共情干预对乳腺癌术后化疗患者生活质量、心理应激及希望水平的影响
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摘要
目的:探讨共情干预对乳腺癌术后化疗患者生活质量、心理应激及希望水平的影响。方法:选择2016年1月至2017年12月期间入院诊治行乳腺癌化疗患者186例纳入研究对象,采用随机数字表法分为研究组和对照组,每组均为93例。对照组接受常规干预,研究组在常规干预基础上联合应用共情干预,分别比较两组患者化疗前、化疗后的生活质量、心理应激以及希望水平评分的情况。结果:①生活质量:两组化疗前躯体功能、角色功能、认知功能、情绪功能和社会功能评分比较均无显著差异(P>0.05);而研究组化疗后的躯体功能、角色功能、认知功能、情绪功能和社会功能评分均优于对照组(t=-8.727,-13.324,-10.360,-19.565,-11.759;P<0.001);②心理应激:两组化疗前SAS及SDS评分值差异无统计学意义(t=-0.910,1.455;P>0.05);但研究组化疗后的SAS和SDS评分值均低于对照组(t=16.191,16.692;P<0.001);③希望水平:两组化疗前积极态度、积极行动、亲密关系、希望总体评分值比较均没有显著差异(P>0.05);化疗后研究组的积极态度、积极行动、亲密关系、希望总体评分值均优于对照组(t=-8.689,-5.115,-4.708,-12.438;P<0.001)。结论:共情干预能够改善乳腺癌术后化疗患者的生活质量,降低其焦虑和抑郁程度,并增强希望水平。
Objective:To investigate the effect of empathy intervention on quality of life,psychological stress and hope level of patients with breast cancer undergoing chemotherapy after operation.Methods:A total of 186 patients with breast cancer admitted to the hospital for chemotherapy from January 2016 to December 2017 were selected as the study subjects.The cases were randomly divided into the study group and the control group by random number table method with 93 cases in each group.The control group received routine intervention,while the research group received sympathetic intervention on the basis of routine intervention.The quality of life,psychological stress and the score of hope level before and after chemotherapy were compared between the two groups.Results:①There was no difference in the scores of physical function,role function,cognitive function,emotional function and social function between the two groups before chemotherapy(P>0.05);while the scores of physical function,role function,cognitive function,emotional function and social function of the study group after chemotherapy were higher than those in the control group(t=-8.727,-13.324,-10.360,-19.565,-11.759;P<0.001).②There was no significant difference in the scores of SAS and SDS between the two groups before chemotherapy(P>0.05),but the scores of SAS and SDS in the study group were lower than those in the control group(t=16.191,16.692;P<0.001).③There was no difference in the total score of positive attitude,positive action,intimate relationship and hope between the two groups before chemotherapy(P>0.05);the total score of positive attitude,positive action,intimate relationship and hope in the study group after chemotherapy was better than that in the control group(t=8.689,5.115,4.708,12.438;P<0.001).Conclusion:Empathy intervention can improve the quality of life,reduce the degree of anxiety and depression,and enhance the level of hope of patients with breast cancer after chemotherapy.
Objective:To investigate the effect of empathy intervention on quality of life,psychological stress and hope level of patients with breast cancer undergoing chemotherapy after operation.Methods:A total of 186 patients with breast cancer admitted to the hospital for chemotherapy from January 2016 to December 2017 were selected as the study subjects.The cases were randomly divided into the study group and the control group by random number table method with 93 cases in each group.The control group received routine intervention,while the research group received sympathetic intervention on the basis of routine intervention.The quality of life,psychological stress and the score of hope level before and after chemotherapy were compared between the two groups.Results:①There was no difference in the scores of physical function,role function,cognitive function,emotional function and social function between the two groups before chemotherapy(P>0.05);while the scores of physical function,role function,cognitive function,emotional function and social function of the study group after chemotherapy were higher than those in the control group(t=-8.727,-13.324,-10.360,-19.565,-11.759;P<0.001).②There was no significant difference in the scores of SAS and SDS between the two groups before chemotherapy(P>0.05),but the scores of SAS and SDS in the study group were lower than those in the control group(t=16.191,16.692;P<0.001).③There was no difference in the total score of positive attitude,positive action,intimate relationship and hope between the two groups before chemotherapy(P>0.05);the total score of positive attitude,positive action,intimate relationship and hope in the study group after chemotherapy was better than that in the control group(t=8.689,5.115,4.708,12.438;P<0.001).Conclusion:Empathy intervention can improve the quality of life,reduce the degree of anxiety and depression,and enhance the level of hope of patients with breast cancer after chemotherapy.
