实用临床医药杂志2026，Vol.30Issue(4)：78-84,7.DOI:10.7619/jcmp.20255898
同情焦点疗法对肺癌胸腔镜手术患者自我效能及创伤后成长的影响
Impact of compassion-focused therapy on self-efficacy and post-traumatic growth in patients undergoing video-assisted thoracic surgery for lung cancer
摘要
Abstract
Objective To investigate the impact of compassion-focused therapy(CFT)on self-efficacy and post-traumatic growth(PTG)in patients undergoing video-assisted thoracic surgery for lung cancer.Methods A total of 204 patients who underwent video-assisted thoracic surgery for lung cancer at Nanjing Chest Hospital/the Affiliated Brain Hospital of Nanjing Medical University from Jan-uary 2023 to September 2024 were randomly divided into group A and group B,with 102 cases in each group.Group A received routine nursing care,while group B received routine nursing care plus CFT.The following indicatorswere observed in both groups:stress perception[Perceived Stress Scale(PSS)score],cancer-related fatigue[Piper Fatigue Scale-Revised(PFS-R)score],self-efficacy[General Self-Efficacy Scale(GSES)score],PTG[Post-Traumatic Growth Inventory(C-PTGI)score],quality of life[Functional Assessment of Cancer Therapy-Lung(FACT-L)score],and salivary cortisol levels.Results During the study,a total of 18 cases were lost during follow-up,and ultimately 93 cases were included in each of group A and group B.After the intervention and at the 6-month follow-up,the PSS scores,PFS-R scores,and salivary cortisol levels in both groups were lower than those before the in-tervention,and the levels of these indicators at the 6-month follow-up were lower than those after the intervention,with statistically significant differences(P＜0.001).After the intervention and at the 6-month follow-up,the PSS scores,PFS-R scores,and salivary cortisol levels in group B were lower than those in group A,with statistically significant differences(P＜0.001).After the intervention and at the 6-month follow-up,the GSES scores,C-PTGI scores,and FACT-L scores in both groups were higher than those before the intervention,and the scores at the 6-month follow-up were higher than those after the intervention,with statistically significant differences(P＜0.001).After the in-tervention and at the 6-month follow-up,the GSES scores,C-PTGI scores,and FACT-L scores in group B were higher than those in group A,with statistically significant differences(P＜0.001).Conclusion CFT can effectively alleviate stress perception and cancer-related fatigue,enhance self-efficacy and PTG levels,improve quality of life,and reduce salivary cortisol levels in patients undergoing video-assisted thoracic surgery for lung cancer.关键词
同情焦点疗法/胸腔镜手术/肺癌/自我效能/创伤后成长/癌症相关疲劳/生活质量/随机对照试验Key words
compassion-focused therapy/video-assisted thoracic surgery/lung cancer/self-ef-ficacy/post-traumatic growth/cancer-related fatigue/quality of life/randomized controlled trial分类
医药卫生引用本文复制引用
周子含,张演慧,王伟,杨晓歆,高岩,王芹..同情焦点疗法对肺癌胸腔镜手术患者自我效能及创伤后成长的影响[J].实用临床医药杂志,2026,30(4):78-84,7.基金项目
国家自然科学基金项目(81700068) （81700068）
