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心智觉知模式联合陪伴者同步认知干预对乳腺癌患者心理社会适应水平的影响
作者:张欢  唐榕英  尹娅楠 
单位:重庆大学附属肿瘤医院 乳腺科, 重庆 400030
关键词:心智觉知模式 陪伴者同步认知干预 乳腺癌 创伤后成长 心理社会适应水平 
分类号:R473.73
出版年·卷·期(页码):2019·47·第七期(791-795)
摘要:

目的:分析心智觉知模式联合陪伴者同步认知干预对乳腺癌手术患者创伤后成长(PTG)及心理社会适应水平的影响。方法:选取2015年12月至2017年12月间在我院接受治疗的124例乳腺癌患者及124例其陪伴者,采用随机数字表法将患者分成对照组和观察组,每个患者有1名陪伴者。对照组(62例)行心智觉知训练,观察组(62例)在对照组基础上行陪伴者同步认知干预;比较分析干预前后患者PTG量表评分及心理社会适应水平改变情况。结果:干预前两组患者PTG量表得分差异无统计学意义(P>0.05);干预后两组患者PTG量表各项得分均较干预前显著升高,且观察组得分高于对照组,差异均有统计学意义(均P<0.05)。干预前两组患者心理社会适应量表各项得分比较,差异无统计学意义(均P>0.05);干预后两组患者心理社会适应量表各项得分较干预前显著升高,且观察组得分高于对照组,差异均有统计学意义(均P<0.05)。结论:心智觉知模式联合陪伴者同步认知干预可以显著提高乳腺癌患者PTG水平和心理社会适应水平,促进患者心理健康发展。

Objective:To analyze the effect of mental awareness mode combined with companion synchronous cognitive intervention on the post-traumatic growth (PTG) and psychosocial adaptation levels of breast cancer patients. Methods:A total of 124 patients with breast cancer who were treated in our hospital from December 2015 to December 2017 and 124 companions were enrolled in this study.The patients were divided into two groups by random number table, and each patient was assigned one companion. The control group (62 cases) was treated with mental awareness training, and the observation group (62 cases) was treated with companion synchronous cognitive intervention on the basis of the control group. The PTG scale and the level of psychosocial adaptation were compared before and after the intervention. Results:There was no significant difference in the PTG scale between the two groups before the intervention (P>0.05). After the intervention, the scores of the PTG scale of the two groups were significantly higher than before the intervention, and the observation group were higher than that of the control group (P<0.05).There were no significant differences in the scores of the psychosocial adaptation scales between the two groups before intervention (P>0.05). After the intervention, the scores of the psychosocial adaptation scales of the two groups were significantly higher than before the intervention, and the observation group were higher than that of the control group (P<0.05). Conclusion:The mental awareness mode combined with companion synchronized cognitive intervention can significantly increase the levels of PTG and psychosocial adaptation in the patients with breast cancer, and which can promote the development of mental health.

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