中国健康心理学杂志2026，Vol.34Issue(1)：33-39,7.DOI:10.13342/j.cnki.cjhp.2026.01.007
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
Effects of family positive behavior support combined with cognitive training on disease uncertainty,psychological resilience and self—perceived burden in patients with pituitary adenoma
摘要
Abstract
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.Re-sults: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 ob-servation 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 pa-tients with pituitary adenoma,and it is a feasible psychological intervention program.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Key words
Pituitary adenoma/Family positive behavior support/Cognitive training/Disease uncertainty/Psycho-logical resilience/Self-perceived burden分类
医药卫生引用本文复制引用
刘雪洋,王蒙雨,李萌蕾,于锦锦,潘圆圆..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[J].中国健康心理学杂志,2026,34(1):33-39,7.基金项目
2025年度河南省科技攻关(指导立项)项目(编号:15039037224Lxy) （指导立项）
