时间观疗法对乳腺癌术后化疗患者创伤后成长及焦虑抑郁的影响

Effects of time perspective therapy on post-traumatic growth,anxiety and depression in breast cancer patients after chemotherapy

目的评价时间观疗法对乳腺癌术后化疗患者创伤后成长及焦虑抑郁的影响效果。方法采用便利抽样方法,选择2020年4月至8月在某三级甲等综合医院普外科住院的47例乳腺癌术后化疗患者设为对照组,通过视频、音频等形式对患者进行健康知识宣教,干预时间3个月,对照组干预结束后,间隔1个月时间,2021年1月至5月选择在同一家医院同一科室住院的45例乳腺癌术后化疗患者设为观察组,在对照组基础上给予时间观疗法干预,干预时间3个月。干预前后分别对两组患者创伤后成长、焦虑抑郁和时间观进行评价。结果干预后,观察组患者创伤后成长得分及时间观中的过去积极、未来维度得分均高于对照组(P<0.05),时间观中的过去消极维度得分及焦虑抑郁程度低于对照组(P<0.01)。结论时间观疗法可促进乳腺癌术后化疗患者创伤后成长、帮助其重建平衡的时间观和减轻焦虑及抑郁程度。

Objective To evaluate the effect of time perspective theory on post-traumatic growth,anxiety and depression in breast cancer patients after chemotherapy.Methods Convenience sampling method was adopted.47 patients who were hospitalized in the Department of General Surgery in a GradeⅢClass A general hospital from April to August 2020 were selected as the control group,and health knowledge education was given to the patients through video,audio and other forms,and the intervention time was 3 months.After the intervention of the control group,45 patients with breast cancer who were hospitalized in the general surgery department of the hospital from January to May 2021 were selected as the observation group,and on the basis of the control group,the intervention time was given for 3 months.Post-traumatic growth,anxiety and depression and time perspective were evaluated before and after the intervention.Result After intervention,scores of past negative,past positive,future dimensions and post-traumatic growth dimensions in the observation group were significantly higher than those of the control group(P<0.05),while the scores of past negative dimension and anxiety and depression were lower than those in control group(P<0.01).Conclusion Time perspective theory can promote their posttraumatic growth,reduce anxiety depression and help patients reestablish a balanced time perspective.