基于罗森塔尔效应的心理干预在结直肠癌永久造口患者中的应用效果  

Application effect of psychological intervention based on Rosenthal effect in colorectal cancer patients with permanent stoma

作　　者：张少英 王蝶 朱宁怡 ZHANG Shaoying;WANG Die;ZHU Ningyi(Department of Colorectal and Anal Surgery,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结直肠肛门外科,郑州450000

出　　处：《癌症进展》2025年第8期954-958,共5页Oncology Progress

摘　　要：目的目的探讨基于罗森塔尔效应的心理干预在结直肠癌永久造口患者中的应用效果。方法方法根据干预方法的不同将92例行永久造口术的结直肠癌患者分为常规组(n=46,常规干预)和观察组(n=46,在常规干预的基础上采取基于罗森塔尔效应的心理干预)。比较两组患者的自我管理能力(自我管理能力测定量表)、应对方式(简易应对方式问卷)、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、造口接受度[造口接受度问卷(SAQ)]、生活质量[健康调查简表(SF-36)]及造口并发症发生情况。结果结果干预后,两组患者自我管理能力测定量表和SF-36各维度评分、积极应对评分、SAQ各维度评分及总分均高于本组干预前,消极应对、SAS、SDS评分均低于本组干预前,观察组患者自我管理能力测定量表和SF-36各维度评分、积极应对评分、SAQ各维度评分及总分均高于常规组,消极应对、SAS、SDS评分均低于常规组,差异均有统计学意义(P﹤0.05)。观察组患者造口并发症总发生率低于常规组,差异有统计学意义(P﹤0.05)。结论结论基于罗森塔尔效应的心理干预能够改善结直肠癌永久造口患者的心理状态,提高患者的自我管理能力、生活质量及造口接受度,帮助患者以积极心态面对造口后的生活,降低造口并发症发生率。Objective To explore the application effect of psychological intervention based on Rosenthal effect in colorectal cancer patients with permanent stoma.Method Ninety-two colorectal cancer patients who underwent perma-nent stomy were divided into conventional group(n=46,conventional intervention)and observation group(n=46,psycho-logical intervention based on Rosenthal effect in addition to conventional intervention)according to different intervention methods.The self-management ability(self-management ability scale),coping style(simplified coping style question-naire),mental state[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],stoma acceptance[stoma accep-tance questionnaire(SAQ)],quality of life[the MOS 36-item short form health survey(SF-36)]and the incidence of sto-ma complications were compared between the two groups.Result After intervention,the dimensional scores of self-management ability scale and SF-36,the positive coping scores,the dimensional scores and total scores of SAQ in both groups were higher than those before intervention,the negative coping,SAS and SDS scores were lower than those be-fore intervention,the dimensional scores of self-management ability scale and SF-36,the positive coping score,the di-mensional scores and total score of SAQ in observation group were higher than those in conventional group,and the nega-tive coping,SAS and SDS scores were lower than those in conventional group,the differences were statistically signifi-cant(P<0.05).The total incidence of stoma complications in observation group was lower than that in conventional group,and the difference was statistically significant(P<0.05).Conclusion Psychological intervention based on Rosen-thal effect can improve the mental state of colorectal cancer patients with permanent stoma,improve patients’self-man-agement ability,quality of life and stoma acceptance,help patients face life after stoma with a positive attitude,and re-duce the incidence of stoma complications.

关 键 词：结直肠癌 永久造口 罗森塔尔效应 心理状态 生活质量 

分 类 号：R735.3[医药卫生—肿瘤]