认知疗法对常见恶性肿瘤患者心理影响

Effects of cognitive therapy on psychology of patients with common malignant tumor

目的:探讨认知疗法对常见恶性肿瘤患者心理健康的影响。方法:随机将60例恶性肿瘤患者分为药物组和治疗组,药物组只进行常规药物、放疗治疗;认知组在常规治疗的基础上对患者进行认知治疗,综合运用抑郁自评量表(SDS)、焦虑自评量表(SAS)、艾克森情绪稳定性测量表对患者的心理进行评定。结果:癌症患者在经过治疗后,药物组患者在SCL-90因子得分、SDS、SAS评分明显高于认知组,差异有统计学意义(P<0.05)。结论:通过对四种常见恶性肿瘤的患者进行心理干预,有助于减轻患者的抑郁和焦虑症状,减轻了对化疗药物及放疗的副反应,改善患者康复过程中的心理社会适应,并引导患者用积极的心态面对生活和战胜疾病。

Objective To investigate the effects of cognitive therapy on mental health of patients with common malignant tumors.Method Total 60 patients with malignant tumor were randomly divided into the drug group and the cognitive group.The drug group only received conventional drug therapy;the cognitive group received cognitive therapy on the basis of conventional therapy.Self-rating depression scale（SDS）,self-rating anxiety scale（SAS）,and Acherson emotional stability measurement list were used to evaluate patients＇ psychological state.Results After treatment,the patients in the drug group showed high scores in SCL-90,SDS and SAS,compared with the cognitive group（P〈0.05）.Conclusion By psychological intervention on patients with four common malignant tumors,it is helpful to relieve their depression and anxiety of patients,reduce the side effects of chemotherapeutic drugs and radiation,improve the patients＇ psychosocial adjustment during recovery process,and guide the patients has a positive attitude to face life and improve the patients＇ quality of life after treatment.