同情焦点疗法对肺癌胸腔镜手术患者自我效能及创伤后成长的影响OA
Impact of compassion-focused therapy on self-efficacy and post-traumatic growth in patients undergoing video-assisted thoracic surgery for lung cancer
目的 探讨同情焦点疗法(CFT)对肺癌胸腔镜手术患者自我效能及创伤后成长(PTG)的影响.方法 将2023年1月—2024年9月南京市胸科医院/南京医科大学附属脑科医院收治的204例肺癌胸腔镜手术患者随机分成A组与B组,每组102例.A组予以常规护理,B组予以常规护理+CFT干预.观察2组压力感知[压力感知量表(PSS)评分]、癌症相关疲劳[Piper疲乏修订量表(PFS-R)评分]、自我效能[一般自我效能感量表(GSES)评分]、PTG[PTG评定量表(C-PTGI)评分]、生活质量[肺癌治疗功能评价量表(FACT-L)评分]、唾液皮质醇水平.结果 研究过程中共脱落18例,最终A组与B组各纳入93例.干预后和随访6个月,2组PSS、PFS-R评分和唾液皮质醇水平均较干预前降低,且随访6个月时低于干预后,差异有统计学意义(P＜0.001);干预后和随访6个月,B组PSS、PFS-R评分和唾液皮质醇水平均低于A组,差异有统计学意义(P＜0.001).干预后和随访6个月,2组GSES评分、C-PTGI和FACT-L评分均较干预前提高,且随访6个月时以上评分高于干预后,差异有统计学意义(P＜0.001);干预后和随访6个月,B组GSES、C-PTGI和FACT-L评分均高于A组,差异有统计学意义(P＜0.001).结论 CFT可有效缓解肺癌胸腔镜手术患者的压力感知与癌症相关疲劳,提升其自我效能与PTG水平,改善生活质量,降低唾液皮质醇水平.
Objective To investigate the impact of compassion-focused therapy(CFT)on self-efficacy and post-traumatic growth(PTG)in patients undergoing video-assisted thoracic surgery for lung cancer.Methods A total of 204 patients who underwent video-assisted thoracic surgery for lung cancer at Nanjing Chest Hospital/the Affiliated Brain Hospital of Nanjing Medical University from Jan-uary 2023 to September 2024 were randomly divided into group A and group B,with 102 cases in each group.Group A received routine nursing care,while group B received routine nursing care plus CFT.The following indicatorswere observed in both groups:stress perception[Perceived Stress Scale(PSS)score],cancer-related fatigue[Piper Fatigue Scale-Revised(PFS-R)score],self-efficacy[General Self-Efficacy Scale(GSES)score],PTG[Post-Traumatic Growth Inventory(C-PTGI)score],quality of life[Functional Assessment of Cancer Therapy-Lung(FACT-L)score],and salivary cortisol levels.Results During the study,a total of 18 cases were lost during follow-up,and ultimately 93 cases were included in each of group A and group B.After the intervention and at the 6-month follow-up,the PSS scores,PFS-R scores,and salivary cortisol levels in both groups were lower than those before the in-tervention,and the levels of these indicators at the 6-month follow-up were lower than those after the intervention,with statistically significant differences(P＜0.001).After the intervention and at the 6-month follow-up,the PSS scores,PFS-R scores,and salivary cortisol levels in group B were lower than those in group A,with statistically significant differences(P＜0.001).After the intervention and at the 6-month follow-up,the GSES scores,C-PTGI scores,and FACT-L scores in both groups were higher than those before the intervention,and the scores at the 6-month follow-up were higher than those after the intervention,with statistically significant differences(P＜0.001).After the in-tervention and at the 6-month follow-up,the GSES scores,C-PTGI scores,and FACT-L scores in group B were higher than those in group A,with statistically significant differences(P＜0.001).Conclusion CFT can effectively alleviate stress perception and cancer-related fatigue,enhance self-efficacy and PTG levels,improve quality of life,and reduce salivary cortisol levels in patients undergoing video-assisted thoracic surgery for lung cancer.
周子含;张演慧;王伟;杨晓歆;高岩;王芹
南京市胸科医院/南京医科大学附属脑科医院胸外科五病区,江苏南京,210029南京市胸科医院/南京医科大学附属脑科医院胸外科五病区,江苏南京,210029南京市胸科医院/南京医科大学附属脑科医院呼吸内镜中心,江苏南京,210029南京市胸科医院/南京医科大学附属脑科医院胸外科五病区,江苏南京,210029南京市胸科医院/南京医科大学附属脑科医院胸外科五病区,江苏南京,210029南京市胸科医院/南京医科大学附属脑科医院胸外科五病区,江苏南京,210029
医药卫生
同情焦点疗法胸腔镜手术肺癌自我效能创伤后成长癌症相关疲劳生活质量随机对照试验
compassion-focused therapyvideo-assisted thoracic surgerylung cancerself-ef-ficacypost-traumatic growthcancer-related fatiguequality of liferandomized controlled trial
《实用临床医药杂志》 2026 (4)
78-84,7
国家自然科学基金项目(81700068)
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