合理情绪疗法对前列腺癌术后患者情绪、自我压力与负担、压力应对方式及生活质量的影响

Effect of rational-emotive therapy on emotion,self-stress and burden,stress coping style and quality of life in patients with prostate cancer after operation

目的探讨合理情绪疗法对前列腺癌术后患者情绪、自我压力与负担、压力应对方式和生活质量的影响。方法将120例前列腺癌患者按随机数字表法分为观察组和对照组,每组60例。对照组采用常规模式干预,观察组应用合理情绪疗法干预,比较两组患者干预前后情绪、自我压力与负担、压力应对方式及生活质量。结果干预后,观察组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)、癌症行为量表(CBI)、自我感受负担量表(SPBS-CP)评分均低于对照组,简易应对方式量表(SCSQ)中积极应对评分高于对照组、消极应对评分低于对照组,生活质量综合评定问卷(GQOLI-74)各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者并发症总发生率低于对照组,差异有统计学意义(P﹤0.05)。两组随访期间病死率比较,差异无统计学意义(P﹥0.05)。结论前列腺癌术后患者应用合理情绪疗法干预,可以有效缓解患者的心理压力,降低负性情绪,使患者能积极应对自身疾病,促进患者生活质量的提高。

Objective To explore effect of rational-emotive therapy on emotion,self-stress and burden,stress coping style and quality of life in patients with prostate cancer after operation.Method A total of 120 patients with prostate can-cer were randomly divided into observation group and control group,60 cases in each group.The control group was treat-ed with routine mode,the observation group was treated with rational-emotive therapy.The scores of mood,self-stress and burden,stress coping style and quality of life of the two groups were observed before and after intervention.Result After intervention,the scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),cancer behavior inven-tory(CBI)and self-perceived burden scale for cancer patients(SPBS-CP)in the observation group were lower than those in the control group,the positive coping score of the simplified coping styles questionnaire(SCSQ)in the observation group was higher than that in control group,and the negative coping score was lower than that in control group,the scores of all dimensions in the generic quality of life inventory-74(GQOLI-74)of the observation group were higher than those in control group,the differences were statistically significant(P<0.05).The total incidence of complications in the obser-vation group was lower than that in the control group(P<0.05).There was no significant difference in mortality between the two groups during the follow-up period(P>0.05).Conclusion Rational-emotive therapy in prostate cancer patients after operation can effectively relieve the psychological pressure,reduce negative emotions,improve the quality of life and the patients can respond actively to their own disease.