基于信息-动机-行为技巧模型理念的支持性干预对肺癌合并呼吸衰竭患者心理状态和希望水平的影响  

Influence of supportive intervention based on information-motivation-behavioral skills model concept on psychological state and hope level of lung cancer patients complicated with respiratory failure

作　　者：胡亚南 任小宇 赵金蚕 吕晨慧 程诗捷 贾阳 马亚丽 HU Ya’nan;REN Xiaoyu;ZHAO Jinchan;LYU Chenhui;CHENG Shijie;JIA Yang;MAYali(Respiratory Intensive Care Unit,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China;Department of Pulmonary Disease and Geriatrics,He’nan Integrative Medicine Hospital,Zhengzhou 450000,He’nan,China;First Department of Oncology,First People’s Hospital of Shangqiu,Shangqiu 476100,He’nan,China)

机构地区：[1]郑州大学第一附属医院呼吸重症监护病区,郑州450052 [2]河南省中西医结合医院肺病老年科,郑州450000 [3]商丘市第一人民医院肿瘤一科,河南商丘476100

出　　处：《癌症进展》2025年第6期648-651,共4页Oncology Progress

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20191480)。

摘　　要：目的探讨基于信息-动机-行为技巧模型(IMB)理念的支持性干预对肺癌合并呼吸衰竭患者心理状态和希望水平的影响。方法依据干预方式的不同将150例肺癌合并呼吸衰竭患者分为对照组(n=76)和观察组(n=74),对照组患者接受常规干预,观察组患者接受基于IMB理念的支持性干预。比较两组患者心理状态[抑郁症筛查量表(PHQ-9)、广泛性焦虑量表(GAD-7)]、希望水平[Herth希望指数(HHI)]、并发症发生情况及满意度。结果干预后,两组患者PHQ-9、GAD-7评分均低于本组干预前,观察组患者PHQ-9、GAD-7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HHI评分均高于本组干预前,观察组患者HHI评分高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的并发症总发生率为4.05%,低于对照组患者的13.16%,观察组患者的满意度优于对照组,差异均有统计学意义(P﹤0.05)。结论基于IMB理念的支持性干预可有效改善肺癌合并呼吸衰竭患者的心理状态,提高患者的希望水平,减少并发症的发生,提高干预满意度。Objective To explore the influence of supportive intervention based on information-motivation-behavioral skills model(IMB)concept on psychological state and hope level of lung cancer patients complicated with respiratory failure.Method According to different intervention methods,150 patients with lung cancer complicated with respiratory failure were divided into control group(n=76)and observation group(n=74).Patients in the control group received routine intervention,while patients in the observation group received supportive intervention based on the IMB concept.The psychological states[patient health questionnaire-9(PHQ-9),generalized anxiety disorder-7(GAD-7)],hope level[Herth hope index(HHI)],incidence of complications and satisfaction were compared between the two groups.Result After intervention,the PHQ-9 and GAD-7 scores of both groups were lower than those before intervention,the PHQ-9 and GAD-7 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 HHI scores of both groups were higher than those before intervention,the HHI score of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 4.05%,which was lower than 13.16%in the control group,the satisfaction of the observation group was better than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Supportive intervention based on IMB concept can effectively improve the psychological state of patients with lung cancer complicated with respiratory failure,increase their hope level,reduce the occurrence of complications,and improve intervention satisfaction.

关 键 词：肺癌 呼吸衰竭 信息-动机-行为技巧模型 希望水平 心理状态 

分 类 号：R734.2[医药卫生—肿瘤]