结构式团体心理干预在内镜黏膜下剥离术治疗早期食管癌中的应用  

Application of structural group psychological intervention in the treatment of early esophageal cancer patients under endoscopic submucosal dissection

作　　者：常风娟[1] 马俊宝[1] Chang Fengjuan;Ma Junbao(Xinriang Central Hospital,Xinxiang 453000,Henan,China)

机构地区：[1]河南省新乡市中心医院,河南新乡453000

出　　处：《临床心身疾病杂志》2019年第2期172-174,共3页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨结构式团体心理干预对内镜黏膜下剥离术治疗早期食管癌患者的应用效果.方法将114例接受内镜黏膜下剥离术治疗的早期食管癌患者按随机数字表法分为两组,每组57例,均予以常规内镜黏膜下剥离术治疗及常规护理干预,观察组在上述干预基础上予以结构式团体心理干预,观察8周.采用创伤后评定量表评定创伤后正性改变程度,焦虑自评量表评定焦虑状况,抑郁自评量表评定抑郁状况,癌症病人生命质量测定量表评定生命质量.结果干预8周末观察组创伤后评定量表总分及各维度评分、癌症病人生命质量测定量表各维度评分显著高于对照组(P<0.01);焦虑自评量表、抑郁自评量表评分显著低于对照组(P<0.01),癌症病人生命质量测定量表各维度评分显著高于对照组(P<0.01).结论结构式团体心理干预对内镜黏膜下剥离术治疗早期食管癌患者的应用效果良好,能显著提高患者手术后创伤性正性改变程度,改善患者的焦虑抑郁负性情绪,提高生命质量.Objective To study the application effect of structural group psychological intervention in the treatment of early esophageal cancer patients under endoscopic submucosal dissection.Methods 114 patients with early esophageal cancer who underwent endoscopic submucosal dissection were selected as the subjects.The patients were divided into two groups according to the random number table method,57 cases in each group.All patients underwent conventional endoscopic submucosal dissection and routine nurs-ing intervention.The observation group received structural group psychological intervention on the basis of the above intervention for 8 weeks.The post-traumatic rating scale(PTGI)was used to assess the degree of positive changes in trauma;the negative mood was assessed by using the self-rating anxiety scale(SAS)and the Self-Rating Depression Scale(SDS).The quality of life of patients was assessed by the Quality Assurance Scale for Cancer Patient(QLC-30).Results The PTGI total score and the scores of each dimension and QLC-30 were significantly higher in the observation group than those in the control group at the end of the 8th week(P<0.01).The scores of SAS and SDS were significantly lower than those of the control group(P<0.01),and the scores of QLC-30 were significantly higher than those of the control group(P<0.01).Conclusion Structural group psychological intervention has a good effect on endoscopic submucosal dissection for early esophageal cancer patients.It can sighificantly improve the degree of traumatic positive change after surgery,improve the negative emotion of anxiety and depression,and improve the quality of life.

关 键 词：食管癌 内镜黏膜 剥离术 结构式团体心理干预 创伤后正性改变 焦虑 抑郁 负性情绪 生命质量 

分 类 号：R735.1[医药卫生—肿瘤] R749.55[医药卫生—临床医学]