压力接种训练对胃肠癌患者心理弹性水平和焦虑抑郁的影响
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摘要
目的探讨压力接种训练对胃肠癌患者心理弹性水平及焦虑抑郁的影响。方法选取住院进行手术治疗并行首次化疗的胃肠癌患者325例,按住院时间随机分为对照组162例、实验组163例,2组患者均行健康教育和心理护理,实验组在此基础上实施概念阶段、技能获得和复述阶段、应用和完成阶段、总结评价阶段共10周的压力接种训练。干预前后采用心理弹性量表(CD-RISC)、焦虑自评量表(SAS)及抑郁自评量表(SDS)进行评定。结果经过10周的压力接种训练,实验组患者的CD-RISC得分由干预前的(52.96±5.02)分提高到干预后的(57.43±5.69)分,SAS、SDS得分由干预前的(60.10±8.56)分、(59.82±8.79)分降低到干预后的(52.08±8.17)分、(53.39±7.81)分,差异均有统计学意义(P<0.05)。结论压力接种训练能改善胃肠癌患者的心理弹性水平,进而降低焦虑抑郁水平。
Objective To investigate the effects of stress inoculation training on resilience,anxiety and depression status in gastric cancer patients.Methods A total of 325 patients with gastrointestinal cancer who underwent surgical treatment and received chemotherapy first time in a tertiary hospital were selected.They were divided into control group(n=162) and experimental group(n=163) according to the time of hospitalization.The patients had health education and psychological nursing in two groups.The experimental group implemented 10 weeks of stress inoculation training including conceptual phase,skills acquisition and restatement phase,application and completion phase,and summary evaluation phase.The effects were evaluated before and after intervention by using Connor-Davidson Resilience Scale(CD-RISC),Self-rating Depression Scale(SDS) and Self-rating Anxiety Scale(SAS).Results After 10 weeks of stress inoculation training,the CD-RISC score in the experimental group increased from 52.96±5.02 to 57.43±5.69 after intervention.The SAS and SDS scores decreased from 60.10±8.56 and 59.82±8.79 to 52.08±8.17 and 53.39±7.81 after intervention.The differences were statistically significant(P<0.05).Conclusion Stress inoculation training can improve the resilience of patients with gastrointestinal cancer,thereby reducing the level of anxiety and depression.
Objective To investigate the effects of stress inoculation training on resilience,anxiety and depression status in gastric cancer patients.Methods A total of 325 patients with gastrointestinal cancer who underwent surgical treatment and received chemotherapy first time in a tertiary hospital were selected.They were divided into control group(n=162) and experimental group(n=163) according to the time of hospitalization.The patients had health education and psychological nursing in two groups.The experimental group implemented 10 weeks of stress inoculation training including conceptual phase,skills acquisition and restatement phase,application and completion phase,and summary evaluation phase.The effects were evaluated before and after intervention by using Connor-Davidson Resilience Scale(CD-RISC),Self-rating Depression Scale(SDS) and Self-rating Anxiety Scale(SAS).Results After 10 weeks of stress inoculation training,the CD-RISC score in the experimental group increased from 52.96±5.02 to 57.43±5.69 after intervention.The SAS and SDS scores decreased from 60.10±8.56 and 59.82±8.79 to 52.08±8.17 and 53.39±7.81 after intervention.The differences were statistically significant(P<0.05).Conclusion Stress inoculation training can improve the resilience of patients with gastrointestinal cancer,thereby reducing the level of anxiety and depression.
引文
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[14] 陈玉梅,刘艳芬,闫树英,等.情绪弹性团体训练对胃肠道癌症患者知觉压力及焦虑抑郁的影响[J].中华行为医学与脑科学杂志,2018,27(4):343-347.
[15] Loria B,Erskine Y,Carey M,et al.A brief mindful-nessbased cognitive behavioral intervention improves sexual functioning versus wait-list control in women treated for gynecologic cancer[J].Gynecologic Oncology,2012,35(1):320-325.
