标题：思维导图结合动机性访谈对肝癌手术患者负性情绪、自我效能感及生活质量的影响

      作者：李嘉 1，翟菊连 2，张安娜 3    1.西安医学院第二附属医院手术室，陕西 西安 710038；2.西安医学院第三附属医院门诊部，陕西 西安 710068；3.西安市第九医院外科，陕西 西安 710054

      卷次： 2023年34卷24期

      【摘要】 目的 探讨思维导图结合动机性访谈对肝癌手术患者的负性情绪、自我效能感及生活质量的影响。方法 选取2020年1月至2021年12月西安医学院第二附属医院收治的102例肝癌手术患者作为研究对象，按随机数表法分为对照组和观察组各51例。对照组患者行常规干预，观察组患者行思维导图结合动机性访谈干预，两组均干预10 d。干预前1 d、干预10 d后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我效能感量表(GSES)、生活质量综合评定问卷(GQOLI-74)评估两组患者的焦虑程度、抑郁程度、自我效能感以及生活质量，并记录两组患者的并发症发生情况。结果 观察组患者干预后的SAS、SDS评分分别为(38.33±2.65)分、(39.07±1.12)分，明显低于对照组的(43.65±2.19)分、(44.95±1.09)分，差异均有统计学意义(P<0.05)；观察组患者干预后的自我减压、正性态度及自我决策评分分别为(45.29±2.46)分、(67.34±4.94)分、(12.59±1.22)分，明显高于对照组的(38.42±2.65)分、(61.58±4.19)分、(9.22±1.17)分，差异均有统计学意义(P<0.05)；观察组患者干预后的社会功能、心理功能、躯体功能、物质生活评分明显高于对照组，差异均有统计学意义(P<0.05)；观察组患者的并发症发生率为3.92%，明显低于对照组的21.56%，差异有统计学意义(P<0.05)。结论 思维导图结合动机性访谈可改善肝癌手术患者的负性情绪，提高生活质量和自我效能感。
      【关键词】 思维导图；动机性访谈；肝癌手术；自我效能感；负性情绪；生活质量
      【中图分类号】 R735.7 【文献标识码】 A 【文章编号】 1003—6350（2023）24—3635—05

Effects of mind map combined with motivational interviewing on negative emotions, self-efficacy, and quality oflife in patients with liver cancer undergoing surgery.
LI Jia 1, ZHAI Ju-lian 2, ZHANG An-na 3. 1. Operating Room, theSecond Affiliated Hospital of Xi'an Medical University, Xi'an 710038, Shaanxi, CHINA; 2. Outpatient Department, the ThirdAffiliated Hospital of Xi'an Medical University, Xi'an 710068, Shaanxi, CHINA; 3. Department of Surgery, Xi'an NinthHospital, Xi'an 710054, Shaanxi, CHINA
【Abstract】 Objective To investigate the effect of mind map combined with motivational interviewing on nega-tive emotions, self-efficacy, and quality of life in patients with liver cancer undergoing surgery. Methods From January2020 to December 2021, 102 patients with liver cancer undergoing surgery in the Second Affiliated Hospital of Xi'anMedical University were selected and divided into the control group and observation group according to random numbertable method, each with 51 cases. Patients in the control group received routine intervention, and those in the observationgroup received mind map combined with motivational interviewing intervention, both for 10 days. The Self-rating Anxi-ety Scale (SAS), the Self-rating Depression Scale (SDS), the General Self-efficacy Scale (GSES), and the Generic Quali-ty of Life Inventory-74 (GQOLI-74) were used to assess the patients' anxiety, depression, self-efficacy, and the qualityof life of the two groups at 1 day before intervention and 10 days after the intervention. The occurrence of complicationsin two groups was recorded. Results After intervention, the SAS and SDS scores of patients in the observation groupwere (38.33±2.65) points and (39.07±1.12) points, respectively, which were significantly lower than (43.65±2.19) pointsand (44.95±1.09) points of the control group (P<0.05). After intervention, the scores of self-decompression, positive atti-tude, and self-decision of the patients in the observation group were (45.29 ± 2.46) points, (67.34 ± 4.94) points, and(12.59±1.22) points, respectively, which were significantly higher than (38.42±2.65) points, (61.58±4.19) points, and(9.22±1.17) points of the control group (P<0.05). After intervention, the scores of social function, mental function, physi-cal function, and material life of patients in the observation group were significantly higher than those in the controlgroup (P<0.05). The incidence of complications of patients in the observation group was 3.92%, which was significantlylower than 21.56% of the control group (P<0.05). Conclusion Mind map combined with motivational interviewing canimprove negative emotions, quality of life, and self-efficacy in patients with liver cancer undergoing surgery.
      【Key words】 Mind map; Motivational interviewing; Surgery for liver cancer; Self-efficacy; Negative emotions;Quality of life