认知和行为治疗改善妇科恶性肿瘤患者的生活状况  

Cognitive and behavior therapy for improving living status of women with malignant gynecologic tumors

作　　者：杜彬[1] 崔文姬[1] 杜容娇[2] 

机构地区：[1]中国医科大学附属第一医院妇科,辽宁省沈阳市110001 [2]中国医科大学附属第一医院骨科,辽宁省沈阳市110001

出　　处：《中国临床康复》2005年第6期12-13,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:探讨认知和行为治疗改善妇科恶性肿瘤患者生活状况的可能性,为心理干预提供依据。方法:1998-01/2002-12在中国医科大学第一附属医院诊治的83例妇科恶性肿瘤患者,其中卵巢癌患者54例,子宫内膜癌患者19例,宫颈癌患者8例,绒癌患者2例。根据自愿原则分为治疗组(进行认知和行为治疗)43例和对照组(不进行认知和行为治疗)40例,治疗组每15～20d治疗1次,疗程6个月。治疗前后分别进行女性性功能问卷(BISF-W)、诺丁汉健康量表(NHP-QOL)和Olson婚姻质量评估。结果:治疗前两组患者的BISF-W,NHP-QOL和Olson评分接近(P均>0.05),治疗组治疗后BISF-W,NHP-QOL和Olson评分均明显优于治疗前(P均<0.05)。对照组的同期结果中仅NHP-QOL多数分项评分优于治疗前(P均<0.05),而BISF-W和Olson评分均无明显变化(P均>0.05)。组间比较中,治疗组治疗后BISF-W中的性欲犤(181±38)分犦、性唤起犤(175±30)分犦、性高潮犤(190±40)分犦和性心理犤(188±38)分犦方面,NHP-QOL中的精力犤(6.1±2.0)分犦、情感犤(3.3±0.6)分犦和社交活动犤(1.2±0.3)分犦方面和Olson中的全部分项评分犤(44±12),(48±19),(50±20)分犦均明显高于同期对照组犤(165±32),(165±35),(164±38),(168±35),(6.5±2.4),(3.6±0.7),(1.7±0.2),(38±16),(38±14),AIM:To explore the possibility of cognitive and behavior therapy for the improvement of living status of women with malignant gynecologic tumors so as to provide bases for the psychological intervention.METHODS:From January 1998 to December 2002,83 patients with malignant gynecologic tumors diagnosed and treated in the First Affiliated Hospital of China Medical University were selected for the study.Of the 83 cases,54 were ovarian cancer,19 were endometrial carcinoma,8 were cervical cancer and 2 were chorioepithelioma.Voluntarily,they were divided into treatment group(n=43,treated with cognitive and behavior therapy) and control group(n=40,no intervention was managed).The subjects in the treatment group were treated every 15 to 20 days(a course) for 6 months.Before and after treatment,the value of the Brief Index of Sexual Function for Women(BISF W),Nottingham Health Profile(NHP) QOL and Olson's Marital Quality Questionnaire(Olson) were surveyed in two groups.RESULTS:Before treatment the scores of BISF W,NHP QOL and Olson in the two groups was insignificant(all P >0.05). In the treatment group,those were significantly higher after treatment than before treatment(P< 0.05),but synchronously,in the control group,only the major scores of NHP QOL were significantly higher after treatment than before treatment(all P< 0.05),and the scores of BISF W and Olson insignificantly changed(all P >0.05).In the comparison of inter groups,the scores of BISF W in terms of sexuality,sexual arousal,sexual orgasm,sexual psychology,NHP QOL in terms of vigor,affection,social activities,and all scores of Olson in the treatment group[(181± 38),(175± 30),(190± 40),(188± 38),(6.1± 2.0),(3.3± 0.6),(1.2± 0.3),(44± 12),(48± 19),(50± 20) points] were all significantly higher than those in the synchronous control group[(165± 32),(165± 35),(164± 38),(168± 35),(6.5± 2.4),(3.6± 0.7),(1.7± 0.2),(38± 16),(38± 14),(43± 17) points](t=2.231 to 2.952,all P< 0.05).CONCLUSION:Cognitive and behavior therapy is of import

关 键 词：肿瘤 性功能 婚姻质量 心理干预 

分 类 号：R73[医药卫生—肿瘤]