胃肠道肿瘤术后患者专业心理支持求助态度及其影响因素的研究  

Attitudes toward seeking professional psychological help in patients after gastrointestinal tumor surgery and their influencing factors

作　　者：刘雅 赵小英 马亮[1] 王艳 杨红[2] 赵旻[1] Liu Ya;Zhao Xiaoying;Ma Liang;Wang Yan;Yang Hong;Zhao Min(Gastrointestinal Tumor Center,Peking University Cancer Hospital&Beijing Institute for Cancer Research,Beijing 100142,China;Nursing Department,Peking University Cancer Hospital&Beijing Institute for Cancer Research,Beijing 100142,China)

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所胃肠肿瘤中心,北京100142 [2]北京大学肿瘤医院暨北京市肿瘤防治研究所护理部,北京100142

出　　处：《中华现代护理杂志》2025年第12期1650-1656,共7页Chinese Journal of Modern Nursing

摘　　要：目的调查胃肠道肿瘤患者术后专业心理支持求助态度的现状,并分析其影响因素。方法采用便利抽样法,选取在北京大学肿瘤医院胃肠肿瘤中心行手术的153例患者为研究对象。采用一般资料调查问卷、中文版专业心理支持求助态度量表简版(ATSPPH-SF)、简易应对方式量表及一般自我效能感量表对患者进行调查。采用Spearman相关分析对胃肠道肿瘤术后患者专业心理支持求助态度与应对方式、自我效能感的相关性进行分析。采用多重线性回归分析探讨胃肠道肿瘤术后患者专业心理支持求助态度的影响因素。本研究共发放问卷153份,回收有效问卷149例,问卷有效回收率为97.39%(149/153)。结果149例胃肠道肿瘤术后患者ATSPPH-SF总分为[16.00(13.00,19.00)]分;多重线性回归分析结果表明,工作状况、曾进行过专业心理求助、应对方式是胃肠道肿瘤术后患者专业心理支持求助态度的影响因素(P<0.05)。结论胃肠道肿瘤术后患者专业心理求助态度水平较低,且受多种因素影响。医护人员可针对不同患者进行个体化干预,增强不在职患者对疾病的认知、自我价值感,鼓励患者进行专业心理疏导,建立积极应对方式,从而提高患者寻求专业心理帮助的主动性。Objective To investigate the current status of attitudes toward seeking professional psychological help in patients after gastrointestinal tumor surgery and to analyze their influencing factors.Methods Convenience sampling was used to select 153 patients who underwent surgery at the Gastrointestinal Tumor Center of Peking University Cancer Hospital as study subjects.General Information Questionnaire,Chinese version of Attitude Seeking Professional Psychological Help Scale-Short Form(ATSPPH-SF),Simplified Coping Style Questionnaire,and General Self-Efficacy Scale were used to conduct the survey.Spearman correlation was used to analyze the correlation between attitudes toward seeking professional psychological help and coping styles and self-efficacy in patients after gastrointestinal tumor surgery.Multiple linear regression was used to explore the factors influencing attitudes toward seeking professional psychological help in patients after gastrointestinal tumor surgery.A total of 153 questionnaires were distributed and 149 valid questionnaires were recovered,with a valid recovery rate of 97.39%(149/153).Results The total ATSPPH-SF score of 149 patients with gastrointestinal tumor surgery was[16.00(13.00,19.00)].Multiple linear regression analysis showed that work status,seeking professional psychological help,and coping styles were the influencing factors on the attitude toward seeking professional psychological help in patients after gastrointestinal tumor surgery(P<0.05).Conclusions The level of attitudes toward seeking professional psychological help in patients after gastrointestinal tumor surgery is low and is influenced by a number of factors.Healthcare professionals can carry out individualized interventions for different patients,enhance absentee patients'disease knowledge,sense of self-worth,and encourage them to carry out professional psychological counseling and establish a positive coping style,so as to increase the initiative of patients to seek professional psychological help.

关 键 词：胃肠道肿瘤 专业心理支持求助态度 应对方式 自我效能 

分 类 号：R473.73[医药卫生—护理学]