摘要
目的:探讨认知行为疗法联合家庭支持对居家肝癌患者心理状态、希望水平及社会支持影响。方法:选取2018年7月-2019年12月某院收治的84例肝癌患者,随机分为观察组和对照组各42例,对照组予以常规干预,观察组在对照组的基础上加以认知行为疗法联合家庭支持干预,两组患者干预频率:1次/周,持续2个月。比较两组患者干预前后心理状态、希望水平、社会支持以及生活质量。结果:观察组干预后焦虑(self-rating anxietyscale,SAS)、抑郁(Self-rating depression scale,SDS)评分明显低于对照组(t=-6.717,-4.263;P<0.05);观察组干预后客观支持、主观支持、对支持利用度评分明显高于对照组(t=2.868,4.260,2.942;P<0.05);观察组干预后现实和未来的态度、采取积极行动的态度、与他人保持亲密关系评分明显高于对照组(t=3.905,5.779,3.121;P<0.05);观察组干预后社会功能、心理功能、躯体功能、物质生活评分明显高于对照组(t=6.461,6.036,4.830,7.482;P<0.05)。结论:认知行为疗法联合家庭支持有利于改善居家肝癌患者的心理状态、社会支持,提高其希望水平和生活质量。
Objective:To explore the effect of cognitive behavioral therapy combined with family support on psychological state,hope level and social support of patients with liver cancer at home.Methods:A total of 84 patients with liver cancer admitted to our hospital from July 2018 to December 2019 were randomly divided into observation group and control group with 42 cases in each group.The control group was given routine intervention,while the observation group was given cognitive behavioral therapy combined with family support intervention on the basis of the control group.The intervention frequency of the two groups was once/week for 2 months.The psychological state,hope level,social support and quality of life of the two groups before and after intervention were compared.Results:After intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were significantly lower than those in the control group(t=-6.717,-4.263;P<0.05);After intervention,the scores of objective support,subjective support and utilization of support in the observation group were significantly higher than those in the control group(t=2.868,4.260,2.942;P<0.05).After intervention,the scores of realistic and future attitude,attitude of taking positive actions and keeping close relationship with others in the observation group were significantly higher than those in the control group(t=3.905,5.779,3.121;P<0.05).After intervention,the scores of social function,psychological function,physical function and material life in the observation group were significantly higher than those in the control group(t=6.461,6.036,4.830,7.482;P<0.05).Conclusion:Cognitive behavioral therapy combined with family support is beneficial to improve the psychological state,social support,hope level and quality of life of patients with liver cancer at home.
作者
侯阿幸
彭真
张笑
HOU Axing;PENG Zhen;ZHANG Xiao(Department of Infectious Diseases,People’s Hospital of Henan Province/People’s Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中国健康心理学杂志》
北大核心
2022年第5期684-688,共5页
China Journal of Health Psychology
关键词
认知行为疗法
家庭支持
肝癌
心理状态
希望水平
社会支持
Cognitive behavioral therapy
Family support
Liver cancer
Psychological state
Hope level
Social support
作者简介
侯阿幸,E-mail:467918204@qq.com。
