基于中医情志理论干预对年轻癌症患者焦虑抑郁状态的影响

Effects of emotional intervention based on traditional Chinese medicine theory on anxiety and depression symptoms in young patients with cancers

目的观察基于中医情志理论干预对年轻癌症患者焦虑抑郁状态的影响。方法选取2021年8月至2022年8月收治的年轻癌症患者70例作为研究对象,按照随机数字表法分为2组,对照组35例予常规心理干预,治疗组35例在对照组基础上加基于中医情志理论干预。2组均干预治疗4周。比较2组治疗前后焦虑抑郁状态变化情况,焦虑状态采用汉密尔顿焦虑量表(HAMA)进行评价,抑郁状态采用Beck抑郁问卷(BDI)进行评价;比较2组治疗前后心理弹性量表(CD-RISC)评分和护患信任度量表评分情况。结果与本组治疗前比较,2组治疗后HAMA评分及BDI评分均降低(P<0.05),且治疗组治疗后HAMA评分及BDI评分均低于对照组(P<0.05)。与本组治疗前比较,2组治疗后CD-RISC接受变化、精神影响、忍受消极情感、控制、能力评分及总分均升高(P<0.05),且治疗组治疗后CD-RISC接受变化、精神影响、忍受消极情感、控制、能力评分及总分均高于对照组(P<0.05)。与本组治疗前比较,2组治疗后护患信任度量表态度和关怀、能力和安全感评分及总分均升高(P<0.05),且治疗组治疗后护患信任度量表态度和关怀、能力和安全感评分及总分均高于对照组(P<0.05)。结论基于中医情志理论治疗干预年轻癌症患者可有效改善患者焦虑抑郁状态,提高患者心理适应能力,改善医患关系,提高相互之间信任度,帮助患者以积极乐观的态度面对疾病。

Objective To explore the effects of emotional intervention based on traditional Chinese medicine(TCM)theory on anxiety and depression symptoms in young patients with cancers.Methods A total of 70 young inpatients with cancers in our hospital from August 2021 to August 2022 were selected and randomized 1:1 to receive routine psychological intervention(the control group)or emotional intervention based on TCM theory(the treatment group),and the intervention outcomes of the two groups were calculated after 4 weeks,aiming to compare the changes in anxiety and depression symptoms(evaluated by the Hamilton Anxiety Scale[HAMA]and the Beck Depression Inventory[BDI],respectively),the Connor-Davidson Resilience Scale([CD-RISC],scaled by five factors:positive acceptance of change,spiritual influences,tolerance of negative affect,control,and competence),and the Trust in Nurse Scale scores(scaled by 6 items and 2 factors,including attitude and care,competency and security)before and after intervention.Results After treatment,HAMA and BDI scores in the both groups were decreased(P<0.05),which decreased notably in the treatment group compared with the control group(P<0.05).The five factors and total scores of CD-RISC in the both groups were increased(P<0.05),the increase in the treatment group was more common than the control group(P<0.05).The two factors and total scores on the Trust in Nurse Scale in the both groups were increased(P<0.05),the increase in the treatment group was more prevalent compared with the control group(P<0.05).Conclusion The emotional intervention based on TCM theory in the clinical care of young patients with cancers has definite effectiveness,effectively alleviates the patients'anxiety and depression symptoms,improves the patients'mental adaptive abilities,enhances the degree of trust between nurses and patients,and helps the patients facing the diseases positively and optimistically.