辨证行为疗法对口腔鳞癌术后患者创伤后成长和心理状态的影响

Effect of dialectical behavior therapy on post-traumatic growth and psychological status of patients with oral squamous cell carcinoma after surgery

目的:探究辩证行为疗法(DBT)对口腔鳞癌术后患者创伤后成长和心理状态的影响。方法:口腔鳞癌患者130例,按干预方式分为对照组(n=65)及观察组(n=65)。对照组行常规干预,观察组在常规干预基础上增加DBT。比较两组干预前后创伤后成长评定量表(PTGI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)及Herth希望量表(HHI)评分。结果:干预后,与对照组相比,观察组PTGI中个人力量、人际关系、精神变化、欣赏生活、新的可能评分均增高(P<0.05),SAS、SDS评分均降低(P<0.05),HHI中积极态度、采取积极行动、保持亲密关系评分均增高(P<0.05)。结论:DBT可有效促进口腔鳞癌术后患者创伤后心理正性成长,改善心理状态,提高希望水平。

Objective:To explore the effect of dialectical behavior therapy(DBT) on post-traumatic growth and psychological status of patients with oral squamous cell carcinoma after surgery.Methods:130 patients with oral squamous cell carcinoma were selected, according to the intervention methods, they were divided into control group(n=65) and observation group(n=65).The control group received routine intervention, and the observation group added DBT on the basis of routine intervention.The scores of posttraumatic growth inventory(PTGI),self-rating anxiety ssale(SAS),self-rating depression scale(SDS) and Herth Hope Scale(HHI) before and after intervention were compared between the two groups.Results: After intervention, compared with the control group, observation group’s scores of personal strength, interpersonal relationship, mental change, appreciation of life and new possibilities in PTGI were significantly higher(P<0.05),and the scores of SAS and SDS were significantly lower(P<0.05),the scores of positive attitude, positive action, close relations in the HHI were significantly higher(P<0.05).Conclusion:DBT can effectively promote the postoperative psychological positive growth of patients with oral squamous cell carcinoma, improve the psychological state and hope level.