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认知行为干预联合支持性心理治疗对声带息肉摘除术患者焦虑抑郁水平、应对方式及生活质量的影响 被引量:2

Effects of cognitive behavioral intervention combined with supportive psychotherapy on anxiety, depression,coping styles and quality of life in patients with vocal cord polypectomy
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摘要 目的:探讨认知行为干预(CBI)联合支持性心理治疗(SP)对声带息肉摘除术患者焦虑抑郁水平、应对方式及生活质量的影响。方法:将我院190例择期行声带息肉摘除术患者随机等分为联合组和对照组,对照组围术期给予常规干预,联合组在常规干预的基础上给予CBI联合SP,比较两组患者心理健康状态、焦虑抑郁水平、应对方式和生活质量的变化。结果:干预后,联合组强迫症、人际关系、焦虑、躯体化、偏执、敌对、恐怖、抑郁、精神病性评分均低于对照组(t=-2.52,-2.66,-3.03,-3.27,-3.17,-3.14,-2.31,-3.38,-2.64;P<0.05),联合组汉密尔顿焦虑量表(HAMA-14)评分(t=-4.81,P<0.05)、汉密尔顿抑郁量表(HAMD-17)评分(t=-3.58,P<0.05)显著低于对照组,联合组积极应对评分(t=2.38,P<0.05)、消极应对评分(t=3.35,P<0.05)优于对照组;术后3个月,联合组饮食、睡眠、情绪状态、精神状态和日常生活评分均高于对照组(t=6.42,6.09,6.23,7.71,5.07;P<0.05)。结论:CBI联合SP可有效改善声带息肉摘除术患者心理健康状态和应对方式,缓解或消除焦虑、抑郁,提升生活质量。 Objective:To explore the effects of cognitive behavioral intervention(CBI)combined with supportive psychotherapy(SP)on anxiety,depression,coping styles and quality of life in patients with vocal cord polypectomy.Methods:A total of 190 cases of patients with elective vocal cord polypectomy in our hospital were randomly divided into combined group and control group.Control group was given routine intervene during perioperative period,and combined group was given CBI combined with SP on the basis of routine intervene.The mental health status,anxiety and depression level,coping styles and quality of life were compared between the two groups.Results:After intervention,the scores of obsessive-compulsive disorder,interpersonal relationship,anxiety,somatization,paranoid,hostility,horror,depression and psychoticism in combined group were all lower than those in control group(t=-2.52,-2.66,-3.03,-3.17,-3.14,-2.31,-3.38,-2.64;P<0.05),and the scores of HAMA-14(Hamilton Depression Rating Scale)(t=-4.81,P<0.05)and the HAMD-17(t=-3.58,P<0.05)were significantly lower than those in control group,and the scores of positive coping style(t=-3.62,P<0.05)and negative coping style(t=-3.36,P<0.05)were better than those in control group.The scores of diet(t=6.42,P<0.05),sleep,emotional status,mental status and daily life in combined group were higher than those in control group at 3 months after operation(t=6.42,6.09,6.23,7.71,5.07;P<0.05).Conclusion:CBI combined with SP can effectively improve the mental health status and coping styles,relieve or eliminate anxiety and depression,and improve the quality of life in the treatment of patients with vocal cord polypectomy.
作者 陈胜燕 姜叶 CHEN Shengyan;JIANG Ye(Taihe Hospital of Shiyan City,Shiyan 442000,China)
出处 《中国健康心理学杂志》 2019年第9期1390-1394,共5页 China Journal of Health Psychology
基金 湖北省自然科学基金(编号:2015CKC742)
关键词 认知行为干预 支持性心理治疗 声带息肉摘除 焦虑抑郁 应对方式 生活质量 Cognitive behavioral intervention Supportive psychotherapy Vocal cord polypectomy Anxiety and depression Coping styles Quality of life
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