内观疗法对宫颈癌伴焦虑患者心理状态及家庭功能的影响  

Effect of NaiKan cognitive therapy on mental state and family function of patients with cervical cancer and anxiety

作　　者：吕志华[1] 付慧[1] 郭珊[1] 丁晓芳[1] 陈玉荣[1] LV Zhihua;FU Hui;GUO Shan(Department of Nutrition,Zhengzhou First Peo le's Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省郑州市第一人民医院营养科,450000

出　　处：《中国健康心理学杂志》2022年第4期532-537,共6页China Journal of Health Psychology

基　　金：河南省科技攻关项目(编号:2019020300)。

摘　　要：目的:探讨内观疗法对宫颈癌伴焦虑患者心理状态及家庭功能的影响。方法:选取2018年1月-2020年1月在某院进行治疗的宫颈癌伴焦虑患者90例,随机分为观察组(n=45)和对照组(n=45),对照组给予常规治疗,观察组在对照组基础之上给予内观疗法,两组患者均治疗1周。分别采用焦虑自评量表(self-rating anxiety scale, SAS)、抑郁自评量表(self-rating depression scale, SDS)、家庭功能评估表(family assessment device, FAD)、生存质量测定表(methods world health organization on quality of life brief scale, WHOQOL-BREF)、Herth希望指数量表(herth hope index, HHI)在干预前后评估两组患者焦虑、抑郁、家庭功能、生活质量、希望水平并进行对比。结果:干预后观察组SAS评分明显低于对照组(t=4.859,P<0.05);干预后观察组情感介入、行为控制及FAD总分均明显低于对照组(t=2.065,4.431,3.295;P<0.05);干预后,观察组WHOQOL-BREF总评分明显高于对照组(t=2.390,P<0.05);干预后,观察组采取积极行动的态度及总评分明显高于对照组(t=3.747,4.344;P<0.05)。结论:内观疗法可以明显排解宫颈癌伴焦虑患者的负面情绪,提高家庭功能和生活质量,有助于患者获得对未来生活的希望。Objective:To explore the effect of NaiKan cognitive therapy on mental state and family function of patients with cervical cancer and anxiety.Methods:Ninety patients with cervical cancer with anxiety who were treated in our hospital from January 2018 to January 2020 were randomly divided into observation group(n=45)and comparison group(n=45).The comparison group was given routine treatment and the observation group was given NaiKan therapy on the basis of the comparison group.Both groups were treated for one week.Self-rating anxiety scale(SAS),self-rating depression scale(SDS),family assessment device(FAD),methods world health organization on quality of life brief scale(WHOQOL-BREF)and herth hope index(HHI)were used to evaluate anxiety, depression, family function, quality of life and hope level of the two groups before and after intervention.Results:After intervention, the SAS score of the observation group was significantly lower than that of the comparison group(t=4.859,P<0.05).After intervention, the emotional intervention, behavior control and FAD in the comparison group were significantly lower than those in the comparison group(t=2.065,4.431,3.295;P<0.05).After intervention, the total score of WHOQOL-BREF in the observation group were significantly higher than those in the comparison group(t=2.390,P<0.05).After intervention,the scores of attitude towards positive action and total score in the observation group were significantly higher than those in the comparison group(t=3.747,4.344;P<0.05).Conclusion:NaiKan cognitive therapy can obviously dispel the negative emotions of patients with cervical cancer with anxiety,improve family function and quality of life,and help patients to gain hope for their future life.

关 键 词：内观治疗 宫颈癌 焦虑 心理状态 

分 类 号：R749.92[医药卫生—神经病学与精神病学]