心理危机干预对食管癌手术患者心理危机水平及应对方式的影响  

Influence of psychological crisis intervention on psychological crisis and coping style in patients esophageal cancer undergoing surgery

作　　者：刘小花[1] 吴恺[1] 魏丽利 申敏 LIU Xiaohua;WU Kai;WEI Lili;SHEN Min(Fifth Ward,Department of Thoracic Surgery,Department of Gynecological,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China;Fifth Ward,Department of Neurosurgery,Department of Gynecological,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China;Fifth Ward,Department of Gynecological,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院胸外科五病区,郑州450000 [2]郑州大学第一附属医院神经外科五病区,郑州450000 [3]郑州大学第一附属医院妇科五病区,郑州450000

出　　处：《癌症进展》2025年第5期580-583,606,共5页Oncology Progress

摘　　要：目的探讨心理危机干预对食管癌手术患者心理危机水平及应对方式的影响。方法根据干预方案的不同将103例食管癌手术患者分为对照组(n=50)和观察组(n=53),对照组患者接受常规干预,观察组患者接受心理危机干预。比较两组患者的心理危机水平[三维危机评估量表(TAF)]、应对方式[医学应对方式问卷(MCMQ)]、自我效能感[自我管理效能感量表(SUPPH)]及生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]。结果观察组患者首次进食时间、下床活动时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者认知、情感、行为评分均低于本组干预前,观察组患者认知、情感、行为评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者回避、屈服评分均低于本组干预前,面对评分高于本组干预前,观察组患者回避、屈服评分均低于对照组,面对评分高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SUPPH、EORTC QLQ-C30评分均高于本组干预前,观察组患者SUPPH、EORTC QLQ-C30评分均高于对照组,差异均有统计学意义(P﹤0.05)。结论心理危机干预可降低食管癌手术患者的心理危机水平,促使患者以积极的心态应对自身疾病,可提高患者的自我效能感,促进患者的术后恢复,从而提高生活质量。Objective To observe the influence of psychological crisis intervention on psychological crisis and coping style in patients with esophageal cancer undergoing surgery.Method According to different intervention methods,103 patients with esophageal cancer undergoing surgery were divided into control group(n=50)and observation group(n=53).Patients in control group received routine intervention,while patients in observation group received psychological crisis intervention.The psychological crisis levels[triages assessment form(TAF)],coping strategies[medical coping modes questionnaire(MCMQ)],self-efficacy[strategies used by people to promote health(SUPPH)],and quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)]were compared between the two groups.Result The first eating time,bed activity time in observation group were significantly shorter than those in control group,and the differences were statistically significant(P<0.01).After intervention,the cognitive,emotional,and behavioral scores of both groups were lower than those before intervention,the cognitive,emotional,and behavioral scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the avoidance and surrender scores of both groups were lower than those before intervention,and the face scores were higher than those before intervention,the avoidance and surrender scores of the observation group were lower than those of the control group,and the face score was higher than that of the control group,and the differences were statistically significant(P<0.05).After intervention,the SUPPH and EORTC QLQ-C30 scores in both groups were higher than those before intervention,the SUPPH and EORTC QLQ-C30 scores in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).Conclusion Psychological crisis intervention can reduce the psychological cri

关 键 词：食管癌 心理危机 应对方式 自我效能 生活质量 

分 类 号：R735.1[医药卫生—肿瘤]