引文
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[13]杨磊,鱼星锋,李妍,等.女性人格特征、情绪控制与乳腺癌发生危险的相关分析[J].中国健康心理学杂志,2016,24(2):202-206
[14]罗湘莲,张淡妮,何彩云,等.心理剧运用于大专护生共情干预的效果研究[J].中国地方病防治杂志,2016,31(5):594-595
[15]朱爱菊.配偶支持干预对乳腺癌患者术后化疗期间应对方式及生活质量的影响[J].医学临床研究,2017,34(9):1862-1864
[16]王娟,王凤玲,苟容.中医辨证施护配合心理干预对胃癌术后化疗患者心理状态和生活质量的影响[J].现代中西医结合杂志,2017,26(21):2384-2387
[2]刘建平,刘艳红,王助新,等.自我管理对乳腺癌术后患者癌因性疲乏症状及其生命质量的影响[J].山西医药杂志,2016,45(22):2704-2706
[3]Wen D,Wen X,Yang Y,et al.Urban rural disparity in female breast cancer incidence rate in China and the increasing trend in parallel with socioeconomic development and urbanization in a rural setting[J].Thoracic Cancer,2018,9(2):262-272
[4]郭文利,黄建棋,陆建菊.乳腺癌根治术后早期化疗对患者临床预后的影响[J].中国普通外科杂志,2017,26(5):666-670
[5]詹敏.治疗性沟通及干预对乳腺癌手术患者术后恢复、心理应激及希望水平的影响[J].中国医药导报,2017,14(10):177-180
[6]]钟紫外,陆华东,陆晨,等.共情式心理干预对自体DC/CIK细胞维持治疗肺腺癌患者癌因性疲乏、希望水平的影响[J].中华全科医学,2018,16(6):1025-1028
[7]胡兰,范芳芳,姚莉,等.不同诊断标准下乳腺癌患者维生素D状态的差异及药物处置情况调查[J].临床药物治疗杂志,2017,15(8):46-48
[8]黄宏梅,胡绍毅,何梅,等.团体心理治疗对乳腺癌放疗患者心理康复及生存质量的影响[J].中国健康心理学杂志,2017,25(5):745-748
[9]王艳英,马玉磊,管艳杰,等.乳腺癌患者围手术期心理应激与免疫功能的关系[J].中国妇幼保健,2017,32(17):4099-4103
[10]郭丝锦,刘花蕊,卫宝玲,等.乳腺癌患者术后希望水平与自我效能心理调查[J].中国肿瘤,2016,25(3):237-240
[11]孙丽丽,黄磊,徐倩,等.乳腺癌术后化疗患者生命质量现状及影响因素的研究[J].现代预防医学,2016,43(21):4024-4028
[12]Islami F,Chen W,Yu X Q,et al.Cancer deaths and cases attributable to lifestyle factors and infections in China,2013[J].Annals of Oncology,2017,28(10):2567-2574
[13]杨磊,鱼星锋,李妍,等.女性人格特征、情绪控制与乳腺癌发生危险的相关分析[J].中国健康心理学杂志,2016,24(2):202-206
[14]罗湘莲,张淡妮,何彩云,等.心理剧运用于大专护生共情干预的效果研究[J].中国地方病防治杂志,2016,31(5):594-595
[15]朱爱菊.配偶支持干预对乳腺癌患者术后化疗期间应对方式及生活质量的影响[J].医学临床研究,2017,34(9):1862-1864
[16]王娟,王凤玲,苟容.中医辨证施护配合心理干预对胃癌术后化疗患者心理状态和生活质量的影响[J].现代中西医结合杂志,2017,26(21):2384-2387