Effects of empowerment education combined with motivational psychological intervention on emotional state and quality of life in patients with oral cancer surgery
10.3760/cma.j.cn371468-20240619-00286
- VernacularTitle:赋能教育结合激励式心理干预对口腔癌手术患者情绪状态及生活质量的影响
- Author:
Xuehong DONG
1
;
Qiang SUN
1
;
Huichuan LI
1
Author Information
1. 郑州大学第一附属医院口腔科，郑州 450000
- Publication Type:Journal Article
- Keywords:
Oral cancer;
Empowerment education;
Motivational psychological intervention;
Emotional state;
Quality of life
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2024;33(12):1128-1135
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the changes of emotional state and quality of life in patients with oral cancer surgery after empowerment education combined with motivational psychological intervention.Methods:A total of 80 patients with oral cancer who underwent surgical treatment in the First Affiliated Hospital of Zhengzhou University were enrolled from January to December 2023. According to order of admission and comparability principle of inter-group basic data, the subjects were divided into control group (from January to May 2023, n=40) and observation group (from June to December 2023, n=40). On basis of standardized disease management, control group was given routine health education and psychological intervention, while observation group was given empowerment education combined with motivational psychological intervention. All patients were intervened till 3 months after discharge. Before intervention (admission) and after intervention (3 months after discharge), disease uncertainty, emotional state, coping styles, self-efficacy, compliance and quality of life were evaluated by Mishel uncertainty in illness scale-adult(MUIS-A), self-rating depression scale (SDS), self-rating anxiety scale (SAS), trait coping style questionnaire (TCSQ), general self-efficacy scale (GSES) and University of Washington quality of life questionnaire-4 (UW-QoLv4), respectively. The differences between the two groups (intra-group) were analyzed by SPSS 21.0 statistical software, including independent sample t-test, paired t-test and Chi-square test. Results:(1)The scores of MUIS-A, SDS, SAS, TCSQ, GSES and UW-QoLv4 were not significantly different between the two groups before intervention(all P>0.05).(2)After intervention, scores of MUIS-A, SDS, SAS and TCSQ-negative coping in observation group were 91.56±7.49, 49.83±7.63, 50.54±6.51 and 30.21±3.37, lower than those in control group (100.18±8.52, 56.95±8.11, 58.14±7.36, 32.19±2.36, t=4.806, 4.044, 4.892, 3.044, all P<0.05). The scores of TCSQ-positive coping and GSES in observation group (34.25±2.13 and 29.25±2.83) were higher than those in control group (31.14±2.06, 25.70±3.14, t=6.638, 5.311, both P<0.001). (3)The compliance of dietary management, rehabilitation training and postoperative reexamination in observation group were better than those in control group ( χ2=4.114, 6.646, 5.165, all P<0.05). (4)The incidence of flap necrosis in observation group was lower than that in control group (5.00%(2/40) vs 22.50%(9/40), χ2=5.165, P<0.05). (5)After intervention, UW-QoLv4 score in observation group was higher than that in control group (863.28±24.87 vs 751.26±38.94, t=15.334, P<0.05). Conclusion:Empowerment education combined with motivational psychological intervention can effectively improve the emotional state and quality of life of patients with oral cancer surgery.
