McMaster模式家庭干预对中晚期肝癌患者自我效能、心理及生活状态的调节作用

目的：分析McMaster模式家庭干预对中晚期肝癌患者自我效能、心理及生活状态的调节作用。方法选取2012年7月至2014年7月期间在本院接受住院治疗的中晚期肝癌患者106例作为研究对象，根据接受的干预方式不同，所有入组患者分为观察组及对照组各53例。对照组患者接受临床常规干预，观察组患者接受McMaster模式家庭干预。采用一般自我效能感量表(GSES)、患者积极度测量量表(PAM)、癌症交流和态度自我效能量表(CASE-cancer)、健康行为自我评价量表(SRAHP)评价两组患者接受不同家庭干预后的自我效能、心理状态及生活质量评分差异。结果(1)观察组患者接受干预后的一般自我效能感量表(GSES)、患者积极度测量量表(PAM)、癌症交流和态度自我效能量表(CASE-cancer)、健康行为自我评价量表(SRAHP)的评分均高于对照组，差异均有统计学意义(P<0.05)；(2)观察组患者干预后的心理状态评分中，躯体性、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执以及精神病性评分均低于对照组，差异均有统计学意义(P<0.05)；(3)观察组患者干预后的生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神建立的评分均高于对照组，差异均有统计学意义(P<0.05)。结论 McMaster模式家庭干预应用于中晚期肝癌患者中，可以有效提升其自我效能，优化心理状态及生活质量，具有积极的临床意义。

Regulation of McMaster model of family intervention on self-efficacy,psychological status and life quality in patients with advanced hepatocellular carcinoma

Objective To analyze the regulation of McMaster model of family intervention on self-efficacy, psychological and living conditions in patients with advanced hepatocellular carcinoma (HCC). Methods A total of 106 patients with HCC in West China Hospital of Sichuan University from Jul. 2012 to Jul. 2014 were chosen as study subjects, which were divided into observation group and control group based on different interventions, each with 53 pa-tients. The control group applied routine clinical intervention, and the observation group used McMaster model of family in-tervention. General Self-efficacy Scale (GSES), Patient Activation Measure (PAM), Communication and Attitudinal Self-Ef-ficacy scale for cancer (CASE-cancer), Self-rated Abilities for Health Practices Scale (SRAHP) were used to evaluate the patients' self-efficacy, psychological status and life quality after intervention. Results (1) GSES score, PAM score, CASE-cancer score, SRAHP in the observation group after intervention were significantly higher than those in the con-trol group (P<0.05); (2) The somatic score, obsessive-compulsive symptoms score, interpersonal sensitivity score, de-pression score, anxiety score, hostility score, terror score, paranoid score, psychotic score in the observation group after intervention were significantly lower than those in the control group (P<0.05);(3) The physical activity score, physical function score, body pain score, general health status score, energy score, social function score, emotional function score, spiritual to establish score in the observation group after intervention were significantly higher than those in the control group (P<0.05). Conclusion McMaster model of family intervention applied in patients with advanced HCC can en-hance their self-efficacy, and optimize psychological status and the quality of life, which has a positive significance.