摘要
目的:探索集体心理干预对乳腺癌患者生活质量的改善效果。方法:根据分层随机分组的方法,将133名确诊为乳腺癌并正在接受临床治疗的女性患者分为两组,对照组89人,干预组44人。采用生活质量核心问卷对两组被试的生活质量进行3次测查,分别为初测(入组时)、后测(入组后第5周或集体心理干预结束后当周)和随访(后测之后3个月)。结果:与初测相比,干预组被试和对照组被试随访时总体健康状况[(11.8±28.2)vs.(-7.4±25.2)]、情绪功能[(11.8±24.4)vs.(-6.2±27.9)]、认知功能[(4.8±20.7)vs.(-7.6±25.3)]的变化差异有统计学意义(均P<0.05),干预组被试各项功能好转而对照组被试各项功能变差。随访时,干预组中高总体健康状况被试与低总体健康状况被试的各项生活质量指标差异均无统计学意义,而对照组中高总体健康状况被试的总体健康状况[(68.5±21.1)vs.(49.7±21.9)]、躯体功能[(66.8±17.0)vs.(54.3±24.3)]、角色功能[(48.2±24.2)vs.(28.0±26.3)]、情绪功能[(67.1±24.2)vs.(43.5±20.9)]、认知功能[(62.0±19.6)vs.(42.9±28.1)]和社会功能[(49.1±25.9)vs.(30.4±26.5)]均好于低总体健康状况被试(均P<0.05)。结论:乳腺癌患者集体心理干预改善生活质量的效果在干预后3个月得以显现。集体心理干预对生活质量较差的乳腺癌患者更有效。
Objective： To explore the effects of group psychological intervemion on the quality of life in breast cancer patients. Method： Totally 133 diagnosed female breast cancer patients were randomly assigned into interventional group or control group during their clinical treatment. Forty-four patients in the interventional group joined in the group psychological intervention program and the other 89 patients in the control group only accepted the clinical treatments. The quality of life in both groups were investigated with the Quality of Life QuestionnareCore30 { QLQ-C30 } at three points which were pre-test { time of entering the group }, post-test { the fifth week after entering the group or the week of the end of the intervention } and following-up （ 3 months after the posttest } . Results： The changes of the global health status [ I 11.8 ± 28. 2 } vs. （- 7.4 ± 25.2 ） ], emotional functioning [ （11.8±24.4） vs. （-6.2±27.9）], cognitive functioning [ （4.8±20-7} vs. （ -7.6±25.3}] between the flowing-up and pre-test had significant differences between interventional group and control group. These functions ~increased in the interventional group and decreased in the control group. At the following-up, the differences of the quality of life between the patients of high global health status and the patients of low global health sta-ms both from the interventional group had no statistical significance. However in the control group the global health status [ （68.5±21.1} vs. （49.7±21.9）], physical ftmctioning [ （66.8±17.0} vs. （54.3±24.3}], role functioning [ { 48. 2± 24. 2 } vs. （ 28.0 ± 26. 3 ） ], emotional functioning [ （ 67. 1 ± 24. 2 ） vs. （ 43.4 ± 20. 9 ） ], cognitive functioning [ （62.0 ± 19. 6） vs. （42.9 ±28.1 ） ] and social functioning [ （49. 1 ±25.9} vs. （30. 4 ± 26. 5 } ] of the patients of high global health status were all significantly better than the patients of low global health status. Conclusion： The effects of group psychological
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2010年第12期903-907,共5页
Chinese Mental Health Journal
基金
首都科研发展基金(2003-3038)
关键词
乳腺癌
集体心理干预
生活质量
对照研究
breast cancer
group psychological intervention
quality of life
controlled study
