摘要
目的探究团体积极心理疗法在宫颈癌术后焦虑抑郁患者中的治疗效果。方法选取2014年1月至2015年1月在我院100例宫颈癌接受手术治疗后焦虑抑郁的患者作为研究对象,按随机数表法分为对照组和观察组,每组50例患者。对照组患者进行宫颈癌手术后给予术后常规治疗方法 10周,观察组患者在术后常规治疗方法基础上给予团体积极心理疗法10周,采用焦虑自评量表(SAS)评估患者焦虑程度,采用抑郁自评量表(SDS)评估患者抑郁状态,采用生命质量测定量表(EORTC QLQ-C30)对患者的生活质量进行评分,比较治疗前、后两组评估结果的差异。结果两组患者治疗前SAS、SDA及EORTC QLQ-C30评分比较,差异无统计学意义(P>0.05);而治疗后两组SAS、SDA评分均低于治疗前,EORTC QLQ-C30评分均高于治疗前,差异具有统计学意义(P<0.05)。且治疗后观察组SAS、SDS评分均低于对照组,观察组的EORTC QLQ-C30评分明显高于对照组,组间差异具有统计学意义(P<0.05)。结论在常规治疗基础上增加团体积极心理疗法能够更有效的减轻宫颈癌术后焦虑抑郁患者的抑郁、焦虑的不良情绪,提高患者的生活质量,值得在临床工作中推广和应用。
Objective To explore the effect of group positive psychotherapy on patients with depression and anxiety after cervical cancer operation. Methods 100 cases of patients with depression and anxiety after cervical cancer operation treated in our hospital were selected as research subjects from January 2014 to January 2015. According to the method of random number table, all the patients were divided into two groups averagely： the control group and the observational group, 50 cases for each. The control group were given the routine therapy after cervical cancer operation for 10 weeks; meanwhile, the observational group were received the group positive psychotherapy on the basis of the routine treatment for 10 weeks. The scores of SAS, SDS and EORTC QLQ-C30 were evaluated and compared between the two groups of patients before and after therapy. Results There was no significant differences in the scores of SAS, SDA and EORTC QLQ-C30 between the two groups of patients before receiving treatment （P〉 0.05）.After 10 weeks of therapy, the scores of SAS and SDS both decreased meanwhile the scores of EORTC QLQ-C30 increased compared with that before receiving therapy in both two groups, and the differences had statistical significances （P 〈 0.05）.Besides, the scores of SAS and SDS of the observational group were significantly lower ,meanwhile the score of EORTC QLQ-C30 was significantly higher than that of the control group （P 〈 0.05）. Conclusion The group positive psychotherapy on the basis of the routine treatment can be more effective than the routine one only to improve the depression mood and anxiety mood of patients with depression and anxiety after cervical cancer operation. Also, it＇ s much better to improve the quality of life of the patients. Thus, it is worthy of popularization and application in clinical work.
出处
《国际精神病学杂志》
2016年第5期932-935,共4页
Journal Of International Psychiatry
关键词
团体积极心理疗法
宫颈癌
抑郁
焦虑
生命质量
Group positive psychotherapy
Cervical cancer
Depression
Anxiety
Quality of life
