家属同步认知干预对宫颈癌患者心理行为特征影响.docVIP

家属同步认知干预对宫颈癌患者心理行为特征影响 　　[摘要] 目的 探讨家属同步认知干预对宫颈癌患者心理、行为特征的影响。 方法 选择宫颈癌患者60例，随机分为3组，每组20例。第1组给予常规护理，第2组对患者进行认知干预，第3组患者及家属同时进行认知干预。干预前后采用焦虑自评量表、抑郁自评量表、行为量表对患者的焦虑、抑郁情绪以及行为特征进行调查分析。结果 干预后，第3组患者焦虑、抑郁评分显著低于第2组，第2组显著低于第1组，差异有统计学意义（P0.05或P0.01）。干预后，第2组患者焦虑维度、抑郁维度得分显著低于第1组，第3组显著低于第2组（P0.01）；第2组乐观维度、社会支持维度得分显著高于第1组，第3组显著高于第2组（P0.01或P0.05）。 结论 家属同步认知干预能够显著改善宫颈癌手术治疗患者焦虑、抑郁情绪，改善患者的行为特征。 　　[关键词] 家属；同步；认知干预；宫颈癌；心理；行为特征 　　[中图分类号] R737.33 [文献标识码] B [文章编号] 1673-9701（2015）16-0050-04 　　[Abstract] Objective To discuss effect of synchronous families cognitive intervention on mental， behavioral characteristics in cervical cancer. Methods Selected 60 cases with cervical cancer were divided randomly into three groups， each of 20 cases. Group 1 was nursed by routine care， group 2 was nursed by cognitive intervention only for patients， and group 3 was nursed by cognitive intervention for patients and families. Anxiety， depression and behavioral characteristics of patients before and after intervention were surveyed by SAS， SDS and C type behaviors scale. Results After intervention， SAS and SDS of group 3 were lower than group 2， and group 2 was lower than group 1， which showed significant difference （P0.05 or P0.01）. After intervention， anxiety dimensions， depression dimension of group 2 were lower than group 1， and group 3 were lower than group 2（P0.01）； optimism dimensions， social support dimensions of group 2 were higher than group 1， and group 3 were higher than group 2 （P0.01 or P0.05）. Conclusion Synchronous families cognitive intervention for patients with cervical cancer can improve anxiety， depression and behaviors. 　　[Key words] Families； Synchronous； Cognitive intervention； Cervical cancer； Mental； Behavioral characteristics 　　宫颈癌发病率在女性恶性肿瘤中仅次于乳腺癌及直肠癌，居第三位。随着筛查技术的发展，宫颈癌早期诊断率逐渐提高，也为临床上的根治提供了可能。目前越来越多的研究显示患者的心理情绪影响其对治疗的依从性及预后，而癌症患者的心理问题也越来越受到关注[1]。癌症本身及其治疗对患者来说均为负性生活事件，导致患者出现不良的心理应激，影响患者的预后。患者家属在患者的治疗、康复过程中承担着重要的作用，其本身也承受着不同程度的心理应激问题，这也会进一步加重患者的负性情绪[2]。因此在对患者进行认知干预的同时也应注意对家属的认知