强化认知行为干预结合心理护理对子宫内膜癌患者心理应激和应对方式的影响

Effect of cognitive behavioral intervention combined with psychological nursing on psychological stress and coping style of patients with endometrial cancer

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(6)
作者
作者单位

四川省遂宁市中心医院 ;

摘要
摘要:目的:探讨强化认知行为干预结合心理护理对子宫内膜癌患者心理应激和应对方式的影响观察。方法:选取我院2015年1月至2017年月间收治的70例子宫内膜癌患者,按随机的原则分为观察组和对照组,每组各35例。两组患者均进行对症治疗和常规护理,观察组患者在对照组的基础上加以实施强化认知行为干预结合心理护理进行干预。采用SCL-90症状自评量表对患者的心理应激水平进行评估和比较,以及采用医学应对方式问卷(MCMQ)量表评估两组患者干预前后的应对方式,同时比较两组患者的生活质量。结果:与对照组相比,观察组SCL-90症状自评量表评分明显更优(P<0.05);干预前,两组患者的MCMQ量表评分无统计学差异(P>0.05),干预后,观察组患者的MCMQ评分明显优于对照组和干预前(P<0.05);此外,在采取不同方式进行干预后,观察组的情感职能,精神健康,产妇活力,社会功能,生理职能,生理功能,躯体疼痛及总体健康等维度评分,均高于对照组,差异具有统计学意义(P<0.05)。结论:强化认知行为干预结合心理护理可以有效减轻子宫内膜癌患者的心理应激反应,并提高了患者积极的行为应对方式和生活质量,值得推荐。
Abstract
Abstract: Objective: To investigate the effect of cognitive behavioral intervention combined with psychological nursing on psychological stress and coping style of patients with endometrial cancer. Methods: 70 cases of endometrial carcinoma were selected from January 2015 to 2017 in our hospital. They were divided into the observation group and the control group according to the principle of random, 35 cases in each group. Two groups of patients were symptomatic treatment and routine care, the observation group patients on the basis of the implementation of the control group, strengthening cognitive behavioral intervention, combined with psychological care for intervention. The SCL-90 symptom checklist on psychological stress of patients were assessed and compared, and the Medical Coping Style Questionnaire (MCMQ) scale to assess coping style of two groups of patients before and after intervention, and quality of life were compared between the two groups. Results: compared with control group, the observation group SCL-90 symptom checklist score was significantly better (P<0.05); before the intervention, two groups of patients with MCMQ scale score was no significant difference (P>0.05), after the intervention, MCMQ scores of the observation group was significantly better than the control group and before intervention (P<0.05); in addition, in take a different approach to intervention, emotional function, observation group maternal mental health, vitality, social function, physiological function, physiological function, body pain and general health dimension scores were higher than the control group, the difference was statistically significant (P< 0.05). Conclusion: strengthening cognitive behavioral intervention and psychological nursing can effectively reduce the psychological stress reaction of patients with endometrial cancer, and improve the positive behavior, coping style and quality of life of patients. It is worth recommending.
关键词
关键词:认知行为;心理护理;子宫内膜癌;应对方式
KeyWord
Keyword: cognitive behavior; psychological care; endometrial cancer; coping style
基金项目
页码 1116-1118
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刘明蓉*,邓莉华,邹玉仙,文婷. 强化认知行为干预结合心理护理对子宫内膜癌患者心理应激和应对方式的影响 [J]. 国际精神病学杂志. 2018; 45; (6). 1116 - 1118.

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