个体电脑豁达治疗对肺癌患者情绪与应对方式的影响

Influence of individual computer magnanimous therapy on emotional and coping style in patients with lung cancer

目的研究个体电脑豁达治疗(ICMT)对肺癌患者的情绪状态与应对方式的影响。方法采用匹配对照方法将122例肺癌患者分为ICMT组和对照组,对照组给予规范抗肿瘤治疗,ICMT组在此基础上实施为期2周的ICMT。治疗前后采用医院焦虑抑郁量表(HAD)测评情绪状态,用癌症应对问卷(CCMQ)测评应对方式的变化。结果 (1)组内比较:ICMT组HAD评分干预前后差异均有统计学意义(P<0.01);CCMQ评分中"面对""回避与压抑"和"屈服"维度干预前后差异均有统计学意义(P<0.05),"幻想"和"发泄"维度干预前后差异无统计学意义(P>0.05);对照组干预前后差异无统计学意义(P>0.05);(2)组间比较:2周后,HAD评分及CCMQ评分中的"面对""回避与压抑"和"屈服"维度差异均有统计学意义(P<0.05);"幻想"维度差异无统计学意义(P>0.05)。结论 ICMT对肺癌患者的情绪状态与应对方式均有积极的影响。

Objective To investigate the influence of individual computer magnanimous therapy (ICMT) on the emotional state and coping style in the patients with lung cancer. Methods A total of 122 patients with lung cancer were divided into the ICMT group and control group by adopting the matched control method.The control group only was given the standardized anti-tumor therapy,while on this basis the ICMT group implemented the 2-week ICMT.Before and after treatment,the hospital anxiety and depression scale (HAD) was used to detect the emotional state,and the cancer coping modes questionnaire (CCMQ) was applied for detecting the coping style(CCMQ) change. Results (1) In the intra-group comparison,the HAD score in the ICMT group had statistical difference between before and after intervention;the dimensions of CCMQ scores,"confrontation","avoidance and suppression" and "resignation" had statistical difference between before and after intervention ( P <0.01),while the dimensions of "fantasy" and "catharses" showed no statistically significant differences between before and after intervention ( P >0.05).No statistically significant differences were found in the control group between before and after treatment ( P >0.05).(2) In the inter-group comparison,the HAD score and the dimensions difference of "confrontation","avoidance and suppression" and "resignation" in the CCMQ scores had statistical differences between the two groups ( P <0.05),but the dimensions of "fantasy" had no statistical difference ( P >0.05). Conclusion ICMT has the positive effects on the emotional state and coping style in the patients with lung cancer.