团体正念认知疗法对化疗期乳腺癌患者心理弹性和自我效能的影响  被引量:18

Effect of group mindfulness cognitive therapy on the psychological resilience and self-efficacy of breast cancer patients during chemotherapy

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作  者:罗小珍 雷晓珍 孙强[2] 谢灵灵[3] 胡晓宜[3] LUO Xiao-zhen;LEI Xiao-zhen;SUN Qiang;XIE Ling-ling;HU Xiao-yi(Oncology Ward,Chengdu Shangjinnanfu Hospital,Chengdu 611730,China)

机构地区:[1]成都上锦南府医院肿瘤一科,611730 [2]四川大学华西医院神经外科/护理学院 [3]四川大学华西医院老年医学中心/护理学院

出  处:《临床精神医学杂志》2022年第4期291-293,共3页Journal of Clinical Psychiatry

基  金:四川省科技计划项目(2019YFS0390)。

摘  要:目的:探究团体正念认知疗法(MBCT)对化疗期乳腺癌患者心理弹性和自我效能的影响。方法:将招募的120例化疗期的乳腺癌患者随机分为研究组60例和对照组60例,两组均接受常规治疗和护理,在此基础上对研究组行团体MBCT,疗程4周。干预前后分别行心理弹性量表(CD-RISC)和一般自我效能感量表(GSES)评估。结果:干预前两组CD-RISC评分及GSES评分比较差异无统计学意义;干预后研究组CD-RISC总分及各维度评分、GSES评分以及各项评分干预前后的差值显著高于对照组(P均<0.01)。结论:团体MBCT可有效改善化疗期乳腺癌患者的心理弹性和自我效能。Objective:To explore the effect of group mindfulness cognitive therapy(MBCT)on the psychological resilience and self-efficacy of breast cancer patients during chemotherapy.Method:A total of 120 patients with breast cancer in the chemotherapy period were randomly divided into study group(n=60)and control group(n=60).Both groups received routine treatment and nursing.On this basis,group MBCT was performed on the study group,for 4 weeks.The Connor-Davidson Resilience Scale(CD-RISC)and General Self-efficacy Scale(GSES)were assessed before and after the intervention.Results:There was no significant difference in CD-RISC score and GSES score between the two groups before intervention.After the intervention,the CD-RISC total score,the scores of each dimension,the GSES score and the differences of the scores before and after the intervention in the study group were significantly higher than those in the control group(all P<0.01).Conclusion:MBCT can effectively improve the psychological resilience and self-efficacy of breast cancer patients during chemotherapy.

关 键 词:团体正念认知疗法 化疗期 乳腺癌 心理弹性 自我效能 

分 类 号:R749.4[医药卫生—神经病学与精神病学]

 

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