情绪弹性团体训练对胃肠道癌症患者知觉压力及焦虑抑郁的影响

摘要

Objective To investigate the effect of emotional resilience group training on perceived stress,anxiety and depression in patients with gastrointestinal cancer.Methods 325 cases of patients with gastric cancer were divided into experimental group(n=163) and control group(n=162) by random digital table method.Two groups of patients were treated with chemotherapy and routine treatment and the experimental group was trained once a week for 8 weeks of emotional resilience group training.Chinese version perceived stress(CPSS),SDS and SAS were used to evaluate the effect of intervention before and after intervention.Results After 8 weeks of emotional elastic group training,the CPSS score((39.98±4.82) vs (33.96±5.02)),SAS score((48.83±4.58) vs (42.12±4.01)) and SDS score((49.23±4.12) vs (45.21±3.27))were lower than those before the intervention (all P＜ 0.05).The difference of CPSS ((-6.02 ± 3.74) vs (-0.19±2.78)),SAS((-6.71±3.86) vs (-0.39±5.62)) and SDS((-4.02±2.03) vs (-0.62±2.31)) before and after the intervention of the two groups were statistically significant(t=-9.325,-9.529,-6.132,P＜0.01).Conclusion Emotional resilience group training can effectively reduce the level of perceptual stress in patients with gastrointestinal cancer,and improve depression and anxiety.%目的 观察情绪弹性团体训练对胃肠道癌症患者知觉压力及焦虑抑郁的效果.方法 将325例住院的胃肠癌患者按随机数字表法分试验组163例及对照组162例,两组患者均进行化疗及常规治疗,试验组在此基础上进行每周1次,共8周的情绪弹性团体训练.干预前后采用知觉压力量表(CPSS)、抑郁自评量表(SDS)及焦虑自评量表(SAS)对干预效果进行评定.结果 试验组经过8周的情绪弹性团体训练后,CPSS得分[(39.98±4.82)分,(33.96±5.02)分]、SAS得分[(48.83±4.58)分,(42.12±4.01)分]及SDS得分[(49.23±4.12)分,(45.21±3.27)分]均较干预前降低(均P＜0.05).两组干预前后CPSS[(-6.02± 3.74)分,(-0.19±2.78)分]、SAS[(-6.71±3.86)分,(-0.39±5.62)分]、SDS[(-4.02±2.03)分,(-0.62±2.31)分]差值比较,均差异有统计学意义(t=-9.325、-9.529、-6.132,P＜0.01).结论 情绪弹性团体训练能有效降低胃肠道癌症患者的知觉压力水平,从而改善抑郁和焦虑状态.