移情联合激励式心理干预对胶质瘤患者心理和生活能力的影响  

Influence of empathy combined with motivational psychological intervention on the psychological and life ability of patients with glioma

作　　者：赵静[1] 白冰[1] 周欢 ZHAO Jing;BAI Bing;ZHOU Huan(Department of Neurosurgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Interventional Operating Room,The First Affiliated Hospital of Zhengzhou University)

机构地区：[1]郑州大学第一附属医院神经外科一病区,450052 [2]郑州大学第一附属医院介入手术室

出　　处：《中国健康心理学杂志》2025年第5期756-760,共5页China Journal of Health Psychology

基　　金：2022年度河南省医学科技攻关计划联合共建项目(编号:LHGJ20200163)。

摘　　要：目的:研究移情干预联合激励式心理干预在恶性胶质瘤患者中的应用效果。方法:选取某院2021年1月-2023年12月收治的恶性胶质瘤患者81例作为研究对象,应用红蓝球法将其随机分为两组,联合干预组41例、对照组40例。对照组实施常规管理及移情干预,联合干预组基于对照组实施激励式心理干预,持续干预3个月。统计对比两组干预前后负性情绪[汉密顿抑郁量表(HAMD)评分、汉密顿焦虑量表(HAMA)评分]、压力水平[中文版压力知觉量表(CPSS)评分]、希望水平[Herth希望量表(HHI)评分]、功能状态[Karnofsky功能状态评分标准(KPS)评分、日常生活活动能力评定表(ADL)评分]、生活质量[生活质量综合评定问卷(GQOL-74)评分]及患者满意度。结果:联合干预组干预后HAMD、HAMA、CPSS评分明显低于对照组(t=4.933,5.625,4.081;P<0.05);干预后,联合干预组HHI、KPS、ADL、GQOL-74评分明显高于对照组(t=5.540,3.877,3.740,3.792;P<0.05);联合干预组患者满意率(100.00%)高于对照组(87.50%)(χ^(2)=5.462,P=0.019)。结论:移情干预联合激励式心理干预可有效提升恶性胶质瘤患者希望水平,改善其活动与自理能力。Objective:To study the application effect of empathy intervention combined with motivational psychological intervention in patients with malignant glioma.Methods:A total of 81 patients with malignant glioma admitted to our hospital from January 2021 to December 2023 were selected as the research objects.They were randomly divided into two groups by red and blue ball method,41 cases in joint intervention group and 40 cases in the control group.The control group received routine management and empathy intervention,while joint intervention group received motivational psychological intervention based on the control group,which lasted for 3 months.Statistical comparison of negative emotions[Hamilton Depression Scale(HAMD)score,Hamilton Anxiety Scale(HAMA)score],stress levels[Chinese version of Stress Perception Scale(CPSS)score],hope levels[Herth Hope Scale(HHI)score],functional status[Karnofsky Functional Status Scale(KPS)score,Activities of Daily Living(ADL)score],quality of life[Comprehensive Quality of Life Questionnaire(GQOL-74)score],and patient satisfaction before and after intervention between two groups.Results:The scores of HAMD,HAMA and CPSS in joint intervention group were significantly lower than the control group(t=4.933,5.625,4.081;P<0.05).After intervention,the scores of HHI,KPS,ADL and GQOL-74 in joint intervention group were higher than the control group significantly(t=5.540,3.877,3.740,3.792;P<0.05).The satisfaction rate of patients in joint intervention group(100.00%)was higher than that in the control group(87.50%)(χ^(2)=5.462,P<0.05).Conclusion:The combination of empathy intervention and motivational psychological intervention can effectively enhance the hope level of malignant glioma patients,improve their activity and self-care abilities.

关 键 词：恶性胶质瘤 移情干预 激励式心理干预 希望水平 负性情绪 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]