心理干预对乳腺癌患者认知情绪调节的影响

Impact of Psychological Intervention on Cognitive Emotion Regulation Strategy of Patients with Breast Cancer

目的了解乳腺癌患者认知情绪调节策略,探讨心理干预对促进患者建立和形成适应性应对策略的影响,进而提高患者机体免疫功能、改善其生活质量;为进一步开展乳腺癌患者全面心理护理及干预提供参考。方法采取分阶段对照研究。选取对照组、试验组患者各40名,分别在术前、术后5个月进行两次认知情绪调节策略评估(ERCQ问卷)。结果两组患者在术后5个月较术前,"接受"因子得分均显著提高(t=2.56,P<0.05),"责备他人"因子得分则显著降低(t=-3.356,P<0.05);表明术后5个月时患者对于罹患肿瘤更能接受,在认知情绪调节策略中也更少责备他人。而进行心理干预后,实验组较对照组在"关注计划"(t=2.463,P=0.018)和"转换视角"(t=2.078,P=0.044)两个因子的得分明显提高。结论患者在接受心理干预后能更多地运用积极计划、转换视角等认知策略调节情绪。

Objective To know the cognitive emotion regulation condition of patients with breast cancer, and explore the effec- tive psychological intervention methods to improve the cognitive emotion regulation. Methods A total of 80 patients were tested twice with Cognitive Emotion Regulation Questionnaire（CERQ）on two different phases（preoperation and 5 month after operation. 40 patients in control group received usual care,and 40 patients in experimental group received targeted psychological intervention. Results ①in all of the 80 subjects,＂aceeptance＂ was significantly improved（t=2.56,P〈0.05）,and ＂blaming others＂ decreased （t =-3. 356,P〈0.05）in 5 month after operation than pre-operation. At the same time,compared with control group, the experi- mental group patients,the scores of ＂refocus on planning＂ （t= 2. 463,P〈 0. 018） and ＂putting into perspective＂ （t= 2. 078,P= 0, 044）were significantly increased in 5 months after operation.： Conclusion Psychological intervention can effectively influence the cognitive emotion regulation strategy.