接受与实现疗法对癌症患者配偶焦虑和抑郁情绪的影响

摘要

目的 探讨实施接受与实现疗法对癌症患者配偶焦虑和抑郁情绪的影响. 方法 将2014年1~6月50例癌症住院患者及50名患者配偶设为对照组;将2014年7~12月50例癌症住院患者及50名患者配偶设为观察组,两组患者均接受常规护理,对照组患者配偶实施常规健康教育,观察组患者配偶实施接受与实现疗法,干预共3次. 干预前后采用焦虑自评量表( self-rating anxiety scale , SAS )和抑郁自评量表( self-rating depression scale , SDS )对两组癌症患者配偶进行测评.结果 干预前两组患者配偶SAS及SDS评分比较,差异均无统计学意义(P>0.05).干预后,观察组和对照组患者配偶SAS评分分别为(48.36 ± 6.28)分和(55.11 ± 6.74)分,两组比较,差异有统计学意义(t=7.530,P<0.05);观察组和对照组SDS评分分别为(50.03 ± 4.12)分和(58.50 ± 4.63)分,两组比较,差异有统计学意义(t=6.672,P<0.05);观察组SAS和SDS评分低于干预前(t值分别7.283和7.524,均P<0.05). 结论 实施接受与实现疗法能有效地缓解癌症患者配偶的焦虑和抑郁情绪,从而促进患者配偶的心理健康.%Objective To investigate the effect of acceptance and implementation therapy on anxiety and depression in cancer patients'spouse. Methods The spouses of 50 hospitalized patients from January to June 2014 were assigned into the control group and the spouses of another 50 cases of hospitalized patients from July to December 2014 into the observation group . All the patients received routine care methods. The control group received general health education and the spouses in the observation group were managed with acceptance and implementation therapy, totally for 3 times. After the intervention, the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate the levels of anxiety and depressions in both groups. Results Before intervention, there were no differences in SAS and SDS scores between the groups (P>0.05). After intervention, the SAS scores in the observation group and the control group scores were (48.36 ± 6.28) and (55.11 ± 6.74), respectively, with statistically significant difference (t=7.530, P<0.05). The SDS scores of the observation group and control group were (50.03 ± 4.12) and (58.50 ± 4.63) respectively, with statistically significant differences (t=6.672, P<0.05). The SAS and SDS score of observation group were lower than those before intervention (t = 7.283,7.524, all P < 0.05). Conclusion The acceptance and implementation therapy can effectively alleviate the anxiety and depression in the spouses of those patients with cancer.