《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (3): 276-279.

• 论文 • 上一篇    下一篇

团体心理干预对乳腺癌康复期患者心理康复的影响

苏娅丽1，王丕琳1，陈静2，刘均娥2，朱强1   

  1. 1.首都医科大学附属北京天坛医院，北京市 100050；2.首都医科大学护理学院，北京市 100069。
  • 收稿日期:2011-09-08 修回日期:1900-01-01 出版日期:2012-03-25 发布日期:2012-03-25

Effects of Group Psychotherapy on Breast Cancer Patients

SU Ya-li, WANG Pi-lin, CHEN Jing, et al.   

  1. Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
  • Received:2011-09-08 Revised:1900-01-01 Published:2012-03-25 Online:2012-03-25

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摘要： 目的探讨团体心理干预对乳腺癌康复期患者心理康复的影响。方法对80 例门诊复查候诊未参加汝康沙龙活动的乳腺癌康复期患者(对照组)和100 例参加汝康沙龙活动的乳腺癌康复期患者(干预组)进行问卷调查。结果显著心理痛苦发生率对照组为36.8%，干预组为21.1% (χ2=5.02, P=0.03)；干预组心理痛苦阴性组的疗效因子总分(236.86±35.17)明显高于心理痛苦阳性组(214.21±26.52) (t=2.61, P=0.01)，其中有显著性差异的因子有5 项：团体凝聚力、普遍性、人际外学习、指示指导、希望重塑。患者报告得分较高的5 项因子为：人际外学习、希望重塑、团体凝聚力、引导指示、存在意识。结论团体心理干预可以降低乳腺癌康复期患者的心理痛苦，其中团体凝聚力、普遍性、人际外学习、指示指导、希望重塑、存在意识对乳腺癌康复期患者有相对重要的作用。

关键词: 乳腺癌, 团体心理干预, 疗效因子

Abstract: Objective To explore the effects of group psychotherapy on breast cancer patients. Methods 80 outpatients with breast cancerwho did not participate in the Rukang Salon (control group) and 100 outpatients participated (intervention group) were surveyed withquestionaire. Results The incidence of psychological distress was 36.8% in the control group and 21.1% in the intervention group ( χ2=5.02,P=0.03). In the intervention group, the efficacy of those without psychological distress (236.86±35.17) was significantly higher than thosewith psychological distress (214.21±26.52), (t=2.61, P=0.01). There were significant differences in those 5 factors: group cohesion, universality,interpersonal learning, guide instructions, and hope remodeling. Top 5 factors in scores reported were interpersonal learning, hopingremodeling, group cohesion, guide instructions, and exist consciousness. Conclusion Group psychotherapy can significantly reduce the psychologicaldistress in rehabilitating breast cancer patients. Group cohesion, universality, interpersonal learning, guide instructions, hope remodelingand exist consciousness may play important roles.

Key words: breast cancer, group psychotherapy, therapeutic factors