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团体心理干预对乳腺癌恢复期患者心理健康的干预效果分析

Analysis of the intervention effect of group-based psychological intervention for pa-tients with breast cancer during recovery phase

摘要目的 观察团体心理干预对乳腺癌恢复期患者心理健康的干预效果.方法 随机选取2015年2月至2016年2月到我院门诊随诊的乳腺癌恢复期患者100例,根据抽签的方法,随机分成对照组和观察组,每组各50例患者;对照组不参与汝康沙龙活动,观察组参与汝康沙龙活动,采用调查问卷方式对两组患者进行调查,并记录相关数据.结果 明显心理痛楚出现率:对照组是38%,观察组是22%,两者相比较x2=6.13,P=0.002,差异具有统计学意义;观察组心理痛楚阴性组的治疗效果总得分是(242.42±26.28)分,观察组心理痛楚阳性组的治疗效果总得分是(206.32±18.14)分,两者相比较t=3.32,P=0.000,差异具有统计学意义;存在明显不同的影响因素是:集体凝集力、普遍性、人际间的交流、教育学习、信念重建.患者结果中评分最高的因素是:人际间的交流、信念重建、集体凝集力、教育学习、存在信念.结论 采用团体心理干预的方式对乳腺癌恢复期的患者进行干预,能显著减少患者内心的痛楚,加快疾病的康复;其中,对于乳腺癌恢复期患者而言,有重要作用意义的因素有:集体凝集力、普遍性、人际间的交流、教育学习、信念重建、存在信念.

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abstractsObjective To observe the intervention effect of group-based psychological intervention for patients with breast cancer during recovery phase. Methods A total of 100 cases of patients with breast cancer in recovery phase in our hospital from February 2015 to February 2016 were randomly selected and were divided into control group and observation group by the method of sortition by random, 50 cases in each group. The control group did not partici-pate the activities of Rukang Salon, while the observation group participated the activities of Rukang Salon. The pa-tients of the two groups were surveryed by questionnaire and the relevant indicators were recorded. Results The inci-dence rate of obvious psychological pain was: 38% for the control group, and 22% for the observation group. The difference was statistically significant between the two groups, x2=6. 13, P=0. 002. The total score of treatment effect of the negative psychological pain group of the observation group was (242. 42±26. 28), while the total score of treat-ment effect of the positive psychological pain group of the observation group was (206. 32±18. 14), and the difference was statistically significant between the two groups, t=3. 32, P=0. 000. The influencing factors existing obvious differences were: the collective cohensiveness, universality, interpersonal communication, education and study and the reconstruction of belief. The influencing factors with the highest score were: interpersonal communication, recon-struction of belief, collective cohensiveness, education and study and faith. Conclusions The implementation of group-based psychological intervention for patients with breast cancer in recovery phase can obviously reduce the patients' psychological pain, accelerate the rehabilitation of the disease. The meaningful factors with importance for the patients with breast cancer in the period of recovery were: the collective cohensiveness, universality, interpersonal communication, education and study and the reconstruction of belief and faith.

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