团体心理干预对肝癌患者负性情绪、心理负担及生活质量的影响研究

Study on the effect of group psychological intervention on reducing negative emotions of patients with liver cancer

目的研究团体心理干预对肝癌患者负性情绪、心理负担及生活质量的影响。方法采用随机数字表法将80例肝癌患者分为对照组和观察组,每组40例。对照组患者给予健康教育、治疗进展沟通、康复训练、正面鼓励和不良情绪疏导等常规心理干预措施。观察组患者在此基础上给予团体心理干预。比较两组患者干预前后的负性情绪、心理负担及生活质量评分。结果心理干预前,两组患者负性情绪、心理负担及生活质量评分比较,差异均无统计学意义(P﹥0.05)。心理干预后,两组患者负性情绪和心理负担评分均较本组干预前下降,且观察组明显低于对照组(P﹤0.05)。干预后,观察组患者疾病相关症状、对日常生活影响、集中力、健康压力、睡眠、孤独感、无望感和社会交往评分均高于对照组(P﹤0.05)。结论团体心理干预在肝癌患者摆脱负性情绪、减轻心理负担中显示出积极作用,有助于提高患者生活质量,值得临床推广使用。

Objective To study the effect of group psychological intervention on negative emotion,psychological burden and quality of life of patients with liver cancer.Method 80 patients with liver cancer were divided into the control group and the observation group by random number table method,40 cases in each group.The patients in the control group were given routine psychological intervention measures such as health education,treatment progress communication,rehabilitation training,positive encouragement and bad emotion guidance.On this basis,the observation group was given group psychological intervention.The negative emotion,psychological burden and quality of life of the two groups before and after intervention were compared.Result Before psychological intervention,there was no significant difference in the scores of negative emotion,psychological burden and quality of life between the two groups(P>0.05).After intervention,the scores of negative emotion and psychological burden in the two groups were significantly lower than those before intervention,and the scores in the observation group were significantly lower than those in the control group(P<0.05).After intervention,the scores of disease-related symptoms,influence on daily life,concentration,health stress,sleep,loneliness,hopelessness and social interaction in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Group psychological intervention in patients with liver cancer to get rid of negative emotions,reduce psychological burden showed a positive role,but also help to improve the quality of life of patients,worthy of clinical application.