以同感心理论为指导的心理干预对乳腺癌手术患者述情障碍及创伤后成长的影响

Effect of empathy theory guided psychological intervention on alexithymia and post-traumatic growth in patients undergoing breast cancer surgery

目的探讨以同感心理论为指导的心理干预对乳腺癌手术患者述情障碍及创伤后成长的影响。方法将210例行乳腺癌根治术患者依据入院时间顺序分为研究组和对照组,各105例。对照组给予常规干预,研究组给予以同感心理论为指导的心理干预。干预前后比较两组患者医学应对方式问卷、多伦多述情障碍量表、简体中文版创伤后成长评定量表、自测健康评定量表评分情况、患者疾病相关知识掌握度及干预满意度。结果干预后研究组患者的多伦多述情障碍量表各维度评分,医学应对方式问卷回避、屈服维度评分均低于对照组;医学应对方式问卷面对维度评分,简体中文版创伤后成长评定量表各维度评分,自测健康评定量表社会支持、角色活动与社会适应、日常生活功能、正向情绪、心理症状与负向情绪、社会资源与社会接触、认知功能、健康总体自测等维度评分均高于对照组,差异均有统计学意义,(P<0.01)。干预后研究组患者健康知识掌握度、干预满意度高于对照组(94.29%vs.85.71%、95.24%vs.87.62%,P<0.05)。结论以同感心理论为指导的心理干预应用于乳腺癌手术患者,可提高其健康知识掌握度及创伤成长水平,降低患者述情障碍程度,改善应对方式,并提高干预满意度。

Objective To explore the effect of empathy theory guided psychological intervention on alexithymia and post-traumatic growth in patients undergoing radical mastectomy.Methods A total of 210 patients undergoing radical mastectomy were divided into research and control group according to admission sequence,with 105 cases in each group.Control group received routine intervention and research did empathy theory guided psychological intervention.Such indexes were compared between two groups as scores on the Medical Copying Modes Questionnaire(MCMQ),Toronto Alexithymia Scale(TAS),Chinese Posttraumatic Growth Inventory(C-PTGI)and Serf-rated Health Measurement Scale Version 1.0(SRHMSV 1.0)a s well as patients'mastery of disease related knowledge and satisfaction with intervention before and after intervention.Results After intervention scores on each dimension of the TAS and on the avoidance and resignation of the MCMQ were lower in research than those control group;scores on the confronce of the MCMQ and each dimension of the C-PTGI as well as social support,role activities and social adaptation,activities of daily living,psychological symptoms and negative emotions,social resources and social contact,cognitive function,and overall self-assessment of health of the SRHMSV 1.0 were higher in research than control group,differences were statistically significant(P<0.01).The mastery of health knowledge and satisfaction with intervention were higher in research than control group(94.29%vs 85.71%,-95.24%vs 87.62%,P<0.05).Conclusion Empathy theory guided psychological intervention could improve the mastery of health knowledge and post-traumatic growth levels of patients undergoing radical mastectomy,alleviate patients,alexithymia,and improve coping styles and satisfaction with intervention.