表达性写作干预对肿瘤患者述情障碍及生活质量的影响  

The influence of expressive writing intervention on alexithymia and quality of life in cancer patients

作　　者：苏闪闪 段好丽 郑蔚[1] 康婷婷 刘梦丽 王丹丹[1] 张苇[1] 史小艳[1] 史艳萍[1] Su Shanshan;Duan Haoli;Zheng Wei;Kang Tingting;Liu Mengli;Wang Dandan;Zhang Wei;Shi Xiaoyan;Shi Yanping(The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,Henan,China)

机构地区：[1]郑州大学第二附属医院,河南郑州450014

出　　处：《临床心身疾病杂志》2021年第2期55-59,共5页Journal of Clinical Psychosomatic Diseases

基　　金：河南省科技攻关省部共建项目(编号201701014)。

摘　　要：目的探讨表达性写作干预对肿瘤患者述情障碍及生活质量的影响。方法将66例肿瘤述情障碍患者按入院顺序分为两组,各33例。观察组予以表达性写作干预,对照组予以常规护理干预,观察8周。干预前后采用多伦多述情障碍量表、癌症患者生活质量评定量表评定干预效果。结果干预后观察组多伦多述情障碍量表总分及情感描述不能、情感辨别不能维度分显著低于对照组(P<0.01),癌症患者生活质量评定量表总分及生理维度分显著高于对照组(P<0.05)。结论表达性写作有助于降低肿瘤患者述情障碍程度,提高其生活质量。Objective To explore the influence of expressive writing intervention on alexithymia and quality of life in cancer patients.Methods A total of 66 cancer patients with alexithymia were divided into two groups according to the order of admission,with 33 cases in each group.The observation group received expressive writing intervention,and the control group received routine nursing intervention for 8 weeks.The Toronto alexithymia scale-20(TAS-20)and the functional assessment of cancer therapy-generic scale(FACT-G)were used to evaluate the intervention effect before and after the intervention.Results After the intervention,the total score of TAS-20 and the dimension scores of difficulty in describing feeling and difficulty in distinguishing feeling were significantly lower than those in the control group(P<0.01).The total score of FACT-G and the physiological dimension score were significantly higher than those of the control group(P<0.05).Conclusions Expressive writing can reduce alexithymia and improve the quality of life of cancer patients.

关 键 词：肿瘤 述情障碍 表达性写作 生活质量 

分 类 号：R395.1[哲学宗教—心理学]