自我表露干预联合认知行为疗法对食管癌患者术后心理应激及希望水平的影响OA
Effect of Self Disclosure Intervention Combined with Cognitive-Behavioral Therapy on Postoperative Psychological Stress and Hope Levels in Patients with Esophageal Cancer
目的 探讨自我表露干预联合认知行为疗法对食管癌患者术后心理应激及希望水平的影响.方法 选取河南科技大学第一附属医院2022 年9 月至2024 年9 月收治的82 例食管癌手术患者,参照随机数字表法进行分组,每组各 41 例.对照组行常规护理,观察组在对照组基础上给予自我表露干预联合认知行为疗法干预.两组均随访至术后 8 周,比较两组干预前后的心理应激反应、希望水平及生命质量水平.结果 干预后,观察组的心理应激评分低于对照组(P<0.05);观察组的积极态度、积极行动评分及总评分均高于对照组(P<0.05);观察组的生命质量水平亦高于对照组(P<0.05);两组的亲密关系评分差异无统计学意义(P>0.05).结论 自我表露干预联合认知行为疗法能够减轻食管癌患者术后心理应激反应,改善其积极态度及行为,提高其生命质量.
Objective To explore the effects of self disclosure intervention combined with cognitive-behavioral therapy on postoperative psychological stress and hope levels in patients with esophageal cancer.Methods 82 patients with esophageal cancer who were admitted to our hospital from September 2022 to September 2024 were selected and grouped randomly,with 41 patients in each.The control group received routine nursing care,while the observation group received self-disclosure intervention combined with cognitive behavioral therapy intervention on the basis of the control group.Both groups were followed up for 8 weeks after surgery,and the psychological stress response,hope levels,and quality of life level were compared before and after intervention.Results After intervention,the psychological stress score of the observation group was lower than that of the control group(P<0.05).The positive attitude,positive action score,and overall score of the observation group were higher than those of the control group(P<0.05).The quality of life level of the observation group was higher than that of the control group(P<0.05).There was no statistically significant difference in the intimate relationship scores between the two groups(P>0.05).Conclusion Self disclosure intervention combined with cognitive-behavioral therapy can alleviate postoperative psychological stress reactions in esophageal cancer patients,improve their positive attitudes and behaviors,and enhance their quality of life.
冯闪闪;阮兰红;朱晓敏;张文雯
河南科技大学临床医学院,河南科技大学第一附属医院,中国 洛阳,471000河南科技大学临床医学院,河南科技大学第一附属医院,中国 洛阳,471000河南科技大学临床医学院,河南科技大学第一附属医院,中国 洛阳,471000河南科技大学临床医学院,河南科技大学第一附属医院,中国 洛阳,471000
医药卫生
自我表露干预认知行为疗法食管癌心理应激希望水平生命质量
self disclosure interventioncognitive behavioral therapyesophageal cancerpsychological stresshope levelquality of life
《食管疾病》 2026 (2)
150-154,5
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