认知行为疗法对改善癌症临终患者家属心理状态的研究

Study on Cognitive-Behavior Therapy for Improving the Mental Status among Family Members of Terminal Tumor Patients

目的研究认知行为疗法对癌症临终患者家属心理状态的改善效果。方法选取癌症临终患者家属60例,随机分为观察组(30例)和对照组(30例)。观察组采用认知行为疗法实施干预,对照组给予一般支持性心理护理。干预前后对两组患者家属采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、匹兹堡睡眠质量指数量表(PSQL)进行测评。结果干预前,两组HAMA、HAMD和PSQI评分的差异无统计学意义(P>0.05)。干预后,观察组HAMA、HAMD和PSQI评分显著低于干预前(P<0.05);干预后观察组的HAMA、HAMD和PSQI评分也显著低于对照组干预后(P<0.05)。结论认知行为疗法能明显改善癌症临终患者家属抑郁、焦虑和睡眠障碍的负面心理情绪。

Objective： To investigate the influence of cognitive-behavior therapy on the psychological status of family members of terminal cancer patients. Method： A total of 60 families of terminal cancer patients were selected and randomly divided into observation group（ 30 cases） and control group（ 30 cases）. The observation group was treated with cognitive-behavior therapy,while the control group was given general supportive psychological care. The Hamilton Depression Scale（ HAMD）,Hamilton Anxiety Scale（ HAMA） and Pittsburgh Sleep Quality Index（ PSQL） were used to evaluate the family members of the two groups of patients before and after the intervention. Results： Before the intervention,there was no statistical significance difference in the scores of HAMA,HAMD and PSQI between the two groups（ P〉 0. 05）. After the intervention,the scores of HAMA,HAMD and PSQI in the observation group were significantly lower than those before the intervention（ P〈 0. 05）; and the scores of HAMA,HAMD and PSQI in the observation group were significantly lower than those in the control group（ P〈 0. 05）. Conclusion： Cognitive-behavior therapy can significantly improve the negative emotions of depression,anxiety and sleep disorder among family members of terminal tumor patients.