摘要
目的曼陀罗绘画治疗是心理治疗的一种方法,国内对曼陀罗绘画心理治疗研究较少。本研究探讨曼陀罗绘画治疗对食管癌患者抑郁状态及生活质量的影响。方法选取2014-01-11-2017-02-04滨州市人民医院收治的60例食管癌患者为研究对象,抑郁自评量表(self-rating depression scale,SDS)标准分均≥50分。2016-01-01之前采用常规护理的30例患者作为对照组,2016-01-01之后在常规护理基础上加用曼陀罗绘画心理治疗的30例患者作为观察组。采用调查问卷的形式,应用SDS和生活质量量表(quality of life questionnaire,QLQ-C30),分别评估患者入院第1天和干预治疗6周后的得分。结果治疗前,观察组患者SDS评分为(52.27±4.05)分,对照组为(52.03±3.68)分,两组比较差异无统计学意义,P>0.05。干预治疗6周后,观察组SDS评分为(45.40±3.68)分,对照组为(51.20±3.43)分,差异有统计学意义,P<0.05。QLQ-C30在功能领域和总体健康状况评分方面,观察组得分均高于对照组,差异有统计学意义,均P<0.05;在症状领域中仅疲倦、失眠和食欲减退方面,观察组得分均低于对照组,差异有统计学意义(P<0.05),而其他症状领域,两组得分差异无统计学意义,均P>0.05。结论曼陀罗绘画治疗可改善食管癌放疗患者抑郁状态和生活质量。
OBJECTIVE Mandala drawing therapy is a method of psychotherapy,There are few studies on the psychotherapy of Mandala drawing therapy in China,The purpose of this study was to investigate the effect of Datura on depression and quality of life.METHODS A total of 60 patients with esophageal cancer admitted to Binzhou people’s Hospital from January 11,2014 to February 4,2017 were selected as the study objects.The standard scores of self-rating depression scale(SDS)were≥50.Before January 1,2016,30 patients with conventional nursing were taken as the control group,and after January 1,2016,patients with mandala drawing therepy were taken as the observation group on the basis of conventional nursing.In the form of questionnaire,SDS and quality of life questionnaire(QLQ-C30)were used to evaluate the scores of patients on the first day of admission and six weeks after intervention.RESULTS Before treatment,the score of SDS depression self rating scale in the observation group was 52.27±4.05 and that in the control group was 52.03±3.68.There was no significant difference between the two groups(P>0.05).After 6 weeks of intervention,the scores of SDS depression self rating scale in the observation group and the control group were 45.40±3.68 and 51.20±3.43,respectively,with statistical significance(P<0.05).QLQ-C30 quality of life scale,in the functional area and the overall health score,the observation group scores were higher than the control group,the difference was statistically significant,all P<0.05;In the symptom area,only fatigue,insomnia and anorexia,the observation group scores were lower than the control group,the difference is statistically significant(P<0.05),while in other symptom areas,the difference between the two groups is not statistically significant,all P>0.05.CONCLUSION Mandala drawing therapy is an effective method to improve the depression and quality of life of esophageal cancer.
作者
赵树芬
于雪梅
毕丽红
杨海英
张英
ZHAO Shu-fen;YU Xue-mei;BI Li-hong;YANG Hai-ying;ZHANG Ying(Depatment of Oncology,Binzhou People's Hospital,Binzhou256610,P.R.China)
出处
《社区医学杂志》
2019年第24期1597-1600,共4页
Journal Of Community Medicine
基金
山东省医药卫生科技发展计划(2017WS375).
关键词
曼陀罗绘画治疗
食管癌
抑郁状态
生活质量
mandala drawing therepy
esophageal cancer
depressive state
quality of life