预警干预方案联合归因心理调适对食管癌胸腔镜手术患者的影响OA
Impact of Early Warning Intervention Program Combined with Attribution Psychological Adjustment in Patients Undergoing Thoracoscopic Surgery for Esophageal Cancer
目的:探讨预警干预方案联合归因心理调适对食管癌胸腔镜手术患者血栓、心理弹性及自我效能的影响.方法:选取2023 年 3 月—2025 年 3 月中山大学肿瘤防治中心收治的 88 例食管癌胸腔镜手术患者为研究对象,根据随机数表法分为对照组(采用常规护理)和观察组(在常规护理基础上实施预警干预方案联合归因心理调适),每组各 44 例.比较两组术后血栓发生率、心理弹性及自我效能水平.结果:干预后,观察组术后下肢深静脉血栓(DVT)发生率低于对照组,心理弹性量表(CD-RISC)、癌症自我管理效能量表(SUPPH)各维度评分均高于对照组,差异均有统计学意义(P<0.05).结论:预警干预方案联合归因心理调适可有效降低食管癌胸腔镜手术患者的血栓发生率,改善患者心理弹性,提升患者自我效能.
Objective:To explore the effects of early warning intervention combined with attribution psychological adjustment on thrombosis,psychological resilience,and self-efficacy in patients undergoing thoracoscopic surgery for esophageal cancer.Method:88 patients undergoing thoracoscopic surgery for esophageal cancer admitted to Sun Yat-sen University Cancer Prevention and Treatment Center from March 2023 to March 2025 were randomly divided into a control group(receiving routine nursing)and an observation group(receiving early warning intervention combined with attribution psychological adjustment on the basis of routine nursing)using a random number table method,with 44 patients in each group.The incidence of postoperative thrombosis,psychological resilience,and self-efficacy levels were compared between the two groups.Result:After intervention,the observation group had a lower incidence of postoperative deep vein thrombosis(DVT)in the lower extremities compared to the control group.Additionally,the observation group scored higher than the control group in all dimensions of the Resilience Scale(CD-RISC)and the Self-Management in Cancer Care(SUPPH)scale,with statistically significant differences(P<0.05).Conclusion:The combination of early warning intervention and attribution psychological adjustment can effectively reduce the incidence of thrombosis in patients undergoing thoracoscopic surgery for esophageal cancer,improve their psychological resilience,and enhance their self-efficacy.
周宏玲;陈敏
中山大学肿瘤防治中心 广东 广州 511400中山大学肿瘤防治中心 广东 广州 511400
预警干预方案归因心理调适食管癌胸腔镜手术血栓自我效能
Early warning intervention planAttribution psychological adjustmentEsophageal cancerThoracoscopic surgeryThrombosisSelf efficacy
《中外医学研究》 2026 (1)
13-16,4
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