摘要
目的 探讨支持-表达性团体心理干预对肿瘤放疗患者复发恐惧的影响.方法 采用便利抽样法,选取2022年9月-2023年2月上海市质子重离子医院的72例住院肿瘤患者,按照随机数字表法将其分为干预组及对照组,各36例.对照组给予常规护理,干预组实施支持-表达性团体心理干预.采用癌症患者恐惧疾病进展简化量表、癌症患者生命意义感量表以及领悟社会支持量表比较两组患者干预前后的复发恐惧、生命意义感以及领悟社会支持评分.结果 共脱落7例.最终干预组33例、对照组32例完成研究.干预前,两组患者的一般资料、复发恐惧、生命意义感以及领悟社会支持水平评分比较,差异均无统计学意义(P＞0.05).支持-表达性团体心理干预后,干预组的癌症复发恐惧总分、生理健康维度及社会家庭维度得分分别为(30.42±8.31)、(15.58±4.12)、(14.82±4.83)分,均低于对照组的(36.19±5.64)、(18.84±3.48)、(17.09±3.27)分,差异均有统计学意义(t 值分别为-3.260、-3.446、-2.216,P＜0.05).干预后,干预组的生命意义感总分为(63.42±6.37)分,高于对照组的(54.91±6.53)分,差异有统计学意义(t=5.325,P＜0.05).干预后,干预组的领悟社会支持得分为(67.64±7.93)分,高于对照组的(62.38±10.25)分,差异有统计学意义(t=2.318,P＜0.05).另外,干预组干预后的复发恐惧水平低于干预前,生命意义感及领悟社会支持水平高于干预前,差异均有统计学意义(P＜0.05).结论 支持-表达性团体心理干预能帮助肿瘤患者处理所面临的生存、情感及人际关系问题,减轻患者对复发的恐惧,提高患者生命意义感及领悟社会支持水平.
Abstract
Objective To explore the effect of supportive-expressive group psychological intervention on the fear of recurrence in cancer patients receiving radiotherapy.Methods From September 2022 to February 2023,convenience sampling was used to select 72 tumor inpatients from Shanghai Proton and Heavy Ion Center.According to the random number table method,patients were divided into an intervention group and a control group,with 36 cases in each group.The control group received routine nursing,while the intervention group carried out supportive-expressive group psychological intervention.The fear of recurrence,meaning in life,and perceived social support scores of two groups of patients before and after intervention were compared using the Fear of Progression Questionnaire-Short Form(FoP-Q-SF),Cancer-Meaning in Life Scale(C-MiLS),and Perceived Social Support Scale(PSSS).Results A total of 7 cases were lost,with 33 cases in the intervention group and 32 cases in the control group completing the study.Before intervention,there was no statistically significant difference in the general information,fear of recurrence,meaning in life,and perceived social support scores between the two groups of patients(P＞0.05).After supportive-expressive group psychological intervention,the total score of cancer recurrence fear,physical health dimension,and social family dimension scores of the intervention group were(30.42±8.31),(15.58±4.12),and(14.82±4.83),respectively,which were lower than the control group's(36.19±5.64),(18.84±3.48),and(17.09±3.27),and the differences were statistically significant(t=-3.260,-3.446,and-2.216;P＜0.05).After intervention,the total score of the intervention group's meaning in life was(63.42±6.37),which was higher than the control group's(54.91±6.53),and the difference was statistically significant(t=5.325,P＜0.05).After intervention,the perceived social support score of the intervention group was(67.64±7.93),which was higher than the control group's(62.38±10.25),and the difference was statistically significant(t=2.318,P＜0.05).After intervention,the level of fear of recurrence in the intervention group was lower than that before intervention,and the level of meaning in life and perceived social support were higher than those before intervention,with statistical differences(P＜0.05).Conclusions Support-expressive group psychological intervention can help cancer patients deal with survival,emotional,and interpersonal issues they face,reduce their fear of recurrence,improve their meaning in life,and perceived social support.
基金项目
上海市卫生健康委青年项目(20224Y0066)
上海市质子重离子医院新锐项目(SPHICXR202003)
维普
万方数据