芳香疗法结合认知领悟疗法对老年原发性肝癌术后患者复发恐惧、自我效能及幸福感的影响

Effects of aromatherapy combined with cognitive insight therapy on recurrence fear,self-efficacy and well-being in elderly pa-tients with primary hepatocellular carcinoma after surgery

中文关键词: 老年  芳香疗法  认知领悟疗法  原发性肝癌  复发恐惧  自我效能  幸福感

英文关键词: elderly  aromatherapy  cognitive insight therapy  primary hepatocellular carcinoma  recurrence fear  self-efficacy  well-being

中文摘要:

      目的 探究芳香疗法结合认知领悟疗法干预对老年原发性肝癌(PHC)术后患者复发恐惧、自我效能及幸福感的影响.方法 选择2021 年3 月—2023 年3 月于南通市肿瘤医院就诊的老年PHC患者 80 例,按照随机数字表法分成观察组(n =40)和对照组(n =40).对照组采用芳香疗法进行干预,观察组在芳香疗法基础上加用认知领悟疗法干预.比较2 组干预前、后的焦虑(HAMA评估)、抑郁(HAMD评估)、癌症复发恐惧(FOP-Q-SF评估)、自我效能(GSES评估)、睡眠质量(PSQI评估)、幸福感(GWB评估)、生活质量(QLQ-C30 评估)、护理满意度.结果 2 组干预后的HAMA、HAMD、FOP-Q-SF、PSQI评分均低于同组干预前,且观察组低于对照组(P均＜0.05);干预后,2 组GSES、GWB评分高于同组干预前,且观察组高于对照组(P均＜0.05);干预后,2 组QLQ-C30 量表中的身体功能、情绪功能、认知功能、疼痛评分高于同组干预前,且观察组高于对照组(P均＜0.05);且观察组干预前、后的HAMA、HAMD、FOP-Q-SF、GSES、GWB、PSQI及QLQ-C30 评分差值均高于对照组,差异均有统计学意义(P＜0.05);干预后,观察组的患者健康知识指导、沟通技巧、服务质量、服务态度评分均高于对照组(P＜0.05).结论 芳香疗法结合认知领悟疗法干预可能改善老年PHC患者不良情绪,减轻其术后复发恐惧,提高患者的自我效能、幸福感及生活质量,护理满意度高.

英文摘要:

      Objective To explore the effects of aromatherapy combined with cognitive insight therapy on recurrence fear,self-efficacy and well-being in elderly patients with primary hepatocellular carcinoma(PHC).Methods A total of 80 elderly patients with PHC treated in Tumor Hospital of Nantong City between March 2021 and March 2023 were enrolled.Ac-cording to random number table method,they were divided into observation group(n =40)and control group(n =40).The control group was treated with aromatherapy,while the observation group was treated with cognitive insight therapy on the basis of aromatherapy.The anxiety(HAMA),depression(HAMD),fear of cancer recurrence(FOP-Q-SF),self-efficacy(GSES),sleep quality(PSQI),well-being(GWB)and quality of life(QLQ-C30)and nursing satisfaction were compared between the two groups before and after intervention.Results The scores of HAMA,HAMD,FOP-Q-SF and PSQI of both groups after intervention were lower than those of the same group before intervention,and the observation group was lower than the control group(P＜0.05).The scores of GSES and GWB of both groups after intervention were higher than those of the same group,and the observation group was higher than the control group(P＜0.05).The scores of the physical function,emotional function,cognitive function and pain in QLQ-C30 of both groups after intervention were higher than those of the same group,and the observation group was higher than the control group(P＜0.05).The difference in the scores of HAMA,HAMD,FOP-Q-SF,GSES,GWB,PSQI and QLQ-C30 before and after intervention in the observation group was larger than those in the control group,and the differences were statistically significant(P＜0.05).After intervention,the scores of health knowledge guidance,communication skills,service quality and service attitude in the observation group were higher than those in the control group(P＜0.05).Conclusion The combination of aromatherapy and cognitive insight therapy may improve the negative emotions of elderly patients with PHC,reduce their postoperative recurrence,and improve their self-efficacy,well-being,quality of life and nursing satisfaction.