配偶同步认知疗法对晚期恶性肿瘤患者心理状况的影响

Effects of cognitive-behavioral conjoint therapy on the psychological status in patients with advanced cancer

目的探讨配偶同步认知疗法对晚期恶性肿瘤患者心理状况的影响。方法选取2020年1月至2020年12月青岛市中心医院收治的245例晚期恶性肿瘤患者,采用随机数表法将患者分为观察组和对照组,观察组123例,对照组122例。对照组患者采用常规护理干预,观察组患者采用配偶同步认知疗法进行护理干预,比较两组患者治疗前后焦虑抑郁及希望水平等指标。结果干预前,两组患者焦虑自评量表(SAS)和抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05)。干预后,两组患者SAS、SDS评分均有所改善,观察组治疗后SAS评分为(38.66±7.02)分,低于对照组的(49.62±6.55)分;观察组治疗后SAS评分为(39.71±6.03)分,低于对照组的(50.67±5.88)分,差异均有统计学意义(均P<0.05)。治疗前两组患者希望水平比较,差异无统计学意义(P>0.05),治疗后,两组患者希望水平均有所改善,观察组改善更为显著,差异均有统计学意义(均P<0.05)。结论使用配偶同步认知疗法对晚期恶性肿瘤患者心理状况进行干预。患者焦虑抑郁等负性情绪有所改善,患者希望水平提高,值得临床推广。

Objective To explore the effects of cognitive-behavioral conjoint therapy on the psychological status of patients with advanced cancer. Methods A total of 245 patients with advanced cancer admitted to Qingdao Central Hospital were selected from January 2020 to December 2020. They were divided into an observation group( 123 patients) and a control group( 122 patients) using random number table method. The observation group received nursing based on cognitive-behavioral conjoint therapy and the control group received conventional nursing. The anxiety,depression and hope levels were compared between the two groups before and after treatment. Results The difference in self-rating anxiety scale( SAS) and self-rating depression scale( SDS) scores was not statistically significant between the two groups before intervention( P > 0. 05). After the intervention,the SAS and SDS scores were improved in the two groups.The SAS score of the observation group was 38. 66 ± 7. 02 after the treatment,which was lower than49. 62 ± 6. 55 of the control group and SAS score was 39. 71 ± 6. 03,which was lower than 50. 67 ± 5. 88 of the control group( all P< 0. 05). Before the treatment,the difference in hope level between the two groups of patients was not statistically significant( P > 0. 05). After the treatment,the hope level was improved in the two groups,and the improvement was more significant in the observation group( all P< 0. 05).Conclusion Cognitive-behavioral conjoint therapy can relieve negative emotions such as anxiety and depression and the level of hope in patients with advanced cancer. It is worthy of clinical promotion.