摘要
目的探讨陪护家属心理疏导对肝癌合并肾功能衰竭患者焦虑、抑郁情绪及自我管理效能的影响。方法根据术后干预方式的不同将108例肝癌合并肾功能衰竭患者分为观察组(n=55,给予常规干预联合陪护家属心理疏导)和对照组(n=53,给予常规干预)。干预前后,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估两组患者的焦虑、抑郁状态;采用健康促进策略量表(SUPPH)评估两组患者的自我管理效能;采用中文版36条目简明健康状况调查问卷(SF-36)评估两组患者的生活质量。结果干预后,观察组患者的SDS、SAS评分均低于对照组患者,差异均有统计学意义(P﹤0.05)。干预后,观察组患者SUPPH量表中正性态度、自我减压、自我决策维度的评分及总分均高于对照组患者,差异均有统计学意义(P﹤0.05)。干预后,观察组患者SF-36量表中生理功能、生理职能、社会功能、躯体疼痛、情感职能、活力、精神健康、总体健康维度的评分均高于对照组,差异均有统计学意义(P﹤0.05)。结论陪护家属心理疏导干预模式可缓解肝癌合并肾功能衰竭患者的不良情绪,改善患者的自我管理效能和生活质量。
Objective To investigate the effect of psychological counseling of accompanying family members on anxiety,depression,and self-management behavior in patients with liver cancer complicated with renal failure.Method A total of 108 patients with liver cancer complicated with renal failure were divided into observation group(n=55,routine intervention and psychological counseling of accompanying family members)and control group(n=53,routine intervention)according to different postoperative intervention methods.Before and after the intervention,the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)were used to evaluate the anxiety and depression of the two groups of patients;the Strategies Used by People to Promote Health(SUPPH)was employed to assess the self-management efficacy of the two groups of patients;the Chinese version of the 36-items short form health survey(SF-36)was used to assess the quality of life of the two groups of patients.Result After the intervention,the SDS and SAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the individual scores and total scores of the positive attitude,self-decompression,and self-decision dimensions in the SUPPH scale of the observation group of patients were higher than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of physiological function,physiological function,social function,body pain,emotional function,vitality,mental health,and overall health in the SF-36 scale of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Psychological counseling of accompanying family members could alleviate the negative emotion of patients with liver cancer and renal failure,and improve the patients’self-management efficiency and quality of life.
作者
肖泽芳
李真
陈晓亮
闫建强
XIAO Zefang;LI Zhen;CHEN Xiaoliang;YAN Jianqiang(Department of Blood Purification,General Hospital of Pingmei Shenma Group,Pingdingshan 467000,He’nan,China;Department of Oncology,General Hospital of Pingmei Shenma Group,Pingdingshan 467000,He’nan,China)
出处
《癌症进展》
2021年第8期856-859,共4页
Oncology Progress
关键词
陪护家属心理疏导
肝癌
肾功能衰竭
负性情绪
自我管理行为
psychological counseling of accompanying family member
liver cancer
renal failure
negative emotion
self-management behavior
