情绪弹性团体训练在直肠癌恒温腹腔热灌注化疗患者中的应用

目的 探讨情绪弹性团体训练对直肠癌恒温腹腔热灌注化疗患者自我效能、心理弹性及应对方式的影响。 方法 选取2018年6月-2019年6月医院收治的直肠癌行恒温腹腔热灌注化疗的83例患者,采用随机数字表法将所有患者分为对照组(n=41)及观察组(n=42),对照组化疗期间行常规护理指导,观察组在对照组基础上实施情绪弹性团体训练。干预前后应用自我效能量表、心理弹性量表、医学应对问卷中文版及欧洲疾病研究与治疗组织生活质量测定量表对患者进行评价。 结果 干预后,观察组自我效能评分、心理弹性总评分均高于对照组(t=18.787,P＜0.001;t=10.382,P＜0.001),应对方式的面对维度评分高于对照组(t=5.670,P＜0.001),而回避、屈服维度评分均低于对照组(t=6.758,P＜0.001;t=6.557,P＜0.001)。干预后观察组生活质量总评分高于对照组(t=8.680,P＜0.001)。 结论 情绪弹性团体训练能让直肠癌恒温腹腔热灌注化疗患者以积极的态度面对疾病,提高患者自我效能及心理弹性水平,促进患者身心健康,提高患者生活质量。

Effects of emotional elasticity group training on self-efficacy,psychological elasticity and coping styles of colorectal cancer patients undergoing constant temperature intraperitoneal hyperfusion chemotherapy

Objective To explore the effect of emotional elastic group training on self-efficacy, psychological flexibility and coping styles of colorectal cancer patients undergoing constant temperature abdominal perfusion chemotherapy. Methods Totally 83 colorectal cancer patients undergoing constant temperature abdominal thermal perfusion chemotherapy between June 2018 and June 2019 were selected, and divided into a control group of 41 and an observation group of 42, according to a random number table. Both groups were given routine nursing guiding, while the observation group was additionally provided with emotional elasticity group training for 8 weeks. Before and after the intervention, both groups were evaluated using the self-efficacy scale, connor-davidson resilience scale (CD-RISC), Chinese version of medical response questionnaire and European organization for disease research and treatment quality of life scale (EORTC QOQ-C30). Results The self-efficacy score, the total mental elasticity score and the score of facing dimension in the coping style of the observation group were significantly higher than those of the control group after the intervention (t=18.787, P＜0.001; t=10.382, P＜0.001; t=5.670, P＜0.001), while the avoidance and yielding coping scores of the observation group were significantly lower than those of the control group (t=6.758, P＜0.001; t=6.557, P＜0.001). Moreover, the total score of life quality of the observation group was significantly higher than that of the control group after the intervention (t=8.680, P＜0.001). Conclusion Emotional elasticity group training can help colorectal cancer patients undergoing constant temperature and intraperitoneal hyperperfusion chemotherapy face the disease with a positive attitude,improve their self-efficacy and psychological elasticity level, their physical and mental health, as well as their life quality.