、缓解压力、正性态度、总分均高于对照组的,差异有统计学意义(t=10.278,4.838,3.885,4.814;P<0.05)。干预后,观察组患者SRQ中躯体反应、情绪反应、行为反应以及总分均低于对照组的,差异有统计学意义(t=8.401,5.226,5.949,10.930;P<0.05)。两组干预满意度分别为93.33%(56/60)和80.00%(48/60),观察组高于对照组(χ^(2)=4.615,P<0.05)。结论:基于应激系统模型的心理干预可提高宫颈癌手术患者心理弹性与自我效能感,缓解应激反应,提升护理干预满意度。Objective:To investigate the effects of psychological intervention based on stress system model on psychological resilience and self-efficacy of cervical cancer surgery patients.Methods:A total of 120 cases of cervical cancer patients who underwent elective surgery in our hospital from May 2021 to May 2024 were selected and randomly divided into the control group and observation group,60 cases each.In the control group,routine nursing interventions were carried out,while in the observation group,psychological interventions based on the stress system model were provided on the basis of the control group,and both groups were intervened until the patients were discharged from the hospital.The Chinese version of the Psychological Resilience Scale(CD-RISC),the Strategies for Promoting Health Scale(SUPPH),and the Stress Response Questionnaire(SRQ)were used to evaluate the psychological resilience,self-efficacy,and stress response before and after the intervention in the two groups,and to calculate the rate of satisfaction with the intervention of the patients in the two groups.Results:After the intervention,the scores of each dimension of the CD-RISC score and the scores of each dimension of the SUPPH score of the two groups were higher and the scores of each dimension of the SRQ score were lower than those of the two groups before the intervention,and the magnitude of the change in the observation group was greater than that of the control group(t=8.809,11.113,12.289,10.326,10.278,4.838,3.885,4.814;P<0.05).The intervention satisfaction of the two groups was 93.33%(56/60)and 80.00%(48/60)respectively,and the observation group was higher than the control group(χ^(2)=4.615,P<0.05).Conclusion:Psychological intervention based on the stress system model can improve psychological resilience and self-efficacy of patients with cervical cancer surgery,alleviate stress reactions,and enhance the satisfaction of nursing intervention.

关 键 词：宫颈癌 应激系统模型 心理干预 心理弹性 自我效能 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]