认知行为干预对乳腺癌患者应激反应的效果评价

Effect of cognitive behavioral intervention on stress response in breast cancer patients

目的通过对乳腺癌应激障碍(PTSD)患者进行认知行为干预,探讨认知行为干预疗法对乳腺癌PTSD患者应激反应的影响。方法采用随机化对照方法,将乳腺癌PTSD患者分为对照组和干预组各50例。干预组在常规治疗同时进行认知行为干预;对照组仅常规治疗不进行认知行为干预。两组乳腺癌患者在入院1周内、治疗1个月后分别填写一般情况问卷调查、焦虑自评表(SAS)、医学应对问卷(MCMQ)测试心理量表。结果干预前干预组与对照组SAS、MCMQ各因子得分情况比较,差异无统计学意义(P>0.05);干预后干预组SAS、MCMQ各因子的得分与干预后对照组的SAS、MOCQ各因子得分比较,干预后对照组的得分显著性的高于干预组干预后的得分,差异有统计学意义(P<0.05);干预组干预前后SAS、MCMQ各因子比较,差异有统计学意义(P<0.05);对照组干预前后SAS、MCMQ各因子比较,差异无统计学意义(P>0.05)。结论对乳腺癌患者实施结合心理学的认知行为干预疗法能有效降低其应激水平,改善心理健康状况,提高积极应对能力。

Objective Through the cognitive behavioral intervention in breast cancer stress disorder (PTSD) patients,the impact of cognitive behavioral intervention therapy on the stress response of breast cancer patients with PTSD was explored. Methods Using randomized control methods,breast cancer patients with PTSD were divided into control group and intervention group with 50 cases each.The intervention group received cognitive and behavioral interventions at the same time as conventional treatment;the control group did not undergo cognitive-behavioral intervention only in the conventional treatment.Two groups of breast cancer patients were filled with general conditional questionnaire,SAS and MCMQ psychological scales within one week after admission and one month after treatment. Results There was no significant difference in scores of SAS and MCMQ scores between the intervention group and the control group before intervention ( P >0.05);scores of SAS and MCMQ factors in the intervention group after the intervention were compared with scores of the SAS and MOCQ factors in the control group after the intervention.After the intervention,the scores of the control group were significantly higher than those of the intervention group after intervention ( P <0.05);the difference of the SAS and MCMQ factors between the intervention group and the intervention group was statistically significant ( P <0.05).There was no significant difference in the factors of SAS and MCMQ before and after intervention in the control group ( P >0.05).This shows that the implementation of cognitive behavioral intervention therapy for breast cancer patients has the effect of improving their psychological status. Conclusion Implementing cognitive-behavioral intervention therapy combined with psychology in breast cancer patients can significantly reduce the stress level,improve mental health status,and improve the ability to respond positively.