对宫颈上皮内瘤样变患者的积极综合训练

Positive Composite Training on Cervical Intraepithelial Neoplasia Patients

目的评价积极综合训练(Positive composite training,PCT)对宫颈上皮内瘤样变(Cervical intraepithelial neoplasia,CIN)患者进行心理干预的效果,为临床肿瘤患者的心理干预提供新方法。方法将40名CIN患者分为干预组和对照组,分别进行积极综合训练和一般心理干预,再完成SCL-90问卷,使用SPSS 11.5软件,进行评分结果比较。结果干预组在躯体化(t=-2.046,P<0.05)、强迫症状(t=-3.170,P<0.01)、抑郁(t=-2.703,P<0.05)、焦虑(t=-2.870,P<0.01)、精神病性(t=-2.944,P<0.01)及总分(t=-3.198,P<0.01)上明显优于对照组;在偏执(t=-1.925,P=0.063)和其它(t=-1.943,P=0.061)在人际关系敏感(t=-1.564,P>0.05)、敌对(t=-1.342,P>0.05)、恐怖(t=-1.291,P>0.05)5项上两组评分无显著性差异。结论积极综合训练对CIN患者有一定心理干预效果。

Objective To evaluate the effect of positive composite training（PCT） on cervical intraepithelial neoplasia（CIN） patients,and provide a new method for clinical psychological intervention.Methods A total of 40 CIN patients were divided into the intervention group and control group, for the PCT and the general therapy separately.Soon they completed the SCL-90 questionnaire,catching the scores by the SPSS 11.5 for the comparison between them.Results The scores of interfering group were significantly lower than the control group in somatization（t=-2.046,P0.05）,obsessive-compulsive symptoms（t=-3.170,P0.01）,depression（t=-2.703,P0.05）,anxiety（t=-2.870,P0.01）,psychotic symptoms（t=-2.944,P0.01） and the total score（t=-3.198,P0.01）.there weren＇t significant differences in paranoia（t=-1.925,P=0.063）,interpersonal relationship sensitive（t=-1.564,P0.05）,hostility（t=-1.342,P0.05）,terror（t=-1.291,P0.05）and other factor（t=-1.943,P=0.061）.Conclusion The PCT used in CIN patients is effective as a psychological therapy.