基于 Hogan 理论的阶段性干预模式对结直肠癌患者术后恢复情况、心理健康状态及应对方式的影响
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新乡医学院第三附属医院

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The Impact of Staged Intervention Model Based on Hogan’s Theory on Postoperative Recovery, Mental Health Status, and Coping Strategy of Patients with Colorectal Cancer
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The Third Affiliated Hospital of Xinxiang Medical University

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    摘要:

    目的 研究基于 Hogan 理论的阶段性干预模式对结直肠癌( CRC) 患者术后恢复情况、心理健康状态及应对方式的影响。 方法 选取新乡医学院第三附属医院 2022 年 12 月至 2024 年 12 月收治的 80 例 CRC 患者作为研究对象,采用随机数字表法将其分为常规组( n=40)和研究组( n=40)。常规组给予常规干预,研究组联合基于 Hogan 理论的阶段性干预,对比两组患者术后恢复情况、心理健康状态、应对方式和并发症情况。 结果 干预后,研究组汉密尔顿焦虑量表( HAMA)、 汉密尔顿抑郁量表( HAMD)、消极应对评分均低于常规组,生活定向测验修订版( LOT-R)、积极应对评分高于常规组( P<0.05);干预后,研究组首次排气、排便、下床活动时间及出院时间均短于常规组( P<0.05);两组并发症发生率差异无统计学意义( χ2=0.9486, P>0.05)。 结论 基于 Hogan 理论的阶段性干预模式能够有效改善 CRC 患者心理健康状态,促进积极应对方式建立,加速术后康复。

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    Objective To study the impact of the staged intervention model based on Hogan’s theory on the postoperative recovery, mental health status and coping strategy of patients with colorectal cancer (CRC). Methods A total of 80 patients with CRC admitted to the Third Affiliated Hospital of Xinxiang Medical University from December 2022 to December 2024 were selected as study subjects. A randomized number table method was used to assign them to a conventional group and a study group (n=45). The conventional group received standard care, while the study group received a phased intervention based on Hogan’s theory in addition to standard care. Postoperative recovery, mental health status, coping strategy, and incidence rate of complications were compared between groups. Results After the intervention, the study group demonstrated lower scores on the Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), and negative coping scale compared to the conventional group, while achieving higher scores on the Life Orientation Test-Revised (LOT-R) and positive coping scale (P <0.05). Additionally, the study group exhibited shorter time to first flatus, first bowel movement, time to ambulation, and length of hospital stay than the conventional group (P <0.05). However, no statistically significant difference was observed in the incidence rate of complications between the two groups (χ2=0.9486, P>0.05). Conclusion The staged intervention model based on Hogan’s theory can effectively improve the mental health status of CRC patients, promote the establishment of positive coping strategy, and accelerate postoperative recovery.

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崔燕.基于 Hogan 理论的阶段性干预模式对结直肠癌患者术后恢复情况、心理健康状态及应对方式的影响[J].生物医学工程学进展,2025,(6):952-958

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  • 收稿日期:2025-09-16
  • 最后修改日期:2025-09-30
  • 录用日期:2025-10-02
  • 在线发布日期: 2026-01-16
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