半结构化小组心理干预对贵阳市恶性肿瘤患者情绪与生命质量的影响

Effect of Semi-Structured Group Psychological Intervention on Emotion and Quality of Life of Malignant Tumor Patients in Guiyang City

目的:研究半结构化小组心理干预对恶性肿瘤患者情绪与生命质量的影响。方法:采用随机抽样法选取贵阳市4家医院2015年1月1日-2016年12月1日收治的200例恶性肿瘤患者,按照随机数表法分成干预组(104例)和对照组(96例),采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活质量核心问卷(QLQ-C30)、社会支持评定量表和疗效因子比较干预前后的差异。结果:干预后,干预组SDS评分(45.22±5.36)、SAS评分(37.32±6.42)低于对照组(52.60±6.59)、(43.23±8.42),差异有统计学意义(P<0.05);干预组SSRS总评分(41.48±6.85)高于对照组(34.39±5.22),差异有统计学意义(P<0.05);干预组患者治疗后付出、获取、情感宣泄、自我了解、存在意识、普遍性、希望重塑、团体凝聚力8项因子得分高于对照组,差异有统计学意义(P<0.05);干预组QLQ-C30评分(66.32±15.26)明显高于对照组(51.38±14.21),差异有统计学意义(P<0.05)。结论:半结构化小组心理干预可以改善恶性肿瘤患者的情绪功能和社会支持,提高其生活质量。

Objective: To study the effect of semi-structured group psychological intervention on emotions and quality of life of patients with malignant tumors in Guiyang City. Methods: 200 patients with malignant tumors received treatment in 4 hospitals in Guiyang from January 1, 2015 to December 1, 2016 were divided into intervention group (104 cases) and control group (96 cases) according to random number table method. Self-rating anxiety scale (SAS), self-rating depression scale (SDS), core quality of life questionnaire (QLQ-C30), social support scale and curative effect factors before and after intervention were compared. Result : After intervention, SDS (45.22±5.36) and SAS (37.32±6.42) score of intervention group were lower than those of control group's (52.60±6.59) and (43.23±8.42), with significant difference ( P <0.05);total SSRS score (41.48±6.85) of intervention group was higher than that of control group (34.39±5.22), with significant difference ( P <0.05);after treatment, patients in the intervention group scored higher than those in the control group in terms of 8 factors such as giving, obtaining, catharsis, self-understanding, existential awareness, universality, hope remodeling and group cohesion, with statistically significant differences ( P <0.05).The QLQ-C30 score in the intervention group (66.32±15.26) was significantly higher than that in the control group (51.38±14.21), and the difference was statistically significant ( P <0.05). Conclusion: Semi-structured group psychological intervention therapy can raise the emotional function and social support of malignant tumor patients in Guiyang, and improve the quality of life.