基于情感适应理论的心理干预联合团体认知行为干预对乳腺癌根治术后患者疾病进展恐惧、心理弹性及并发症的影响

Effects of psychological intervention based on emotional adaptation theory combined with group cognitive behavioral intervention on fear of disease progression,psychological resilience and complications of breast cancer patients after radical mastectomy

目的探讨基于情感适应理论的心理干预联合团体认知行为干预对乳腺癌根治术后患者疾病进展恐惧、心理弹性及并发症的影响。方法选择2018年2月至2021年3月收治的100例乳腺癌根治术后患者作为研究对象,采用随机数字表法将其分为对照组(50例,常规护理)和观察组(50例,常规护理+基于情感适应理论的心理干预联合团体认知行为干预)。比较两组的干预效果。结果干预后,观察组的恐惧疾病进展量表(FoP-Q)各维度评分均低于对照组(P<0.05)。干预后,观察组的康纳-戴维森韧性量表(CD-RISC)各维度评分均高于对照组(P<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。结论基于情感适应理论的心理干预联合团体认知行为干预可减轻乳腺癌根治术后患者的疾病进展恐惧,提高其心理弹性,进而减少并发症的发生,值得推广。

Objective To explore the effects of psychological intervention based on emotional adaptation theory combined with group cognitive behavioral intervention on fear of disease progression,psychological resilience and complications of breast cancer patients after radical mastectomy.Methods A total of 100 patients with breast cancer after radical mastectomy admitted from February 2018 to March 2021 were selected as the research objects,and the patients were divided into control group(50 cases,routine nursing)and observation group(50 cases,routine nursing+psychological intervention based on emotional adaptation theory combined with group cognitive behavioral intervention)by random number table method.The intervention effects of the two groups were compared.Results After intervention,the scores of all dimensions of the Fear of Progression Questionnaire(FoP-Q)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of all dimensions of Connor-Davidson Resilience Scale(CD-RISC)in the observation group were higher than those in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Psychological intervention based on emotional adaptation theory combined with group cognitive behavioral intervention can reduce the fear of disease progression,improve mental resilience and reduce the incidence of complications in patients after radical mastectomy,which is worthy of promotion.