集体心理治疗联合配偶支持对宫颈癌患者心理弹性及配偶应对能力的影响  

Effects of group psychotherapy combined with spouse support on psychological resilience and spouse coping ability of patients with cervical cancer

作　　者：翟绍蒲 王蕾[1] 邢伟[1] Zhai Shaopu;Wang Lei;Xing We(The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州大学第二附属医院,河南郑州450000

出　　处：《临床心身疾病杂志》2021年第3期70-75,共6页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨集体心理治疗联合配偶支持对宫颈癌患者心理弹性及配偶应对能力的影响。方法将100例宫颈癌患者按照随机数字表法分为两组,各50例。两组均给予常规护理,研究组在此基础上给予集体心理治疗联合配偶支持。干预前及干预6周末采用心理弹性量表、总体幸福感量表、宫颈癌治疗功能评价量表评定两组的心理弹性、主观幸福感、生活质量,医学应对问卷评定两组应对方式,视觉模拟评分法评定两组疼痛程度,Jalowiec应对量表评定两组配偶应对能力,社会支持评定量表评定两组社会支持情况,比较两组干预满意度。结果干预6周末两组心理弹性量表、总体幸福感量表、宫颈癌治疗功能评价量表评分均较干预前显著升高(P<0.01),研究组较对照组升高更显著(P<0.01);两组屈服、回避维度评分较干预前显著降低(P<0.01),面对维度评分较干预前显著升高(P<0.01),研究组较对照组变化更显著(P<0.01);两组Jalowiec应对量表乐观、面对、寻求支持维度评分较干预前显著升高(P<0.01),逃避维度评分较干预前显著降低(P<0.01),研究组较对照组变化更显著(P<0.01)。干预6周末两组视觉模拟评分法评分均较干预前显著降低(P<0.01),研究组较对照组下降更显著(P<0.01);两组社会支持评定量表各维度评分及总分均较干预前显著升高(P<0.01),研究组较对照组升高更显著(P<0.01)。研究组干预总满意率显著高于对照组(P<0.05)。结论集体心理治疗联合配偶支持可以有效改善宫颈癌患者的心理弹性,提升配偶的应对能力,增强患者的幸福感及社会支持,提升生活质量。Objective To explore the effects of group psychotherapy combined with spouse support on psychological resilience and spouse coping ability of patients with cervical cancer.Methods A total of 100 patients with cervical cancer were divided into two groups according to the random number table method,50 cases in each group.Both groups were given routine nursing,and the study group was given group psychotherapy combined with spouse support.Before and 6 weeks after intervention,the Connor-Davidson Resilience Scale(CD-RISC),general well-being schedule(GWB),functional assessment of cancer therapy-cervix(FACT-Cx)were used to evaluate psychological resilience,subjective well-being and quality of life of the two groups.The coping style of the two groups was evaluated by medical coping modes questionnaire(MCMQ),the degree of pain was evaluated by visual analogue scale(VAS),the coping ability of spouses was evaluated by Jalowiec coping scale(JCS),and the social support of the two groups was evaluated by social support review questionnaire(SSRS).Compare the intervention satisfaction of the two groups.Results After six weeks of intervention,the scores of CD-RISC,GWB,and FACT-Cx in the two groups were significantly higher than those before the intervention(P<0.01),the study group increased more significantly than the control group(P<0.01).The yield and avoidance scores of the two groups were significantly lower than those before the intervention(P<0.01),and the face scores were significantly higher than those before the intervention(P<0.01).The scores of optimism,facing and seeking support of JCS in the two groups were significantly higher than those before the intervention(P<0.01),the escape scores were significantly lower than those before the intervention(P<0.01),the study group changed more significantly than the control group(P<0.01).Six weeks after the intervention,the VAS scores of the two groups were significantly lower than those before the intervention(P<0.01),the study group decreased more significantly than the contr

关 键 词：宫颈癌 集体心理治疗 配偶支持 心理弹性 配偶应对能力 

分 类 号：R737.33[医药卫生—肿瘤]