摘要
目的:探讨家庭正向行为支持联合认知训练对垂体瘤患者疾病不确定感、心理弹性及自我感受负担的影响。方法:采用随机对照试验设计,纳入2022年1月至2024年12月在某院接受治疗的221例垂体瘤患者,随机分为观察组(113例)和对照组(108例),对照组接受常规护理,观察组在常规护理基础上接受为期16周的家庭正向行为支持联合认知训练。干预前后采用疾病不确定感量表(MUIS-A)、Connor-Davidson心理弹性量表(CD-RISC)和自我感受负担量表(SPBS)评估效果。结果:观察组MUIS-A总分从干预前的98.45±10.32分降至74.32±8.15分,显著低于对照组(t=-18.765,P<0.01),差异有统计学意义;观察组CD-RISC总分从51.44±8.34分升至65.23±12.72分,显著优于对照组(t=11.274,P<0.01),差异有统计学意义;观察组的家庭/经济负担得分显著低于对照组(t=-7.836,P<0.05),治疗负担得分显著低于对照组(t=-8.084,P<0.05),照护负担得分显著低于对照组(t=-8.710,P<0.05),情感负担得分显著低于对照组(t=-8.036,P<0.05),差异有统计学意义。结论:家庭正向行为支持联合认知训练可有效降低垂体瘤患者的疾病不确定感,提升心理弹性,减轻自我感受负担。
Objective:To explore the effects of family positive behavior support combined with cognitive training on disease uncertainty,psychological resilience and self-perceived burden in patients with pituitary adenoma.Methods:A randomized controlled trial design was used.A total of 221 patients with pituitary adenoma who received treatment in our hospital from January 2022 to December 2024 were included and randomly divided into an observation group(113 cases)and a control group(108 cases).The control group received routine nursing care,while the observation group received 16-week family positive behavior support combined with cognitive training on the basis of routine nursing care.The Mishel Uncertainty in Illness Scale-Adult(MUIS-A),Connor-Davidson Resilience Scale(CD-RISC)and Self-Perceived Burden Scale(SPBS)were used to evaluate the effects before and after the intervention.Results:In the observation group,the total score of MUIS-A decreased from 98.45±10.32 before the intervention to 74.32±8.15,which was significantly lower than 96.78±10.23 in the control group(t=-18.765,P<0.01).The total score of CD-RISC in the observation group increased from 51.44±8.34 to 54.01±11.95,which was significantly better than 65.23±12.72 in the control group(t=11.274,P<0.01).The scores of all dimensions of SPBS in the observation group decreased significantly,which were significantly better than those in the control group(t=-7.836,-8.084,-8.710,-8.036;P<0.01).Conclusion:Family positive behavior support combined with cognitive training can effectively reduce disease uncertainty,enhance psychological resilience and alleviate self-perceived burden in patients with pituitary adenoma,and it is a feasible psychological intervention program.
作者
刘雪洋
王蒙雨
李萌蕾
于锦锦
潘圆圆
LIU Xueyang;WANG Mengyu;LI Menglei;YU Jinjin;PAN Yuanyuan(Department 2 of Neurosurgery,East Campus,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中国健康心理学杂志》
2026年第1期33-39,共7页
China Journal of Health Psychology
基金
2025年度河南省科技攻关(指导立项)项目(编号:15039037224Lxy)。
关键词
垂体瘤
家庭正向行为支持
认知训练
疾病不确定感
心理弹性
自我感受负担
Pituitary adenoma
Family positive behavior support
Cognitive training
Disease uncertainty
Psychological resilience
Self-perceived burden
