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团体认知干预对恶性肿瘤终末期伴抑郁患者的效果

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目的 探讨恶性肿瘤终末期伴抑郁患者开展团体认知干预对其心理情绪、心理韧性的影响.方法 于2021年1月~2022年12月采集病例资料入档,对象为已收治的恶性肿瘤终末期伴抑郁患者,共计纳入83例,纳入对象基于"随机数字表法"分组,划分为对照组(纳入41例,开展常规干预)与观察组(纳入42例,开展团体认知干预);观察对比两组抑郁程度、心理韧性、应对方式、生存质量.结果 干预后,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均有不同程度降幅,且观察组降幅较对照组大(P<0.05);干预后,两组心理弹性量表(CD-RISC)评分均升高,其中观察组更高(P<0.05);干预后两组应对方式均发生明显改善,观察组屈服、回避评分低于对照组,面对评分高于对照组(P<0.05);干预后,两组健康领域状态、功能领域评分均高于同组干预前,症状领域、单一项目评分均低于同组干预前,且观察组各项评分优于对照组(P<0.05).结论 恶性肿瘤终末期伴抑郁患者开展团体认知干预,可有效改善患者焦虑抑郁状态,提高心理韧性,提高睡眠质量.
The effect of group cognitive intervention on end-stage malignant tumor patients with depression
Objective To explore the influence of group cognitive intervention on the psychological emotion and psychological resilience in End-stage malignant tumor patients with depression.Method Case data were collected from January 2021 to December 2022 and included in the file.The subjects were malignant tumors patients at end stage who were admitted to the hospital.A total of 83 cases were included,and the participants were divided into a control group(41 cases included,with routine intervention)and an observation group(42 cases included,with group cog-nitive intervention)based on the"random number table method".The depression degree,psychological resilience,coping style and quality of life of the two groups were observed and compared.Results After intervention,the scores of the Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)in both groups decreased to varying degrees,and the observed group showed a greater decrease than the control group(P<0.05).After intervention,the scores of the psychological resilience scale(CD-RISC)increased in both groups,with the observation group having a higher score(P<0.05).After intervention,both groups showed significant improvement in coping styles.The observa-tion group had lower scores for submission and avoidance than the control group,while the face to face score was higher than the control group(P<0.05).After intervention,the scores of health status and functional areas in both groups were higher than before the same group intervention,while the scores of symptom areas and single items were lower than before the same group intervention.Moreover,the scores of the observation group were better than those of the control group(P<0.05).Conclusion Group cognitive intervention in malignant tumors patients at end stage can effectively improve their anxiety and depression,enhance psychological resilience,improve their sleep quality.

Group cognitive interventionMalignant tumorsEnd stageDepression

苗笛、王红、彭娜

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北京市隆福医院康复科(北京,102218)

团体认知干预 恶性肿瘤 终末期 抑郁

北京市东城区卫生科技计划项目

[2021]-8

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(5)