书写表达联合家属情感支持对结肠癌晚期患者知觉压力、抑郁情绪和睡眠质量的影响

Effect Observation of Written Expression and Emotional Support of Family Members on Perceived Stress,Depression and Sleep Quality in Patients with Advanced Colon Cancer

目的:探讨书写表达联合家属情感支持对改善结肠癌晚期患者知觉压力、抑郁情绪和睡眠质量的效果。方法:选取结肠癌晚期患者86例,按随机数字表法分为试验组和对照组各43例。对照组采用常规健康宣教和心理护理,试验组在对照组基础上进行书写表达联合家属情感支持法干预。在干预前后分别应用知觉压力量表(CPSS)、流调中心抑郁问卷(CES-D)和匹兹堡睡眠质量指数(PSQI)评价干预效果。结果:干预前,2组CPSS、CES-D、PSQI得分比较,差异均无统计学意义(P> 0.05)。干预后,试验组的CPSS、CES-D、PSQI得分明显低于干预前和对照组,差异均有统计学意义(P <0.05)。结论:书写表达联合家属情感支持可减轻结肠癌晚期患者的知觉压力,缓解其抑郁情绪,并改善其睡眠质量,具有良好的临床应用价值。

Objective:To investigate the effect of written expression combined with emotional support of family members on the improvement of perceived stress,depression and sleep quality in patients with advanced colon cancer.Methods:A total of 86 cases of patients with advanced colon cancer were selected and divided into the experiment group and the control group according to random number table method,43 cases in each group.The control group adopted routine health education and psychological care,and the experiment group was additionally intervened with written expression combined with emotional support of family members based on the treatment of the control group.Before and after the intervention,Chinese Perceived Stress Scale(CPSS),Center for Epidemiological Survey(CES-D)and Pittsburgh sleep quality index(PSQI)were used to evaluate the effect of the intervention.Results:Before intervention,there was no statistically significant difference in the comparison of scores of CPSS,CES-D and PSQI between the two groups(P>0.05).After intervention,the scores of CPSS,CES-D and PSQI in the experiment group were significantly lower than those before intervention and those in the control group,differences being significant(P<0.05).Conclusion:The therapy of written expression combined with emotional support from family members can reduce the perceived stress,relieve depression and improve sleep quality in patients with advanced colon cancer,which has significant clinical value.