综合性心理治疗对癌症患者心理状态的影响研究  

Effect of Comprehensive Psychotherapy on Psychology of Cancer Patients

作　　者：任必勇[1] 唐仕友[2] 刘学芬[1] 张军[1] 张力[1] 邓超[1] 黄小平[1] 刘华文[1] 冉文华[1] 李刚[1] 

机构地区：[1]重庆三峡中心医院肿瘤科,重庆万州404000 [2]重庆三峡中心医院平湖分院心理卫生科,重庆万州404000

出　　处：《中国药房》2010年第22期2107-2108,共2页China Pharmacy

摘　　要：目的:研究综合性心理治疗对改善放疗或化疗癌症患者心理状态的影响。方法:将77例放疗或化疗癌症患者分为2组,干预组40例患者在常规放疗或化疗基础上,应用认知疗法、心理疏导、松弛训练进行综合性心理治疗,对照组37例采用常规放疗或化疗方法治疗。在干预前1周内、综合性心理治疗1个月后应用焦虑、抑郁测评量表(SAS、SDS)对2组患者心理状态进行测评。结果:治疗后干预组患者SAS、SDS评分较对照组明显降低(P<0.05)。干预组治疗后的SAS、SDS分值均比治疗前的SAS、SDS分值明显降低,差异有统计学意义(P<0.05)。对照组治疗后的SAS、SDS分值均比治疗前的SAS、SDS分值降低,差异无统计学意义(P>0.05)。结论:综合性心理治疗可改善放疗或化疗癌症患者心理状态。OBJECTIVE：To study the effect of comprehensive psychotherapy on psychology of cancer patients received chemotherapy or radiotherapy. METHODS：77 cancer patients received chemotherapy or radiotherapy were divided into two groups. Both groups received routine chemotherapy or radiotherapy. Intervention group（n=40）were additionally given comprehensive psychotherapy,i.e. cognitive therapy,psychological persuasion and relaxation training. Self-rating anxiety scale（SAS）and self-rating depression scale（SDS）were applied to evaluate all patients one week before intervention and one month after comprehensive psychotherapy. RESULTS：SAS and SDS scores of intervention group were significantly lower than that of control group after treatment（P 0.05）. SAS and SDS scores of intervention group after treatment were significantly lower than before treatment,there were statistical significance（P0.05）. SAS and SDS scores of control group after treatment were lower than before treatment,there was no statistical significance（P0.05）. CONCLUSION：Comprehensive psychotherapy can improve the mental state of patients with can-cer.

关 键 词：癌症 焦虑 抑郁 综合性心理治疗 

分 类 号：R395.5[哲学宗教—心理学] R730.58[医药卫生—医学心理学]