萨提亚模式团体干预对乳腺癌术后患者社交焦虑的影响  

Effect of the Satir model group psychological intervention on social anxiety in breast cancer patients with mastectomy

作　　者：李江华 赵立辉 杨芳 刘会英 程玲灵 孙玉倩 LI Jiang-hua, ZHAO Li-hui, YANG Fang, LIU Hui-ying, CHENG Ling-ling, SUN Yiu-qian(College of Nursing and Rehabilitation, North China University of Science and Technology, Tangshan Hebei 063000, Chin)

机构地区：[1]河北省唐山市华北理工大学护理与康复学院,河北唐山063000 [2]河北省唐山市华北理工大学附属医院皮肤科,河北唐山063000

出　　处：《现代预防医学》2018年第6期1008-1011,共4页Modern Preventive Medicine

基　　金：河北省科技厅科技支撑计划项目(11276103D-33)

摘　　要：目的探讨萨提亚模式团体干预对乳腺癌术后患者社交焦虑的影响。方法选取2016年10月-2017年3月在唐山市某三甲医院住院化疗的乳腺癌女性患者62例,按入院顺序分为干预组和对照组各31例,对照组给予常规护理,干预组在此基础上进行每周1次,共6次的萨提亚模式团体干预。干预前后分别用社交回避与苦恼量表(SADS)和自尊量表(SES)进行测评,采用t检验和重复测量方差分析分析萨提亚模式团体干预的效果。结果干预前2组SADS和SES得分差异无统计学意义(P>0.05),干预组干预后1周和1个月SADS得分[(10.94±2.59)、(9.90±2.65)分]较对照组[(13.84±2.68)、(13.32±3.14)分]显著降低(P<0.05),干预组干预后1周和1个月SES得分[(27.45±3.95)、(28.55±3.78)分]较对照组[(24.19±3.23),(24.65±3.15)分]显著升高(P<0.05);重复测量方差分析结果显示SADS和SES得分的干预主效应(F=13.962,F=11.774)、时间主效应(F=107.506,F=100.049)均有统计学意义(P<0.05),且二者存在交互作用(F=17.885,P<0.05;F=18.787,P<0.05)。结论萨提亚模式团体干预能有效缓解乳腺癌术后社交焦虑的状态。Objective The aim of this study was to evaluate the effect of the Satir model group psychological intervention on social anxiety in breast cancer patients with mastectomy. Methods From October 2016 to March 2017, 62 chemotherapy patients with breast cancer were extracted from a first-class hospital in Tangshan. 62 patients were divided into intervention group and control group based on the time of administration. The control group received routine intervention while the intervention group received the Satir model group psychological intervention once a week for 6 additional weeks. All patients were investigated using Social Avoidance and Distress Scale（SADS）, Self-Esteem Scale（SES） before and after the intervention.Results There was no significant difference in SADS and SES between the intervention group and the control group before the intervention（P 〉0.05）. Further pairwise comparisons revealed that the intervention group showed obvious decrease in SADS（（10.94 ± 2.59） vs（13.84 ± 2.68）,（9.90 ± 2.65） vs（13.32± 3.14）） and improvement in score of SES（（27.45 ± 3.95） vs（24.19± 3.23）,（28.55 ± 3.78） vs（24.65 ± 3.15）） than control group after intervention for a week and a month（P〈0.05）. Repeated measures analysis of variance showed that the intervention effect and the time effect on the SADS and SES were significant（P〈0.05）. There was interactions between the effect of the Satir model and time on the overall SADS and SES（ F=17.885, P〈0.05; F=18.787, P〈0.05）. Conclusion The Satir model group psychological intervention can effectively reduce social anxiety in breast cancer with mastectomy.

关 键 词：萨提亚模式 团体干预 乳腺癌 社交焦虑 自尊 

分 类 号：R173[医药卫生—妇幼卫生保健]