集体心理治疗在癌症患者中的应用及效果

摘要

目的:探讨集体心理治疗对癌症患者的效果.方法:将68例癌症患者随机分为实验组和对照组,每组各34例.对照组接受常规放化疗指导;实验组除接受常规放化疗指导外同时参加为期6周、每周2次的支持性集体心理治疗.比较两组患者治疗前后焦虑、抑郁水平及整体生活质量有无差异.结果:经过6周的支持性集体心理治疗后,对照组患者的焦虑、抑郁评分分别为(39.41±11.53)、(41.18±4.78)分,实验组患者的焦虑、抑郁评分分别为(33.82±4.93)、(37.35±7.51)分,实验组低于对照组,差异有统计学意义(P<0.01或P<0.05);对照组患者干预后整体生活质量中躯体功能、角色功能、情绪功能、认知功能、社会功能及总体健康状况各维度评分分别为(71.82±15.98)、(63.85±13.03)、(56.97±10.82)、(76.53±5.00)、(44.06±16.54)、(55.09±12.85)分,实验组分别为(83.68±5.78)、(68.97±8.23)、(68.85±8.44)、(81.27±4.00)、(66.06±6.20)、(66.32±8.53)分,实验组各维度评分均高于对照组,差异有统计学意义(P<0.05或P<0.01).结论:支持性集体心理治疗可以缓解癌症患者的焦虑和抑郁,提高整体生活质量,可作为癌症治疗的辅助方法.%Objective: To explore the group psychotherapy effect of cancer patients.Methods: 68 cases with cancer were randomly divided into experiment group and control group, and each 34 cases.The control group accepted conventional radiotherapy and chemotherapy guidance; the experiment group were given supportive group psychotherapy for 6 weeks, twice weekly except conventional radiotherapy and chemotherapy guidamce.Level of anxiety, depression level and global quality of life of the two groups before and after the treatment were compared.Results: After six weeks the supportive group psychotherapy, scores of anxiety and depression of control group [(39.41 ±11.53), (41.18±4.78) scores]were higher than those of experiment group [(33.82±4.93), (37.35±7.51) scores], there were significant differences between the two groups(P＜0.01 or P＜0.05); dimensions score of body function, role function, emotional function, cognitive function, social function and general health condition of overall quality of life of control group respectively were (71.82 ±15.98), (63.85±13.03), (56.97±10.82), (76.53±5.00), (44.06±16.54), (55.09±12.85) scores after intervention, and those of experiment group respectively were (83.68±5.78), (68.97±8.23), (68.85±8.44), (81.27 ±4.00), (66.06±6.20), (66.32 ±8.53) scores, dimensions score of experiment group were higher than that of control group, and there were significant differences between the two groups (P＜0.05 or P＜0.01).Conclusion: Supportive group psychotherapy can ease anxiety and depression of cancer patients, enhance the overall quality of life, it can be used as an auxilimy means to treat cancer.