疾病认知干预对减轻脑肿瘤患者及其家属焦虑抑郁情绪的作用

A Study of Cognitive Psychological Intervention on Family Caregivers of Patients with Intracranial Tumor and It's Effect on Anxiety and Depression in the Patients

目的:研究家属疾病认知干预对脑肿瘤患者及其家属焦虑抑郁情绪的影响。方法:自制调查表调查分析脑肿瘤患者家属的应激来源,进行相应的疾病健康教育及认知心理干预,使用焦虑自评量表(SAS)及抑郁自评量表(SDS)评估患者及家属的焦虑抑郁情绪。结果:干预组家属在干预2周、1个月及3个月后SAS评分显著低于对照组(t=2.03,P=0.045;t=6.51,P<0.001;t=7.71,P<0.001),干预3个月后干预组家属SDS评分显著低于对照组(t=6,P<0.001);干预2周、1月及3月后干预组患者的SAS评分显著低于干预前SAS评分(t=2.04,P<0.045;t=5.17,P<0.001;t=6.21,P<0.001),干预1月及3月后干预组患者的SDS评分显著低于干预前SDS评分(t=4,P<0.001;t=8.02,P<0.001;)结论:家属疾病认知干预能有效减缓家属及患者的焦虑抑郁情绪情绪。

Objective： To explore the influence of cognitive psychological intervention on family caregivers of patients with intracranial tumor and it＇s effect on anxiety and depression in the patients. Methods： Totally 160 family caregivers and patients with intracranial tumor were randomly divided into intervention group and control group. Self-rating anxiety scale（SAS） and Seff-rating depression scale（SDS） were used to evaluate the negative emotion. Cognitive psychological intervention on caregivers was conducted in the intervention group, while routine nursing care was given in the control group. Results： Comparison of the scores of self-rating anxiety scale and self-rating depression scale between the two groups was as follows：After 3 month intervention, the scores of caregivers were lower in the intervention group than those in the control group （SAS：t=7.71,P〈0.001 ;SDS：t=6,P〈0.001）, and the scores of patients in the intervention group decreased significantly （SAS：t=6.21 ,P〈0.001 ;SDS：t=8.02,P〈0.001）. Conclusion： Cognitive psychological intervention can relieve anxiety and depression in family caregivers and patients with intracranial tumor.