摘要
目的:探究基于心理痛苦温度计的层级式心理疗法在乳腺癌放化疗患者的应用及对心理痛苦、知觉压力及应对方式的影响。方法:选取2019年1月至2021年1月期间在某院行放化疗的120例乳腺癌患者为研究对象,按照随机数字表法将患者分为两组,对照组(常规护理)和观察组(基于心理痛苦温度计的层级式心理疗法)各60例,连续干预1个月,干预前后采用记忆症状评估量表(MSAS)、心理痛苦温度计(DT)、中文版知觉压力量表(CPSS)、癌症应对问卷(CCMQ)评价两组患者干预前后症状困扰、心理痛苦、知觉压力、应对方式。结果:干预后两组患者MSAS各维度评分较干预前均下降,且观察组低于对照组(t=7.085,9.155,7.485;P<0.05);干预后两组患者DT评分、PL评分较干预前均下降,且观察组低于对照组(t=12.516,16.922;P<0.05);干预后两组患者CPSS评分较干预前均下降,且观察组低于对照组(t=6.624,P<0.05);干预后两组患者面对评分较干预前升高,回避与压抑、屈服、幻想、发泄评分较干预前下降,且观察组优于对照组(t=3.852,5.541,7.280,4.380,4.454;P<0.05)。结论:乳腺癌放化疗患者应用基于DT的层级式心理疗法,可有效减少症状困扰、心理痛苦、知觉压力,改变应对方式。
Objective:To explore the application of hierarchical psychotherapy based on distress thermometer and its influences on psychological pain,perceived stress and coping styles in patients undergoing breast cancer chemoradiotherapy.Methods:A total of 120 patients with breast cancer undergoing chemoradiotherapy in the hospital were enrolled as the research objects between January 2019 and January 2021.According to random number table method,they were divided into control group(n=60,routine nursing)and observation group(n=60,hierarchical psychotherapy based on distress thermometer).All were intervened for 1 month.The symptoms distress,psychological pain,perceived stress and coping styles were evaluated by Memory Symptom Assessment Scale(MSAS),Distress Thermometer Scale(DT),Chinese version of Perceived Stress Scale(CPSS)and Cancer Coping Modes Questionnaire(CCMQ)before and after intervention.Results:After intervention,MSAS scores in both groups were decreased,which were lower in observation group than control group(t=7.085,9.155,7.485;P<0.05).After intervention,DT and PL scores in both groups were decreased,which were lower in observation group than control group(t=12.516,16.922;P<0.05).After intervention,CPSS score in both groups was decreased,which was lower in observation group than control group(t=6.624,P<0.05).After intervention,facing score was increased,and scores of avoidance and depression,submission,fantasy and venting were decreased in both groups,and the above scores in observation group were better than those in control group(t=3.852,5.541,7.280,4.380,4.454;P<0.05).Conclusion:The application of DT-based hierarchical psychotherapy can effectively reduce symptom distress,psychological pain and perceived stress,and change coping stylesin chemoradiotherapy patients with breast cancer.
作者
潘玉琴
高燕
刘永芳
张梦滢
王丽萍
谢琳
PAN Yuqin;GAO Yan;LIU Yongfang;ZHANG Mengying;WANG Liping;XIE Lin(Department of Nursing,Jiuquan People's Hospital,Jiuquan 735000,China;Department of Oncology,Jiuquan People's Hospital;Department of Gastrointestinal Surgery,Jiuquan People's Hospital;Department of Psychiatry,Jiuquan People's Hospital)
出处
《中国健康心理学杂志》
北大核心
2023年第7期1020-1024,共5页
China Journal of Health Psychology
基金
2019年度甘肃省科技计划项目(编号:9622019Y0218)。
关键词
乳腺癌
放化疗
心理痛苦温度计
层级式心理疗法
知觉压力
应对方式
Breast cancer
Chemoradiotherapy
Distress thermometer
Hierarchical psychotherapy
Perceived stress
Coping style
