King达标理论干预联合心理疏导对喉癌患者负性情绪及生活质量的影响  

Influence of King goal attainment theory intervention combined with psychological counseling on negative emotions and quality of life in patients with laryngeal cancer

作　　者：陈加艳 李玉宁 石晏荣 马亚明 CHEN Jiayan;LI Yuning;SHI Yanrong;MAYaming(Department of Throat and Head and Neck Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China;Department of Oral and Maxillofacial 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咽喉头颈外科,郑州4500000 [2]郑州大学第一附属医院口腔颌面外科,郑州4500000

出　　处：《癌症进展》2025年第9期1077-1081,共5页Oncology Progress

摘　　要：目的探讨King达标理论干预联合心理疏导对喉癌患者负性情绪及生活质量的影响。方法依据干预方式的不同将102例喉癌患者分为对照组45例和观察组57例,对照组患者接受常规干预,观察组患者接受King达标理论干预联合心理疏导。比较两组患者的吞咽功能[标准吞咽功能评价量表(SSA)]、负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、自我管理能力[自我管理能力测定量表(ESCA)]、生活质量[癌症患者生命质量测定量表(FACT-G)]及不良反应发生情况。结果干预后,两组患者SSA、SAS、SDS评分均低于本组干预前,ESCA、FACT-G评分均高于本组干预前,观察组患者SSA、SAS、SDS评分均低于对照组,ESCA、FACT-G评分均高于对照组,差异均有统计学意义(P﹤0.05)。两组患者的不良反应总发生率比较,差异无统计学意义(P﹥0.05)。结论King达标理论干预可加强患者的康复训练成果,联合心理疏导能够改善患者的负性情绪,并通过设立目标、计划与实施手段把控康复进程,提高患者的自我管理能力和生活质量。Objective To study the influence of King goal attainment theory intervention combined with psychological counseling on negative emotions and quality of life in patients with laryngeal cancer.Method According to different intervention methods,102 patients with laryngeal cancer were divided into control group(n=45)and observation group(n=57).The control group received routine intervention,while the observation group received King goal attainment theory intervention combined with psychological counseling.The swallowing function[standardized swallowing assessment(SSA)],negative emotions[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],self-management ability[exercise of self-care agency scale(ESCA)],quality of life[functional assessment of cancer therapy-general(FACT-G)],and incidence of adverse reactions were compared between the two groups.Result After intervention,the SSA,SAS,and SDS scores in both groups were lower than those before intervention,while the ESCA and FACT-G scores were higher than those before intervention,the SSA,SAS,and SDS scores in observation group were lower than those in control group,while the ESCA and FACT-G scores were higher than those in control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in two groups was not significantly different(P>0.05).Conclusion The King goal attainment theory intervention can enhance the rehabilitation training outcomes of patients with laryngeal cancer,and combined with psychological counseling,it can improve negative emotions.By setting goals,planning,and implementing measures,the rehabilitation process can be controlled,and the self-management ability and quality of life can be improved.

关 键 词：喉癌 King达标理论干预联合心理疏导 负性情绪 生活质量 

分 类 号：R739.65[医药卫生—肿瘤]