集体心理治疗对围术期乳癌患者心理状况及应对方式的影响  

Influence of the Group Psychotherapy on Mental Status and Coping Styles of Perioperative Breast Cancer Patients

作　　者：胡德英[1] 董英莉[1] 陈冬娥[1] 吴荷玉[1] 代艺[1] 周耘[1] 史雯嘉[1] 喻姣花[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院外科,湖北武汉430022

出　　处：《护理学杂志》2008年第8期4-6,共3页

基　　金：华中科技大学同济医学院附属协和医院科研项目(2004-39)

摘　　要：目的探讨集体心理治疗对围术期乳癌患者心理状况及应对方式的影响。方法将80例乳癌患者随机分为对照组和治疗组各40例。对照组予常规护理;治疗组采取集体心理治疗,即由经过培训的护师以上人员选择合适的地点、时间、场合对患者进行疾病知识教育并促使患者相互沟通、相互支持。在入院第1天和术后第2周采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、症状自评量表(SCL-90)、特质应对问卷(TCSQ)进行问卷调查。结果术后2周两组患者焦虑抑郁情绪、心理健康状况、应对方式比较,差异有显著性意义(P<0.05,P<0.01)。结论乳癌患者存在较为严重的心理问题和消极的应对方式,集体心理治疗较常规心理干预能更有效地改善其心理状况,提高积极应对方式。Objective TO examine the influence of group psychotherapy on the mental status and coping styles of perioperative breast cancer patients. Methods A total of 80 breast cancer patients were divided into an intervention group and a control group. The patients in the control group received routine treatment while the patient in the intervention group were given group psychotherapy, in which trained nurses gave disease-related education and encourage the patients to communicate with each other at appropriate time and places. On the first day of admission and in the second week after operation, a questionnaire survey was conducted by using SAS, SDS, SCL-90 and TCSQ. Results After group psychotherapy significant differences were found between the intervention group and the control group in terms of the anxiety, depression and psychological status and coping styles （P〈0. 05, P〈0.01）. Conclusion Breast cancer patients have relatively Serious psychological disorder and tend to cope negatively and group psychotherapy can improve the psychological status and coping style.

关 键 词：乳癌 心理障碍 集体心理治疗 应对方式 护理 

分 类 号：R473.6[医药卫生—护理学] R395.6[医药卫生—临床医学]