目的：探究焦点解决短期心理疗法（solution-focused brief therapy,SFBT）结合正性激励对乳腺癌根治术后患者负性情绪和生活质量的影响。方法：选择2022年2月—2024年2月期间在本院进行乳腺癌根治术的98例患者,按照干预方法分为联合组和对照组,两组各49例。对照组采用常规护理,联合组采用SFBT结合正性激励护理,均干预3个月。比较两组负性情绪、自我效能、内在需求、生活质量。结果：干预后3个月,两组患者负性情绪量表（NAS）得分均较干预前降低,癌症自我管理效能感量表（SUPPH）、需求评估量表、乳腺癌生活质量测定量表（FACT-B）各维度得分及总得分均较干预前升高,联合组NAS得分均低于对照组,SUPPH、需求评估量表、FACT-B各维度得分及总得分均高于对照组,差异有统计学意义。结论：SFBT结合正性激励可以降低乳腺癌根治术后患者负性情绪和内在需求,提高自我效能和生活质量。
Abstract
Objective To explore the effect of solution-focused brief therapy (SFBT) combined with positive incentive on negative emotions and quality of life of patients with breast cancer after radical mastectomy. Methods A total of 98 patients underwent radical mastectomy for breast cancer in the hospital from February 2022 to February 2024 were selected. They were assigned to the control group (49 cases) and the combination group (49 cases), receiving routine nursing and SFBT combined with positive incentive nursing, respectively. All patients were given 3 months of intervention. Negative emotions, self-efficacy, internal needs and quality of life of the two groups were compared. Results Three months after intervention, the scores of Negative Adjustment Scale (NAS) in both groups were lower than before intervention, and the scores of Strategies Used by People to Promote Healthe (SUPPH), needs assessment scale, Functional Assessment of Cancer Therapy-Breast (FACT-B) in all dimensions and total scores were higher than before intervention, and the NAS scores in the combined group were lower than those in the control group. The scores of SUPPH, needs assessment scale, FACT-B and total scores were higher than those of control group, and the differences were statistically significant. Conclusion SFBT combined with positive incentive can reduce negative emotions and internal needs of patients with breast cancer after radical mastectomy, and improve their self-efficacy and quality of life.
关键词
焦点解决短期心理疗法 /
正性激励 /
乳腺癌根治术 /
负性情绪 /
生活质量
Key words
solution-focused brief therapy /
positive incentive /
radical mastectomy for breast cancer /
negative emotion /
quality of life
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参考文献
[1] 潘玉琴, 高燕, 刘永芳, 等. 心理痛苦温度计的层级式心理疗法在乳腺癌放化疗患者的应用及对心理痛苦、知觉压力及应对方式的影响[J]. 中国健康心理学杂志, 2023, 31(7): 1020-1024.
[2] WILKINSON L, GATHANI T.Understanding breast cancer as a global health concern[J]. Br J Radiol, 2022, 95(1130): 20211033.
[3] 李红英. 比较3. 0T磁共振多参数联合检查对乳腺肿瘤良恶性的诊断准确性[J]. 中国CT和MRI杂志, 2023, 21(3): 96-99.
[4] DONG B, YIN X, XU H, et al.Application value of modified radical mastectomy in female patients with breast cancer of different molecular types: a prognosis study[J]. Am J Transl Res, 2022, 14(4): 2490-2496.
[5] 熊丽, 郭祯, 张梅. 基于目标设定理论的健康教育对乳腺癌手术患者疾病知识、自我管理能力及生活质量的影响[J]. 护理实践与研究, 2023, 20(22): 3369-3375.
[6] GRUJIC D, GIURGI-ONCU C, OPREAN C, et al.Well-Being, Depression, and Anxiety following Oncoplastic Breast Conserving Surgery versus Modified Radical Mastectomy Followed by Late Breast Reconstruction[J]. Int J Environ Res Public Health, 2021, 18(17): 9320.
[7] JI Y, ZHANG L.Intervention Effect of Solution-Focused Brief Therapy Based on Empowerment Theory on Loneliness in Obese Children[J]. Iran J Public Health, 2023, 52(8): 1692-1700.
[8] 董艳平, 孙庆霞, 吴丽红, 等. 基于正性激励模式的护理对直肠癌术后患者情绪及自护能力的影响[J]. 现代中西医结合杂志, 2022, 31(3): 412-415.
[9] 吕玉萍, 朱晓云, 林红. Triangle分层分级护理联合激励心理干预对肝癌介入治疗患者的影响[J]. 国际护理学杂志, 2023, 42(17): 3156-3159.
[10] GAN C.Solution-Focused Brief Therapy (SFBT) with individuals with brain injury and their families[J]. NeuroRehabilitation, 2020, 46(2): 143-155.
[11] NORTHCOTT S, SIMPSON A, THOMAS S, et al."Now I Am Myself": Exploring How People With Poststroke Aphasia Experienced Solution-Focused Brief Therapy Within the SOFIA Trial[J]. Qual Health Res, 2021, 31(11): 2041-2055.
[12] 郑泓, 李玲艳, 李诗晨, 等. 中文版正性负性情绪量表在乳腺癌患者中的信度和效度[J]. 中国临床心理学杂志, 2016, 24(4): 671-674, 670.
[13] 钱会娟, 袁长蓉. 中文版癌症自我管理效能感量表的信效度测评[J]. 中华护理杂志, 2011, 46(1): 87-89.
[14] 万永慧, 邱艳茹, 刘甜, 等. 女性乳腺癌患者需求评估量表的研制与信效度检验[J]. 中华现代护理杂志, 2018, 24(1): 50-55.
[15] 万崇华, 张冬梅, 汤学良, 等. 乳腺癌患者生命质量测定量表(FACT-B)中文版的修订[J]. 中国心理卫生杂志, 2003, 17(5): 298-300.
[16] SENOGA A, WASIKE R, ALI MWANZI S, et al.Quality of life of patients one year after breast-conserving surgery versus modified radical mastectomy for early breast cancer: a Kenyan tertiary hospital five-year review[J]. Pan Afr Med J, 2023, 46: 69.
[17] 高琴, 贾艳丽, 董雪, 等. 全程精准护理模式在乳腺癌手术患者中的应用效果[J]. 罕少疾病杂志, 2022, 29(12): 64-65.
[18] TAKAGI G.The effect of mechanical feedback on outcome in self-care support tool based on solution-focused brief therapy[J]. Psychother Res, 2024, 34(2): 205-215.
[19] 冯霞, 周琴. 焦点解决短期治疗联合诺丁斯关怀理论为基础的护理在食管癌患者中的应用[J]. 中华现代护理杂志, 2020, 26(29): 4108-4113.
[20] 刘丽敏, 王楠, 张立新, 等. 焦点解决短期心理疗法(SFBT)联合心灵关怀改善轻中度偏瘫患者负性情绪、创伤后成长的效果[J]. 中国健康心理学杂志, 2023, 31(12): 1811-1815.
[21] 徐瑶芯, 王舒琳, 任晓勤, 等. 焦点解决短期治疗改善慢性骨感染患者预后质量及心理状态的效果[J]. 中华创伤杂志, 2024, 40(3): 250-256.
基金
安徽省卫生健康科研项目“新辅助达尔西利+内分泌治疗+曲妥珠单抗+帕妥珠单抗对H阳性HER2阳性乳腺瘺疗效影响的临床研究”（AHWJ2023BAc20034）
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