团体心理干预模式对晚期癌症患者主要家庭照顾者的影响

Effect of group psychological intervention mode on primary family caregivers of advanced cancer patients

目的探讨团体心理干预模式对晚期癌症患者主要家庭照顾者的影响。方法选取2018年5月—2019年5月在河南省人民医院住院治疗的晚期癌症患者主要家庭照顾者62名为研究对象,按照组间基本特征均衡可比的原则分为观察组和对照组,各31名。对照组给予科室常规日常健康教育,观察组在常规健康教育基础上实施团体心理干预6周,每周1次,时间为90~120 min。干预前和干预后对主要照顾者分别采用癌症照顾者社会支持量表、Herth希望指数量表、焦虑自评量表(SAS)和抑郁自评量表(SDS)进行评价,比较两组社会支持量表、Herth希望指数量表、SAS和SDS量表评分差异。结果实施团体心理干预前,观察组和对照组社会支持量表、Herth希望指数量表、SAS和SDS得分比较,差异无统计学意义(P>0.05);实施团体心理干预后,观察组社会支持量表、希望指数量表、SAS和SDA评分均优于对照组,差异有统计学意义(P<0.05)。结论团体心理干预模式可减少晚期癌症患者主要照顾者不良情绪,提高照顾者对生活的积极态度和信念。

Objective To explore the effect of group psychological intervention mode on primary family caregivers of advanced cancer patients.Methods To select 62 main family caregivers of patients with advanced cancer who were hospitalized in Henan Provincial People’s Hospital from May 2018 to May 2019 as the study subjects.According to the principle of balance and comparability of basic characteristics between groups,they were divided into an observation group and a control group,with 31 cases in each group.The control group was given routine daily health education in the department,and the observation group was given group psychological intervention on the basis of routine health education for 6 weeks,once a week,for 90-120 min.The primary caregivers were evaluated with the cancer caregiver social support scale,Herth hope index scale,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)before and after the intervention,and the differences in the scores of the social support scale,Herth hope index scale,SAS and SDS were compared between the two groups.Results Before the group psychological intervention,there was no significant difference in the scores of social support scale,Herth hope index scale,SAS and SDS between the two groups(P>0.05).After the group psychological intervention,the scores of social support scale,Herth hope index scale,SAS and SDS of the observation group were better than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The group psychological intervention model can reduce the negative emotions of the main caregivers of advanced cancer patients,and improve the caregivers’positive attitude and belief in life.