书写表达对青年乳腺癌患者自我效能、躯体症状及心理健康的影响

Effect of written expression on self-efficacy,physical symptoms and mental health of young breast cancer patients

目的:分析书写表达对青年乳腺癌患者自我效能、躯体症状及心理健康的影响。方法:选取2017年2月至2019年6月某院收治的青年乳腺癌患者201例为研究对象,采用投掷法将其随机分为对照组(n=100,采用常规护理)、观察组(n=101,在对照组基础上予以书写表达干预),比较两组干预前及干预后1个月总体幸福感量表(GWB)、一般自我效能感量表(GSES)、益处发现量表(BFS)、消极躯体症状量表(NSSS)、医院焦虑抑郁量表(HADS)、心理弹性量表简化表(CD-RISC)及匹兹堡睡眠质量指数(PSQI)、乳腺癌患者生命质量测定量表(FACT-B)评分结果。结果:①干预后1个月,观察组GWB评分、GSES评分、BFS评分均高于对照组(t=2.01,3.99,13.27;P<0.05);②观察组干预后1周、1个月NSSS评分均明显低于对照组(P<0.05);③观察组干预后1个月PSQI评分低于对照组,而FACT-B评分高于对照组分(t=8.618,5.673;P<0.05);④干预后1个月,观察组HAD-A评分、HAD-D评分均低于对照组,而CD-RISC评分高于对照组(t=14.38,12.56,3.78;P<0.05)。结论:书写表达可明显改善青年乳腺癌患者躯体症状,提高其幸福感、自我效能感及益处发现水平,改善其焦虑抑郁情绪、睡眠质量,提高生活质量,值得在临床推广实践。

Objective:To analyze the effect of written expression on self-efficacy,physical symptoms and mental health of young breast cancer patients.Methods:Between February 2017 and June 2019,201 young breast cancer patients were selected and randomly divided into control group(n=100,conventional nursing)and observation group(n=101,written expression intervention based on conventional nursing).Scores of the General Well-Being Schedule(GWB),the General Self-Efficacy Scale(GSES),the Benefit Finding Scale(BFS),the Negative Somatic Symptom Scale(NSSS),Pittsburgh Sleep Quality Index(PSQI),and the Functional Assessment of Cancer Therapy-Breast Cancer(FACT-B),the Hospital Anxiety and Depression Scale(HADS),the Connor-Davidson Resilience Scale(CD-RISC)of the two groups before and after intervention were compared.Results:①1 month after intervention,the GWB score,GSES score and BFS score of the observation group were(83.49±8.73),(3.23±0.42)and(58.76±6.01),higher than(80.61±8.01),(2.88±0.41)and(47.87±4.20)of the control group(t=2.01,3.99,13.27;P<0.05).②1 week and 1 month after intervention,the observation group had significantly lower NSSS scoresthanthe control group(P<0.05).③1 month after intervention,PSQI score of the observation group was(6.55±0.82),lower than of the control group,while FACT-B score of the observation group washigher thanthat of the control group(t=8.618,5.673;P<0.05).④1 month after intervention,the HAD-A score and HAD-D score in the observation group were(9.01±0.85)and(8.78±0.95),lower than(13.68±1.58)and(12.61±1.45)of the control group,CDRISC score of observation group was(84.04±8.86),higher than(77.93±8.15)of the control group(t=14.38,12.56,3.78;P<0.05).Conclusion:Writing expression can significantly improve the physical symptoms of young breast cancer patients,improve their well-being,self-efficacy and benefit finding levels,relieve their anxiety and depression,and improve sleep quality,and quality of life.