团体辅导对中青年乳腺癌患者预期性悲伤及社会参与的影响

Eff ect of group counseling on the anticipatory sadness and social participation of young and middle-aged patients with breast cancer

目的探讨团体辅导对中青年乳腺癌患者预期性悲伤及社会参与水平的影响,为临床干预提供依据。方法选取2019年6月—2020年5月医院乳腺科两个病区住院的中青年乳腺癌患者87例为研究对象,将一病区作为观察组(44例),二病区为对照组(43例)。对照组采用常规护理;观察组在此基础上进行团体辅导干预。采用癌症患者预期性悲伤评估量表和自主参与问卷评估干预效果。结果干预后1个月及3个月,两组预期性悲伤得分均明显降低,且观察组低于对照组,差异有统计学意义(P<0.05);但两组患者自主参与问卷得分比较,差异均无统计学意义(P>0.05)。结论团体辅导能够减缓乳腺癌患者的预期性悲伤程度,但对于社会参与水平的影响还需进一步研究。

Objective To explore the eff ect of group counseling on the expected grief and social participation level of young and middle-aged breast cancer patients to provide a basis for clinical intervention.Methods A total of 87 young and middle-aged breast cancer patients who were hospitalized in two wards of the breast department of the hospital from June 2019 to May 2020 were selected as the study objects.The fi rst ward was used as an observation group(44 cases),and the second ward was a control group(43 cases).The control group used routine nursing care,and the observation group carried out group counseling intervention on this basis.The anticipatory sadness assessment scale for cancer patients and the autonomous participation questionnaire were used to evaluate the intervention eff ect.Results At 1 month and 3 months after the intervention,the anticipatory sadness scores of the two groups were signifi cantly reduced,and the observation group was lower than the control group,and the diff erence was statistically signifi cant(P<0.05).There was no statistically significant difference in the scores of autonomous participation questionnaire between the two groups(P>0.05).Conclusion The application of group counseling can alleviate the anticipatory sadness of breast cancer patients,but its impact on the level of social participation needs further research.