认知心理干预及病友互助模式对改善血液肿瘤患者情绪和社会功能的效果观察  

Observation on the efficacy of cognitive psychological intervention and mutual assistance mode of ward mates on improving emotional and social functions of patients with hematological tumors

作　　者：王薇[1] 罗泉芳[1] 庞爱萍 曾妮妮 WANG Wei;LUO Quanfang;PANG Aiping;ZENG Nini(Department of Hematology,Nanxishan Hospital of Guangxi Zhuang Autonomous Region,Guangxi,Guilin 541002,China)

机构地区：[1]广西壮族自治区南溪山医院血液内科,广西桂林541002

出　　处：《中国医药科学》2020年第22期196-199,共4页China Medicine And Pharmacy

基　　金：广西壮族自治区卫生健康委员会科研课题(Z20190079)。

摘　　要：目的分析和研究认知心理干预及病友互助模式对改善血液肿瘤患者情绪和社会功能的效果。方法研究对象为2019年7月~2020年1月于我院接受治疗的60例血液系统恶性肿瘤患者,使用随机数字表法将60例患者随机分为对照组(30例)和观察组(30例),对照组采取常规药物治疗,观察组在常规药物治疗的基础上采取认知心理干预,实施病友互助模式。使用汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评估两组临床疗效,使用社会功能缺陷筛选量表(SDSS)评估两组社会功能改善情况。结果经过8周治疗后,观察组HAMA和HAMD评分明显下降,且观察组HAMA和HAMD评分明显低于对照组(P<0.05)。治疗8周后观察组和对照组SDSS指标中父母职能、社会性退缩、对外界兴趣和关心比较,差异无统计学意义(P>0.05),其余分数观察组均低于对照组(P<0.05)。结论认知心理干预和病友互助模式能够有效改善血液肿瘤患者消极情绪,提高其面对疾病的信心,值得临床采纳。Objective To analyze and research the efficacy of cognitive psychological intervention and mutual assistance mode of ward mates on improving emotional and social functions of patients with hematological tumors.Methods A total of 60 patients with hematological malignancies admitted to our hospital from July 2019 to January 2020 were selected as the research subjects,and they were divided into the control group(n=30)and the observation group(n=30)by the random number table method.The control group was treated with conventional drugs,while the observation group was treated with cognitive psychological intervention on the basis of conventional drugs and implemented the mutual assistance mode of ward mates.Hamilton depression scale(HAMD)and Hamilton anxiety scale(HAMA)were applied to evaluate the clinical efficacy of the two groups,and social disability screening scale(SDSS)was applied to evaluate the improvement of social function of the two groups.Results After 8 weeks of treatment,the scores of HAMA and HAMD in the observation group decreased significantly,and the scores of HAMA and HAMD in the observation group were significantly lower than those in the control group(P<0.05).After 8 weeks of treatment,there were no statistically significant differences in parents'function,social withdrawal,interest and concern for the outside world between the observation group and the control group(P>0.05),and other scores in the observation group were all lower than those in the control group(P<0.05).Conclusion Cognitive psychological intervention and mutual assistance mode of ward mates on improving the negative emotions of patients with hematological tumors and enhancing their confidence in facing diseases,which is worthy of clinical adoption.

关 键 词：认知心理干预 病友互助模式 血液肿瘤 情绪 社会功能 

分 类 号：R473.73[医药卫生—护理学]