引导想象放松训练对晚期子宫内膜癌患者幸福感和心理弹性的影响

Effect of guided imagination relaxation training on happiness and resilience of patients with advanced endometrial cancer

目的:探究引导想象放松训练对晚期子宫内膜癌患者幸福感和心理弹性的影响。方法:选取2018年1月至2020年1月某院收治的150例晚期子宫内膜癌患者作为研究对象,按照入院时的顺序进行编号,根据单双数不同分为两组,观察组和对照组各75例,对照组患者采用常规治疗,观察组患者在对照组患者基础上给予引导想象放松训练干预,比较两组患者的总体幸福感量表(GWS)评分,心理弹性量表(CD-RISC)评分,简易应对方式问卷(SCSQ)评分以及满意度情况。结果:干预4周后,观察组患者GWS中对生活的满足和兴趣、忧郁或愉快心境、精力、对健康的担忧、对情感和行为的控制、松弛和紧张等6个维度的评分均高于对照组(t=9.537,6.593,7.172,7.787,9.116,8.504;P<0.05);观察组患者CD-RISC中力量性、坚韧性、乐观性等3个维度的评分均高于对照组(t=5.386,6.259,7.116;P<0.05);观察组患者SCSQ中积极应对评分高于对照组(t=18.274,P<0.05),消极应对评分低于对照组(t=15.611,P<0.05);观察组患者满意度高于对照组(Z=2.383,P<0.05)。结论:引导想象放松训练能提高晚期子宫内膜癌患者幸福感,心理弹性,积极应对方式以及满意度,降低患者的消极应对方式。

Objective:To explore the effect of guided imagination relaxation training on happiness and resilience of patients with advanced endometrial cancer.Methods:A total of 150 patients with advanced endometrial cancer admitted to our hospital from January 2018 to January 2020 were selected as the research objects,numbered according to the order of admission,and divided into two groups according to the difference of single and double numbers.Patients in the observation group received conventional treatment,while patients in the observation group received guided imagination relaxation training intervention on the basis of patients in the control group.The scores of General Happiness Scale(GWS)and Mental Elasticity Scale(CD-RISC)of the two groups were compared.Results:After 4 weeks of intervention,the scores of satisfaction and interest in life,melancholy or happy mood,energy,worry about health,control of emotion and behavior,relaxation and tension in GWS of patients in observation group were higher than those in control group(t=9.537,6.593,7.172,7.787,9.116,8.504;P<0.05).The scores of strength,tenacity and optimism in CD-RISC of patients in observation group were higher than those in control group(t=5.386,6.259,7.116;P<0.05).In SCSQ,the scores of positive coping in observation group were higher than those in control group(t=18.274,P<0.05),while the scores of negative coping were lower than those in control group(t=15.611,P<0.05).Patients’satisfaction in the observation group was higher than that in the control group(Z=2.383,P<0.05).Conclusion:Guided imagination relaxation training can improve the happiness,resilience,positive coping style and satisfaction of patients with advanced endometrial cancer,and reduce the negative coping style of patients.