基于积极心理学的家庭干预对前列腺癌患者心理状态和生活质量的影响

The influence of family intervention program based on positive psychology on the mental state and quality of life of prostate cancer patients

目的:分析基于积极心理学的家庭干预对前列腺癌患者心理状态和生活质量的影响。方法:按照连续入组方式,将某三级甲等医院肿瘤中心就诊的76例前列腺癌患者分成干预组38例和对照组38例,两组患者在接受常规健康教育的基础上,干预组接受基于积极心理学的家庭干预。在干预前、干预后即刻、干预后1个月采用接纳与行动问卷(AAQ-Ⅱ),症状自评量表(SCL-90)、前列腺癌患者生活质量问卷(FACT-P)评价干预方案效果。结果:68例患者完成干预和随访。干预后即刻,干预组的AAQ-Ⅱ得分为18.79±5.24,SCL-90总分为138.45±10.56,FACT-P总分为105.58±11.66,对照组的AAQ-II得分为21.05±5.19,SCL-90总分为142.98±11.63,FACT-P总分为101.20±9.54,组间对比差异均有统计学意义(P<0.05)。在干预后1月时,干预组的AAQ-Ⅱ,SCL-90得分低于对照组(P<0.05),FACT-P得分高于对照组(P<0.05)。重复测量方差分析发现干预组的AAQ-Ⅱ,SCL-90总分在干预后即刻和干预后1个月较干预前显著改善(P<0.05):协方差分析发现,排除时间效应后,干预方案能够显著降低患者的AAQ-Ⅱ,SCL-90得分,提高FACT-P得分(P<0.05)。结论:基于积极心理学的家庭干预能够提高前列腺癌患者心理灵活性和生活质量,降低心理症状水平。医护人员为治疗期前列腺癌患者提供心理支持对患者有积极的意义。

Objective: To analyze the effect of family intervention program based on positive psychology on the mental state and quality of life of prostate cancer patients. Methods: According to the continuous enrollment method, seventy-six patients were recruited from a tumor center. 38 patients were assigned to the intervention group and 38 to the control group. All of the participates received routine health education and the intervention group participated in family intervention based on positive psychology. Acceptance and Action Questionnaire Ⅱ(AAQ-Ⅱ), Symptom Checklist 90(SCL-90), Functional Assessment of Cancer Therapy-Prostate(FACT-P) were assessed before intervention(T1), immediately after the intervention(T2), and one month after the intervention(T3). Results: Sixty-eight patients completed the intervention program and follow-up. At T2, the AAQ-Ⅱ score of the intervention group was(18.79±5.24), the SCL-90 score was(138.45±10.56), and the FACT-P score was(105.58±11.66). For control group, the scores of AAQ-Ⅱ, SCL-90 and FACT-P were(21.05±5.19),(142.98±11.63) and(101.20±9.54) respectively. The differences between the scores were statistical significance(P<0.05). At T3, the AAQ-Ⅱ and SCL-90 scores of intervention group were lower than those of the control group(P<0.05) respectively, and FACT-P was higher(P<0.05). The repeated analysis of variance found that the scores of AAQ-Ⅱ and SCL-90 of the intervention group were significantly improved after the intervention(P<0.05). Covariance analysis found that after excluding the time effect, the intervention program could significantly decrease the patient’s AAQ-Ⅱ and SCL-90 scores, and increase the patient’s score of FACT-P(P<0.05). Conclusion: The family intervention based on positive psychology can improve the mental status and quality of life of prostate cancer patients. It is necessary for medical staff to provide psychological support for patients with prostate cancer during treatment.