摘要
目的:探索阅读疗法联合呼吸功能训练对食管癌手术患者心理状态、癌因性疲乏的影响。方法:以2021年8月-2023年8月于某院行手术治疗的76例食管癌患者为研究对象,随机分为两组各38例。对照组采取常规临床干预,研究组在此基础上采取阅读疗法联合呼吸功能训练。评价两组的心理状态、应对方式、癌因性疲乏、肺功能及生活质量。结果:研究组干预后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(t=-5.381,-7.310,P<0.05);干预后,研究组的简易应对方式问卷(SCSQ)中积极应对评分高于对照组,消极应对评分低于对照组(t=5.106,-5.561,P<0.05);干预后,研究组的Piper疲乏修订量表(RPFS)中情感、感觉、行为、认知各维度评分均低于对照组(t=-12.407,-7.595,-7.544,-7.458,P<0.05);干预后,研究组的最大通气量(MVV)、用力肺活量(FVC)、第1秒用力呼气容积(FEV1)较对照组升高(t=5.302,4.007,5.168,P<0.05);干预后,研究组的生活质量测定量表(WHOQOL-BREF)中各维度评分高于对照组(t=6.614,7.963,5.333,6.488,P<0.05)。结论:对食管癌手术患者施于阅读疗法联合呼吸功能训练干预可有效改善患者的心理状态及应对方式,减轻其癌因性疲乏,提高其肺功能及生活质量。
Objective:To explore effects of reading therapy combined with respiratory function training on mental state and cancer-related fatigue in patients undergoing surgery for esophageal cancer.Methods:A total of 76 patients with esophageal cancer who underwent surgical treatment in our hospital from August 2021 to August 2023 were randomly divided into two groups with 38 patients in each group.The control group received routine clinical intervention,and the study group received reading therapy combined with respiratory function training on this basis.The mental state,coping style,cancer-related fatigue,lung function and quality of life of the two groups were evaluated.Results:After intervention,the scores of self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS)in the study group were lower than those in the control group(t=-5.381,-7.310;P<0.05).After the intervention,the positive coping score in the Simple Coping style Questionnaire(SCSQ)of the study group was higher than that of the control group,and the negative coping score was lower than that of the control group(t=5.106,-5.561;P<0.05).After the intervention,the Piper Revised Fatigue Scale(RPFS)scores of emotion,sensation,behavior and cognition in the study group were lower than those in the control group(t=-12.407,-7.595,-7.544,-7.458;P<0.05).After the intervention,the maximum volume of gas(MVV),forced vital capacity(FVC)and forced expiratory volume at the first second(FEV1)in the study group were higher than those in the control group(t=5.302,4.007,5.168;P<0.05).After intervention,the scores of WHOQOL-BREF in the study group were higher than those in the control group(t=6.614,7.963,5.333,6.488;P<0.05).Conclusion:Reading therapy combined with respiratory function training can effectively improve patients'mental state and coping style,reduce their cancer-related fatigue,and improve their lung function and quality of life.
作者
刘稳
杨慧
刘旭岚
朱冰洁
张素敏
LIU Wen;YANG Hui;LIU Xulan;ZHU Bingjie;ZHANG Sumin(Department of Thoracic Surgery,Henan Provincial People's Hospital Key Laboratory of Nursing Medicine,Department of Thoracic Surgery,Zhengzhou University People's Hospital,Zhengzhou 450003,China)
出处
《中国健康心理学杂志》
2024年第7期1022-1026,共5页
China Journal of Health Psychology
关键词
食管癌
阅读疗法
呼吸功能训练
心理状态
癌因性疲乏
应对方式
生活质量
Esophageal cancer
Reading therapy
Respiratory function training
Mental state
Cancer-related fatigue
Coping style
Quality of life
