中国健康心理学杂志

目的：探讨激励式结合预警式干预对肺癌手术患者术后心理健康及应对方式的影响。方法：选取2022年1月至2025年1月收治的110例肺癌手术患者，采用随机数字表法分为观察组（55例，行激励式结合预警式干预）和对照组（55例，行常规干预），比较两组患者的心理健康状态[焦虑自评量表（SAS）、抑郁自评量表（SDS）]，应对方式[医学应对问卷（MCMQ）]，生活质量[生活质量量表（GQOL-74）]，生理适应状况[简明癌症患者心理适应状况问卷（Mini-MAC-19）]。结果：干预后观察组SAS、SDS评分更低（t=-5.503、-4.423，P<0.05）；干预后观察组患者MCMQ中面对评分更高，回避和屈服评分更低（t=8.405、-5.044、-8.017，P<0.05）；干预后观察组患者GQOL-74中社会功能、心理功能、躯体功能、物质生活评分更高（t=7.105、8.089、6.910、7.734，P<0.05）；干预后观察组患者Mini-MAC-19中无助和焦虑评分更低，积极态度评分更高（t=-7.774、-9.318、9.431，P<0.05）。结论：激励式与预警式干预通过"心理赋权-风险防控"双轨机制，显著优化肺癌手术患者心理健康、促进积极应对转型、提升生活质量及心理适应能力。

Objective: To explore the influence of combining incentive intervention with early warning intervention on postoperative psychological health and coping styles in patients receiving lung cancer surgery. Methods: A total of 110 patients with lung cancer surgery admitted from January 2022 to January 2025 were selected and classified into observation group (55 cases， incentive intervention combined with early warning intervention) and control group (55 cases， routine intervention) by means of random number table method. The psychological health status [Self-rating Anxiety Scale (SAS)， Self-rating Depression Scale (SDS)]， coping styles [Medical Coping Modes Questionnaire (MCMQ)]， quality of life [Generic Quality of Life Inventory-74 (GQOL-74)] and physiological adaptation status [Mini-Mental Adjustment to Cancer Scale (Mini-MAC-19)] were compared between both groups of patients. Results: After intervention， the SAS score and SDS score in the observation group were lower (t=-5.503、-4.423，P<0.05). The facing score of MCMQ in the observation group after intervention was higher while the scores of avoidance and yielding were lower (t=8.405、-5.044、-8.017，P<0.05). The scores of social function， psychological function， physical function and material life of GQOL-74 after intervention were higher in the observation group (t=7.105、8.089、6.910、7.734，P<0.05). After intervention， the observation group had lower scores of helplessness and anxiety of Mini-MAC-19 and a higher score of positive attitude (t=-7.774、-9.318、9.431，P<0.05). Conclusion: Through the dual-track mechanism of “psychological empowerment-risk prevention and control”， incentive and early warning interventions can significantly optimize the psychological health of patients undergoing lung cancer surgery， promote positive response to transformation， and enhance the quality of life and psychological adaptability.