情绪弹性团体训练对食管癌化疗患者心境状态、应对方式和生活质量的影响

Effect of emotional resilience group training on mood state, coping style, and quality of life in patients with esophageal cancer undergoing chemotherapy

目的探讨情绪弹性团体训练对食管癌化疗患者心境状态、应对方式和生活质量的影响。方法采用随机数字表法将140例食管癌患者分为对照组和观察组,每组70例。两组患者均接受化疗和常规治疗,对照组患者给予常规护理,观察组患者在对照组的基础上进行情绪弹性团体训练。比较两组患者的心境状态[简式心境量表(POMS-SF)]、应对方式[医学应对问卷(MCMQ)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTCQLQ-C30)]及满意度。结果干预后,观察组患者POMS-SF中的紧张-焦虑(POMST)、抑郁-沮丧(POMSD)、愤怒-敌意(AHPOM)、疲乏-迟钝(POMSF)、迷惑-混乱(POMSC)评分均明显低于对照组,精力-活力(POMSV)评分明显高于对照组,差异均有统计学意义(P﹤0.01)。干预后,观察组患者面对评分明显高于对照组,屈服、回避评分均明显低于对照组,差异均有统计学意义(P﹤0.01)。干预后,观察组患者躯体功能、角色功能、情绪功能、社会功能、认知功能评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的满意度为97.14%,明显高于对照组的77.14%,差异有统计学意义(P﹤0.01)。结论情绪弹性团体训练可明显改善食管癌化疗患者的心理状态,提高患者的治疗积极性、生活质量和满意度。

Objective To investigate the effect of emotional resilience group training on mood state, coping style, and quality of life in patients with esophageal cancer undergoing chemotherapy. Method A total of 140 patients with esophageal cancer were divided into control group and observation group by the random number table method, with 70 cases in each group. Patients in both groups received chemotherapy and routine treatment, while the control group received routine nursing care, and the observation group received emotional resilience group training based on the control group. The mood state [profile of mood states-short form(POMS-SF)], coping style [medical coping modes questionnaire(MCMQ)],quality of life [Europran Organization for Research and Treatment of Cancer quality of life questionnaire-core 30(EORTC QLQ-C30)] and satisfaction of the two groups were compared. Result After the intervention, the scores of tension-anxiety(POMST), depression-dejection(POMSD), anger-hostility(AHPOM), fatigue-inertia(POMSF), and confusion-bewilderment(POMSC) in POMS-SF of the observation group were significantly lower than those in the control group, while the score of energy-vitality(POMSV) was significantly higher than that in the control group, and the differences were statistically significant(P<0.01). After the intervention, the facing score of the observation group was significantly higher than that of the control group, the yield and avoidance scores were significantly lower than those of the control group, and the differences were statistically significant(P<0.01). After the intervention, the scores of physical function, role function, emotional function, social function, and cognitive function in the observation group were significantly higher than those in the control group, and the differences were statistically significant(P<0.05). The satisfaction rate of patients in the observation group was 97.14%, which was higher than 77.14% in the control group, and the difference was statistically significant(P<0.01). Conclusion The application of emotional resilience group training can significantly improve the mood state of patients with esophageal cancer undergoing chemotherapy, and improve their treatment enthusiasm, quality of life, and satisfaction.