积极心理暗示与情绪释放疗法对乳腺癌化疗患者心理痛苦及癌因性疲乏的影响

Effects of positive psychological suggestion and emotional release therapy on psychological distress and cancer-related fatigue in patients with breast cancer undergoing chemotherapy

缪世茜 ¹卢怡 ¹余书蓉 ¹王小为 ¹谭琳¹

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作者信息

1. 德阳市人民医院乳腺外科,四川德阳 618000
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摘要

目的分析积极心理暗示与情绪释放疗法对乳腺癌化疗患者心理痛苦及癌因性疲乏的影响.方法 110例乳腺癌化疗患者根据不同护理方案分为观察组(情绪释放疗法,n=64)和对照组(积极心理暗示,n=64),于干预前及干预后3个月时,采用焦虑抑郁量表(HADS)评估两组患者的不良情绪、匹兹堡睡眠质量指数(PSQI)评估睡眠质量、心理痛苦温度计(DT)评估心理痛苦程度、疲乏评估量表(PFS)评估癌因性疲乏、Herth希望量表(HHI)评估希望水平,比较两组患者治疗期间的疾病控制率.结果干预后,观察组HADS(焦虑、抑郁)评分低于对照组,差异有统计学意义(P<0.05);观察组DT评估为无者9例(14.06％)、极度0例(0.00％),对照组DT为无者1例(2.17％)、极度5例(10.87％),两组比较差异有统计学意义(P<0.05);观察组PFS(行为、情感、感知、认知)评分、PSQI评分均低于对照组,HHI评分高于对照组,差异有统计学意义(P<0.05);观察组疾病控制率高于对照组,差异有统计学意义(P<0.05).结论情绪释放疗法较积极心理暗示更有效地改善乳腺癌患者情绪、心理疼痛、希望水平及睡眠质量,有利于提升化疗效果与改善预后.

Abstract

Objective To analyze the effects of positive psychological suggestion and emotional release therapy on psychological distress and cancer-related fatigue in patients with breast cancer undergoing chemotherapy were analyzed. Methods A total of 110 patients with breast cancer undergoing chemotherapy were divided into observation group (emotional release therapy,n=64) and control group ( positive psychological suggestion,n=64 ) according to different nursing programs. Before and at 3 months after the intervention,hospital anxiety and depression Scale ( HADS) was used to evaluate the adverse mood of two groups,and Pittsburgh Sleep Quality Index ( PSQI) was used to evaluate the sleep quality. Psychological distress thermometer ( DT) was applied to evaluate the degree of psychological distress,and piper fatigue scale ( PFS ) was used to assess cancer-related fatigue. Herth Hope Index ( HHI ) was applied to evaluate the hope. Disease control rates were compared between two groups of patients during treatment. Results After the intervention,HADS (anxiety,depression) score of observation group was lower than that of control group (P<0.05). There were statistically significant differences in observation group versus control group:the patients without DT (9 versus 1,14. 06％ versus 2,17％) and the patients with extreme DT (0 versus 5,0.00％ versus 2.17％;P<0.05). PFS (behavior,emotion,perception,cognition) scores and PSQI scores of observation group were lower than those of control group,while HHI score was higher than that of control group ( P<0.05 ).The disease control rate of observation group was higher than that of control group (P<0.05). Conclusion Emotional release therapy is more effective than positive psychological suggestion in improving mood,psychological distress,hope and sleep quality of the patients with breast cancer,which is conducive to enhancing chemotherapy effect and improving prognosis.

关键词

积极心理暗示/情绪释放疗法/乳腺癌化疗/癌因性疲乏

Key words

positive psychological suggestion/emotional release therapy/breast cancer chemotherapy/cancer-related fatigue

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基金项目

四川省卫生健康委员会医学科技项目(21PJ172)

出版年

2024

贵州医科大学学报

贵阳医学院

贵州医科大学学报

CSTPCD

影响因子：0.827

ISSN：2096-8388

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