关注和解释疗法对肺癌术后化疗患者心理学指标的影响

The effect of attention and interpretation therapy on psychological indicators in patients undergoing postoperative chemotherapy for lung cancer

  • 摘要:
    目的 探讨关注和解释疗法对肺癌术后化疗患者心理弹性、知觉压力及创伤后成长的影响。
    方法 将100例接受化疗的肺癌术后患者随机分为对照组(n=51)和试验组(n=49)。对照组实施常规心理指导,包括情志护理、心理安慰及放松训练; 试验组实施为期10周的关注和解释疗法,主要包括超息静坐、情绪应对、感恩回想、个体化心理疏导、正念训练及接纳自我。比较2组患者干预后中文版心理弹性量表(CD-RISC)、知觉压力量表(CPSS)及创伤后成长量表(PTGI)评分。
    结果 干预后, 2组CD-RISC各维度评分及总分均较干预前提高,且试验组高于对照组,差异有统计学意义(P < 0.05); 干预后, 2组患者CPSS各项评分和总分低于干预前,且试验组低于对照组,差异有统计学意义(P < 0.05); 干预后, 2组患者PTGI评分均较干预前提高,且试验组高于对照组,差异有统计学意义(P < 0.05)。
    结论 对于肺癌术后化疗患者,关注和解释疗法的心理干预能够有效缓解患者的知觉压力,提升患者的心理弹性状况,改善患者创伤后成长水平。

     

    Abstract:
    Objective To explore the effects of attention and interpretation therapy on psychological resilience, perceived stress and post-traumatic growth for postoperative chemotherapy patients with lung cancer.
    Methods A total of 100 postoperative lung cancer patients receiving chemotherapy were randomized into control group (n=51) and study group (n=49). The control group implemented conventional psychological guidance, including affective care, psychological comfort and relaxation training; the study group implemented a 10-week attention and interpretation therapy, which mainly included transcendental meditation, emotional coping, gratitude recall, individualizedpsychological guidance, positive thinking training and self-acceptance. The psychological resilience scale (CD-RISC), perceived stress scale (CPSS) and post-traumatic growth inventory (PTGI) scores of the two groups were compared after the intervention.
    Results After intervention, the scores of all dimensions and total scores of CD-RISC in two groups were improved compared with those before intervention, and were higher in the study group than the control group (P < 0.05). After intervention, the CPSS scores and total scores of two groups were lower than before intervention, and the study group was lower than the control group (P < 0.05). After intervention, PTGI scores in both groups were higher than before intervention, and the study group was higher than the control group (P < 0.05).
    Conclusion For postoperative chemotherapy patients with lung cancer, the psychological intervention of attention and interpretation therapy can effectively alleviate patients' perceptual stress, enhance their psychological resilience status, and improve level of post-traumatic growth.

     

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