The Application Effect of Multidimensional Psychological Crisis Intervention Combined with Time-Dependent and Demand-Oriented Intervention in Perioperative Patients with Ovarian Cancer
CUI Gaohua, GUO Suyan
Department of Gynecology One, Anyang Tumor Hospital, Anyang Henan 455000
摘要【目的】探讨心理危机多维度干预联合因时应需干预在卵巢癌围术期患者中的应用效果。【方法】选取2021年1月至2023年12月在本院诊治的118例卵巢癌围术期患者,按照随机数字表法将患者分为对照组和观察组,每组59例。对照组患者接受常规干预,观察组患者接受心理危机多维度干预联合因时应需干预。比较两组围术期指标(导尿管留置时间、术后排气时间、住院时间),干预前及干预1个月后的病耻感[慢性疾病患者病耻感的社会影响量表(SIS)评分]、自我认同感[Wallace自我概念量表(WSCS)评分]、生活质量[卵巢癌患者生命质量测定量表(functional assessment of cancer therapy-ovary,FACT-O)评分]。【结果】观察组导尿管留置时间、术后排气时间、住院时间明显短于对照组,差异有统计学意义(P<0.05);干预1个月后,两组SIS评分低于干预前,WSCS评分、FACT-O评分高于干预前,且观察组SIS评分低于对照组,WSCS评分、FACT-O评分高于对照组,差异均有统计学意义(P<0.05)。【结论】心理危机多维度干预联合因时应需干预能优化卵巢癌患者围术期指标,有效促进卵巢癌围术期患者康复,提高生活质量,显著降低病耻感,增强自我认同感。
Abstract：【Objective】 To explore the application effect of multidimensional psychological crisis intervention combined with time-dependent and demand-oriented intervention in perioperative patients with ovarian cancer.【Methods】 A total of 118 perioperative patients with ovarian cancer treated in our hospital from January 2021 to December 2023 were selected. They were divided into the control group and the observation group according to the random number table method, with 59 cases in each group. The control group received routine intervention, while the observation group received multidimensional psychological crisis intervention combined with time-dependent and demand-oriented intervention. The perioperative indicators(indwelling time of urinary catheter, postoperative exhaust time, length of hospital stay) of the two groups were compared. Before intervention and 1 month after intervention, the stigma [Social Impact Scale(SIS) score for patients with chronic diseases], self-identity [Wallace Self-Concept Scale(WSCS) score], and quality of life [Functional Assessment of Cancer Therapy-Ovary(FACT-O) score] were compared between the two groups.【Results】 The indwelling time of urinary catheter, postoperative exhaust time, and length of hospital stay in the observation group were significantly shorter than those in the control group, with statistically significant differences(P<0.05). One month after intervention, the SIS scores of both groups were lower than those before intervention, while the WSCS scores and FACT-O scores were higher than those before intervention. Moreover, the SIS score of the observation group was lower than that of the control group, and the WSCS score and FACT-O score were higher than those of the control group, with statistically significant differences(P<0.05).【Conclusion】 Multidimensional psychological crisis intervention combined with time-dependent and demand-oriented intervention can optimize perioperative indicators, effectively promote the rehabilitation of perioperative patients with ovarian cancer, improve their quality of life, significantly reduce stigma, and enhance self-identity.
崔高华, 郭苏燕. 心理危机多维度干预联合因时应需干预在卵巢癌围术期患者中的应用效果[J]. 医学临床研究, 2025, 42(9): 1527-1530.
CUI Gaohua, GUO Suyan. The Application Effect of Multidimensional Psychological Crisis Intervention Combined with Time-Dependent and Demand-Oriented Intervention in Perioperative Patients with Ovarian Cancer. JOURNAL OF CLINICAL RESEARCH, 2025, 42(9): 1527-1530.
2025, Vol. 42 
