摘要
目的:探究认知-存在团体干预对中晚期子宫颈癌放化疗患者SCSQ评分的影响。方法:选取2019年1月-2021年6月江西省肿瘤医院收治的60例中晚期子宫颈癌放化疗患者为研究对象,依据随机数字表法将其分为对照组和观察组,每组30例。观察组采用认知-存在团体干预,对照组采用常规护理。比较两组的SCSQ评分、焦虑抑郁情况。结果:护理前,两组疾病认知水平评分、积极应对方式和消极应对方式评分、心理状态评分对比,差异均无统计学意义(P>0.05)。护理后,两组疾病认知水平均高于护理前,且观察组高于对照组(P<0.05)。护理后,两组积极应对方式评分均高于护理前,消极应对方式评分均低于护理前(P<0.05)。护理后,观察组积极应对方式评分高于对照组,消极应对方式评分低于对照组(P<0.05)。观察组依从率高于对照组,差异有统计学意义(P<0.05)。护理后,两组SAS、SDS评分均显著低于护理前,观察组均低于对照组(P<0.05)。结论:对中晚期子宫颈癌放化疗患者,应用认知-存在团体干预,能够改善患者对疾病的认知水平,加强患者对疾病的重视,促进负面情绪的缓解,临床价值显著。
Objective:To explore the effect of cognitive-existential group intervention on SCSQ score of patients with advanced cervical cancer undergoing radiotherapy and chemotherapy.Method:A total of 6060 patients with advanced cervical cancer treated in Jiangxi Cancer Hospital from January 2019 to June 2021 were selected as the research object,they were divided into control group and observation group according to random number table method,30 cases in each group.The observation group received cognitive-existential group intervention,and the control group received routine nursing.SCSQ score,anxiety and depression were compared between the two groups.Result:Before nursing,there were no statistical significance in disease cognition level score,positive coping style score,negative coping style score and psychological state score between the two groups(P>0.05).After nursing,the cognitive level of disease in both groups were higher than those of before,and the observation group was higher than the control group(P<0.05);after nursing,the score of positive coping style in both groups were higher than those before nursing,and the score of negative coping style were lower than those before nursing(P<0.05).After nursing,the score of positive coping style in the observation group was higher than that in the control group,while the score of negative coping style was lower than that in the control group(P<0.05).The compliance rate of observation group was higher than that of control group,the difference was statistically significant(P<0.05).After nursing,SAS and SDS scores of the two groups were significantly lower than those before nursing,and observation group were lower than those of control group(P<0.05).Conclusion:For patients with advanced cervical cancer undergoing radiotherapy and chemotherapy,the application of cognitive existential group intervention can improve their cognitive level of the disease,strengthen their attention to the disease,and promote the remission of negative emotions,it has significant clinical value.
作者
刘一璿
余百合
LIU Yixuan;YU Baihe(Jiangxi Cancer Hospital,Jiangxi Province,Nanchang 330029,China)
出处
《中国医学创新》
CAS
2021年第36期120-123,共4页
Medical Innovation of China
关键词
认知-存在团体干预
中晚期子宫颈癌放疗患者
SCSQ评分
Cognitive-existential group intervention
Patients with advanced cervical cancer radiotherapy
SCSQ score
