心理干预对子宫内膜癌根治术患者心理弹性及术后恢复的影响  

Effect of psychological intervention on mental resilience and postoperative recovery of patients undergoing radical operation for endometrial cancer

作　　者：闫欣 张一佳 陈淑梅[1] 吴莹 李红娟[1] Yan Xin;Zhang Yijia;Chen Shumei;Wu Ying;Li Hongjuan(Zhengzhou Central Hospital,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州市中心医院,河南郑州450000

出　　处：《临床心身疾病杂志》2025年第2期58-62,共5页Journal of Clinical Psychosomatic Diseases

基　　金：河南省医学科技攻关计划联合共建项目(编号LHGJ20220864)。

摘　　要：目的 探讨基于卡诺模式的心理干预对子宫内膜癌根治术患者心理弹性、术后恢复的影响。方法 将108例行子宫内膜癌根治术患者按照随机数字表法分为研究组和对照组,各54例。对照组患者给予常规干预,研究组患者在对照组基础上给予基于卡诺模式的心理干预。两组患者均干预1周。比较干预前后两组患者中文版心理弹性量表(CD-RISC)、视觉模拟评分法(VAS)、健康调查量表(SF-36)评分,并比较两组患者术后恢复情况(首次下床、首次肛门排气及总住院时间)。结果 干预后,两组患者CD-RISC总分及各维度评分、SF-36总分及除“躯体疼痛”外的各维度评分较干预前升高,且研究组高于对照组(P<0.05或0.01)。干预后,两组患者VAS评分、SF-36的躯体疼痛较干预前降低,且研究组低于对照组(P<0.05或0.01)。研究组患者首次下床时间、首次肛门排气时间早于对照组,总住院时间短于对照组(P<0.01)。结论 基于卡诺模式的心理干预可提高行子宫内膜癌根治术患者的心理弹性水平,改善其疼痛程度,促进术后恢复,提高生活质量。Objective To explore the effect of psychological intervention based on KANO model on mental resilience and postoperative recovery of patients undergoing radical operation for endometrial cancer(EC).Methods A total of 108 EC patients undergoing radical operation were divided into research and control group according to random number table,with 54 ones in each.Controls received routine intervention and research group did psychological intervention based on KANO model on the basis of controls.Both groups were intervened for 1 week.Connor-Davidson Resilience Scale(CD-RISC),Visual Analogue Scale(VAS)and 36-Item Short-Form Health Survey(SF-36)score were compared between two groups before and after intervention,postoperative recovery conditions(first out-of bed time,first anal exhausting time and total hospital stay)of the two groups done.Results After intervention,the total and each dimension scores of CD-RISC and the total and each dimension except‘physical pain’of the SF-36 in both groups elevated compared with pre-intervention,and those were higher in research than control group(P<0.05 or 0.01).After intervention,VAS scores and the physical pain scores of the SF-36 in both groups lowered compared with pre-intervention,and those were lower in research than control group(P<0.05 or 0.01).First out-of-bed and first anal exhausting were earlier and total hospital stay was shorter in research than control group(P<0.01).Conclusion Psychological intervention based on KANO model can improve the mental resilience level of EC patients undergoing radical operation,alleviate pain degree,promote postoperative recovery,and improve the quality of life.

关 键 词：子宫内膜癌 根治术 卡诺模式 心理干预 心理弹性 术后恢复 

分 类 号：R737.33[医药卫生—肿瘤]