治疗性沟通系统模式下有效应对方式的构建对胃癌患者术前轻中度焦虑的影响

目的：探讨治疗性沟通系统模式下有效应对方式的构建对胃癌患者术前轻中度焦虑情绪的影响。方法收集2012年8月～2013年5月来我院就诊的338例胃癌患者，分为焦虑组108例，非焦虑组230例，将焦虑组再次分为观察组57例，实施治疗性沟通系统模式；对照组51例，实施普通的心理护理措施。结果焦虑组患者的消极应对得分高于非焦虑组，积极应对得分低于非焦虑组（P＜0.05）；观察组干预后的焦虑得分及消极应对得分均低于同期对照组，积极应对得分高于同期对照组（P＜0.05）。结论对胃癌患者实施治疗性沟通系统模式有利于有效应对方式的构建，患者术前轻中度焦虑情绪可以通过有效应对方式的实施得到缓解。

Impact of gastric cancer patients before operation of mild to moderate anxiety under therapeutic communication system mode the way to build an effective response

Objective To investigate the impact of gastric cancer patients before operation of mild to moderate anxiety under therapeutic communication system mode the way to build an effective response. Methods A total of 338 cases with gastric cancer were selected from August 2012 to May 2013 in our hospital, they were divided into anxiety group （108 cases）, 230 cases of non-anxiety group, the anxiety group was again divided into observation group （57 cases）, treated with therapeutic communication system model, control group （51 cases）, treated with common psychological care measures. Results The negative coping scores of anxiety group were higher than that of non-anxiety group, the positive response scores were lower than that of non-anxiet group（P〈0.05）. The anxiety scores and negative coping scores of the observation group after the intervention were lower than that of the control group on the same period, the positive re-sponse score was higher than that of the control group on the same period （P〈0.05）. Conclusion The implementation of gastric cancer therapeutic communication system model is conducive to building effective coping styles, patients with mild to moderate anxiety before surgery can be an effective way to deal with the implementation of relief.