基于拓展与建构理论的护理干预对肝癌微创消融患者心理社会适应性的影响研究
Study on the effect of nursing intervention based on the broaden-and-build theory on the psychosocial adaptability of patients with minimally invasive ablation of liver cancer.
作者信息
Li Jinxing, You Jing, Zhang Dan, Jing Xuemin, Lian Xiaojing, Zhou Li
机构信息
Liver Disease and Tumor Interventional Treatment Center Second Ward, Beijing Youan Hospital, Capital Medical University, No. 8, Xitoutiao, You'anmenwai, Fengtai District, Beijing, China.
Liver Disease and Tumor Interventional Therapy Center Operating Room, Beijing Youan Hospital, Capital Medical University, Beijing, China.
出版信息
Support Care Cancer. 2025 Sep 12;33(10):847. doi: 10.1007/s00520-025-09906-8.
OBJECTIVE
This study aimed to explore the effect of nursing intervention based on the broaden-and-build theory on the psychosocial adaptability of patients with minimally invasive ablation of liver cancer.
METHOD
A total of 100 patients with liver cancer undergoing minimally invasive ablation were selected and randomly divided into two groups. The control group consisted of 50 patients who received routine nursing intervention and Health education. The intervention group consisted of 50 patients who received nursing intervention based on the broaden-and-build theory in addition to routine nursing intervention and Health education. Data were collected and compared using the Self-rating Anxiety Scale, the Self-rating Depression Scale, the Pittsburgh Sleep Quality Index, the Strategies Used by People to Promote Health self-report and the Gratitude Questionnaire 6. Significance was verified by the independent samples t-test, repeated measures analysis of variance and χ test, and confounders were controlled for using randomised grouping, baseline comparability analysis and single-blind design.
RESULTS
After 3 and 6 months of intervention, patients in the intervention group showed significantly greater improvement in anxiety scores (28.16 ± 8.24 vs. 33.04 ± 8.02; 32.16 ± 8.24 vs. 36.18 ± 7.09), depression scores (25.73 ± 9.18 vs. 35.91 ± 10.99; 29.73 ± 9.18 vs. 37.33 ± 9.13) and sleep quality scores (10.22 ± 2.95 vs. 11.33 ± 2.21; 12.16 ± 2.87 vs. 13.53 ± 2.14) than those in the control group (all p < 0.001) and greater improvement in self-efficacy (125.98 ± 12.81 vs. 115.49 ± 20.06; 115.53 ± 12.12 vs. 102.31 ± 26.47) and gratitude levels (40.20 ± 2.08 vs. 35.87 ± 6.29; 39.44 ± 2.31 vs. 35.13 ± 6.10) (all p < 0.05). This suggests that the nursing intervention based on the extended construct theory of gratitude effectively improved the psychological health and quality of life of patients undergoing minimally invasive ablation for hepatocellular carcinoma.
CONCLUSION
Nursing intervention based on the broaden-and-build theory can effectively reduce the negative emotions of patients with minimally invasive ablation of liver cancer by improving sleep quality, self-efficacy and gratitude level.
TRIAL REGISTRATION
The study was registered on http://www.chictr.org.cn 'ChiCTR2400093603' on 9 December 2024.
目的
本研究旨在探讨基于拓展与建构理论的护理干预对肝癌微创消融患者心理社会适应能力的影响。
方法
选取100例行微创消融的肝癌患者，随机分为两组。对照组50例，接受常规护理干预和健康教育；干预组50例，在常规护理干预和健康教育基础上，接受基于拓展与建构理论的护理干预。采用自评焦虑量表、自评抑郁量表、匹兹堡睡眠质量指数、促进健康行为自评量表和感恩问卷6收集并比较数据。通过独立样本t检验、重复测量方差分析和χ检验验证差异，采用随机分组、基线可比性分析和单盲设计控制混杂因素。
结果
干预3个月和6个月后，干预组患者的焦虑评分（28.16±8.24 vs. 33.04±8.02；32.16±8.24 vs. 36.18±7.09）、抑郁评分（25.73±9.18 vs. 35.91±10.99；29.73±9.18 vs. 37.33±9.13）和睡眠质量评分（10.22±2.95 vs. 11.33±2.21；12.16±2.87 vs. 13.53±2.14）均显著低于对照组（均p<0.001），自我效能感（125.98±12.81 vs. 115.49±20.06；115.53±12.12 vs. 102.31±26.47）和感恩水平（40.20±2.08 vs. 35.87±6.29；39.44±2.31 vs. 35.13±6.10）改善更明显（均p<0.05）。这表明基于感恩拓展建构理论的护理干预有效改善了肝癌微创消融患者的心理健康和生活质量。
结论
基于拓展与建构理论的护理干预可通过改善睡眠质量、自我效能感和感恩水平，有效降低肝癌微创消融患者的负面情绪。
试验注册
本研究于2024年12月9日在http://www.chictr.org.cn以“ChiCTR2400093603”注册。
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