[16] 傅亚萍,陈庆华,袁雪梅,等.原发性肝癌患者负性情绪的影响因素分析[J].国际精神病学杂志,2015,2:1673-2952.
[17] 曹春艳,付文君,尚妍.团体训练干预对胃癌患者焦虑情绪、疼痛和应激反应的影响[J].中国健康心理学杂志,2018,26(1):14-17.
[18] 王玉娟,程芳,马静,等.静默疗法应用于白内障手术患者的效果评价[J].中华护理杂志,2016,51(3):321-325.
[2] 马丽梅,李玉霞.胃癌患者焦虑抑郁情绪障碍调查与心理干预效果观察[J].西部医学,2013,25(6):867-868,870.
[3] 陆惠仪,刘桂香,黄雪薇.癌症长期存活者的心理特征研究[J].中华行为医学与脑科学杂志,2012,21(11):994-996.
[4] Montgomery KL,Kim JS,Franklin C.Acceptance and commitment therapy for psychological and phychological and physiological illnesses:a systematic review for scial workers[J].health Sco Work,2011,36(3):169-181.
[5] American psychology association.The road to resilience:what is resilience[EB/OL].[2019-02-26].Http://www.Spa.Org/Helpcenter/Mad-Resilience.Aspx.
[6] 杨丽芳,严鹏,张妮,等.胃癌术后化疗患者心理弹性与应对方式的相关性研究[J].中西医结合护理,2017,3(7):16-18.
[7] Yu Xiaonan,Zhang Jianxin.Factor analysis and psychometric evaluation of the Connor-Davidson Resilience Scale (CD-RISC) with Chinese People[J].Social Behavior and Personality,2007,35(1):19-30.
[8] 张作记.行为医学量表手册[M/CD].北京:中华医学电子音像出版社,2005:213-214.
[9] 陈玉梅,姚辉,王晓燕,等.胃癌患者不同阶段的心理弹性及相关因素探讨[J].宁夏医学杂志,2018,40(12):1125-1128.
[10] 徐美荣,魏晓辉,吴甘霖,等.心理弹性训练对乳腺癌患者心理健康的影响[J].现代中西医结合杂志,2015,24(8):896-898.
[11] 陈玉梅,张华,闫树英,等.胃癌患者症状困扰及心理弹性与生活质量的相关性[J].中国老年学杂志,2018,38(21):5337-5339.
[12] Loprinzi CE,Prasad K,Schroeder DR,et al.Stress management and resilience training(SMART)program todecrease stress and enhance resilience among breastcancersurvivors:a pilot randomized clinical trial[J].Clinical Breast Cancer,2011,11(6):364-368.
[13] 陈玉梅,闫树英,张华,等.情绪弹性团体训练对胃肠癌患者创伤应激及心理弹性的影响[J].中华行为医学与脑科学杂志,2017,26(12):1091-1095.
[14] 陈玉梅,刘艳芬,闫树英,等.情绪弹性团体训练对胃肠道癌症患者知觉压力及焦虑抑郁的影响[J].中华行为医学与脑科学杂志,2018,27(4):343-347.
[15] Loria B,Erskine Y,Carey M,et al.A brief mindful-nessbased cognitive behavioral intervention improves sexual functioning versus wait-list control in women treated for gynecologic cancer[J].Gynecologic Oncology,2012,35(1):320-325.
[16] 傅亚萍,陈庆华,袁雪梅,等.原发性肝癌患者负性情绪的影响因素分析[J].国际精神病学杂志,2015,2:1673-2952.
[17] 曹春艳,付文君,尚妍.团体训练干预对胃癌患者焦虑情绪、疼痛和应激反应的影响[J].中国健康心理学杂志,2018,26(1):14-17.
[18] 王玉娟,程芳,马静,等.静默疗法应用于白内障手术患者的效果评价[J].中华护理杂志,2016,51(3):321-325.