癌症患者自我感受负担相关影响因素调查及支持性心理治疗效果  

Related factors survey of self perceived burden of cancer patients and effect of supportive psychotherapy

作　　者：叶圣昌 刘敏[2] YE Shengchang;LIU Min(Department of Respiration,Shanghai Ninth People＇s Hospital,Affiliated of School of Medicine,Shanghai Jiao TongUniversity,Shanghai 200011,China;Department of Nursing,Affiliated of School of Medicine,Shanghai Ninth People＇s Hospital,Shanghai Jiao Tong University,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院呼吸科,上海200011 [2]上海交通大学医学院附属第九人民医院护理部,上海200011

出　　处：《中国医药导报》2018年第31期176-180,共5页China Medical Herald

基　　金：上海交通大学医学院附属第九人民医院护理院级基金项目(JYHL20131506)

摘　　要：目的在分析癌症患者自我感受负担(SPB)的相关影响因素基础上,探讨支持性心理治疗在改善患者SPB方面的临床效果。方法随机抽取2016年1月～2017年12月上海交通大学医学院附属第九人民医院住院治疗的癌症患者118例,对患者一般资料、病情应对态度、SPB进行调查,分析癌症患者SPB相关影响因素。将118例患者按随机数字表法分为观察组和对照组,每组各59例,对照组予常规心理干预措施,观察组在对照组基础上,予支持性心理干预治疗,比较两组患者干预前后的SPB评分改善及病情应对态度情况。结果主要照看家属为兄弟姐妹、手术治疗、化疗次数≥7次均是对癌症患者SPB评分产生影响的危险因素(P <0.05)。观察组患者心理干预后的SPB评分低于对照组,同时观察组患者心理干预后的积极面对评分高于对照组,而消极回避评分和失望屈服评分均低于对照组(P <0.05)。结论癌症患者普遍存在SPB的负性体验,该负性体验与患者照看家属亲密程度及对手术、化疗的担忧相关,临床应给予支持性心理治疗,确保癌症患者SPB降低,使患者保持积极应对病情的心态。Objective To study the clinical effect of supportive psychotherapy in improving patients＇ SPB on the basisof analyzing the related factors of the self-perception burden （SPB） in cancer patients. Methods One hundred eighteencancer cases from January 2016 to December 2017 treated in Shanghai Ninth People＇s Hospital, Affiliated of School of Medicine, Shanghai Jiao Tong University were selected randomly. The patients＇ general information, attitude to disease,SBP were investigated, then related factors of SBP were analyzed. All the 118 cases were divided into observation groupand control group by random number table method, with 59 cases in each group. The control group was given conventional psychological interventions, and the observation group was given psychological intervention treatment on thebasis of the control group. Improvement of SBP scores and attitude to disease were compared between the two groups.Results The primary caregivers being the siblings, surgical treatment, and the chemotherapy frequency≥7 times werethe risk factors for the SPB scores of cancer patients （P 〈 0.05）. After psychological intervention, SBP scores in the observation group was lower than that in the control group, and active confrontation scores in the observation group washigher than that in the control group, while passive avoidance scores and disappointment to yield scores were lowerthan those in the control group （P 〈 0.05）. Conclusion Cancer patients are common with SPB negative experience, the negative experience relates to the intimate degree with caregivers and surgery, chemotherapy treatment concerns,and they should be given supportive psychotherapy, toensure that cancer patients＇ SPB is released, whichcan keep patients忆 positive attitude towards the disease.

关 键 词：癌症 自我感受负担 影响因素 支持性心理干预 

分 类 号：R471[医药卫生—护理学]