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不同心理干预方法对急性白血病化疗患者社会支持状况的影响研究 被引量:14

The Effects of Different Interventions on the Status of Social Support in Acute Leukemia Receiving Chemotherapy
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摘要 目的比较不同心理干预对急性白血病化疗患者社会支持状况的影响。方法将180例急性白血病化疗患者随机分为认知组、肌松组、认知肌松组和对照组,对照组仅给予常规护理,其他3组分别给予相应心理干预。干预前后选用社会支持评定量表(SSRS)对4组患者的社会支持状况进行测定。结果干预前4组间总社会支持、主观支持、客观支持和对社会支持的利用度得分差异均无统计学意义(P>0.05);干预后总社会支持、主观支持、对社会支持的利用度得分差异有统计学意义(P<0.05)。认知组与认知肌松组干预后总社会支持、主观支持和对社会支持的利用度得分较干预前得分增加,差异有统计学意义(P<0.05);肌松组与对照组干预前后差异无统计学意义(P>0.05)。结论认知干预与认知肌松干预较肌松干预能更有效地改善急性白血病化疗患者的社会支持状况,以认知干预效果最佳。 Objective To investigate the effects of different interventions on status of social support in patients with acute leukemia receiving chemotherapy. Methods 180 acute leukemia patients receiving chemotherapy were randomly assigned to four different groups namely cognitive,muscle relaxation,cognitive muscle relaxation and a control group.The control group only received the routine nursing care,the other three groups were given the corresponding psychological intervention separately.Before and after intervention using social support rating scale SSRS to evaluate status of social support,comparing the effects of different interventions. Results Before intervention,the scores of total social support,subjective support,objective support and support utilization had no statistically significant difference(P0.05);but after intervention,the scores of total social support,subjective support,and support utilization showed statistically significant differences among them(P0.05).The scores of total social support,subjective support and support utilization were higher after intervention than before in the cognitive group and the cognitive muscle relaxant group,which were statistically significant(P0.05);but in the muscle relaxant group and control group,they showed no significant difference(P0.05). Conclusion Compared to the muscle relaxation intervention,the cognitive and cognitive muscle relaxation interventions can improve the status of social support in patients with acute leukemia receiving chemotherapy more effectively,especially the cognitive group.
出处 《中国全科医学》 CAS CSCD 北大核心 2012年第7期792-794,共3页 Chinese General Practice
关键词 社会支持 心理疗法 白血病 急性 化学治疗 Social support Psychotherapy Leukemia acute Chemotherapy
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