目的：探究团体心理干预对老年喉癌手术患者疾病认知及应激反应的影响。方法：选取本院2023年1月―2023年3月在耳鼻喉科住院的老年喉癌手术患者102例,随机分为对照组和试验组,各51例。比较两组疾病认知度、心理韧性、自我感受负担、社会支持、应对方式。结果：干预后,试验组患者认知度、心理韧性评分、领悟社会支持度评分、医学应对问卷面对维度分值高于对照组,试验组自我感受负担评分、屈服、回避维度分值低于对照组。结论：团体心理干预可提高老年喉癌手术患者的疾病认知度,增强心理韧性,降低自我感受负担,提高领悟社会支持度,增强患者积极面对的信心,值得临床推广应用。
Abstract
Objective To explore the effect of group psychological intervention on disease cognition and stress response in elderly patients undergoing laryngeal cancer surgery. Methods 102 elderly patients with laryngeal cancer surgery who were hospitalized in department of otolaryngology of the hospital were selected between January 2023 and March 2023 and were randomly divided into control group and treatment group. The disease cognition degree, psychological resilience, self-perceived burden, social support and coping styles were compared between the two groups. Results The disease cognition degree in treatment group after intervention was higher than that in control group. After intervention, the scores of psychological resilience scale were higher in treatment group than those in control group. After intervention, the score of self-perceived burden scale in treatment group was lower compared with that in control group. The scores of perceived social support scale after intervention in treatment group were higher compared with those in control group. After intervention, the facing score of Medical Coping Modes Questionnaire in treatment group was higher while the scores of yielding and avoidance were lower than those in control group. Conclusion Group psychological intervention can improve the disease cognition degree, enhance the psychological resilience, reduce the self-perceived burden, strengthen the social support degree, and enhance the confidence of facing positively of elderly patients with laryngeal cancer surgery.
关键词
团体心理干预 /
喉癌 /
术后 /
认知 /
应激反应
Key words
group psychological intervention /
laryngeal cancer /
postoperative /
cognition /
stress response
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基金
陕西省重点研发计划项目（2021ZDLSFO2-12）
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