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目的探讨认知心理干预对恶性肿瘤患者的应激心理及社会功能改善的影响。方法选择恶性肿瘤患者100例,随机分为对照组与干预组各50例,其中对照组给予恶性肿瘤相关常规治疗,干预组在常规治疗的基础上给予认知心理干预,比较两组治疗后焦虑、抑郁级社会功能改善情况。计量资料两组间比较采用独立样本t检验,组内比较采用配对t检验;计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果治疗后两组患者汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、汉密尔顿抑郁量表(Hamilton depression csale,HAMD)评分比较,差异均有统计学意义(均P<0.05)。治疗后两组患者的HAMA、HAMD评分[(14.58±2.76)、(18.54±6.15)分与(11.27±2.28)、(15.26±5.76)分]均较治疗前[(19.79±6.38)、(24.76±6.22)分与(19.68±6.23)、(24.45±6.08)分]降低,差异均有统计学意义(均P<0.05)。治疗后干预组患者社会功能缺陷筛选量表(social dysfunction sckeening scale,SDSS)各因子及总评分显著低于对照组,差异均有统计学意义(均P<0.05)。治疗后两组患者的SDSS各因子及总评分均较治疗前降低,差异均有统计学意义(均P<0.05)。结论认知心理干预有助于改善恶性肿瘤患者应激心理状态,提高社会功能。
Objective To explore the impact of cognitive psychological intervention on stress and psychology and improvement of social function in patients with malignant tumors. Methods 100 patients with malignant tumor were randomly divided into the control group and the intervention group, 50 cases in each group. The control group was given routine treatment of malignant tumor. The intervention group was given cognitive psychological intervention on the basis of routine treatment. The anxiety , Depression-class social function to improve the situation. Measurement data were compared between two groups using independent samples t test, the group was compared using paired t test; count data were compared using the χ ~ 2 test, P <0.05 for the difference was statistically significant. Results There were significant differences in Hamilton anxiety scale (HAMA) and Hamilton depression csale (HAMD) scores between the two groups after treatment (all P <0.05). HAMA and HAMD score [(14.58 ± 2.76), (18.54 ± 6.15) points and (11.27 ± 2.28), (15.26 ± 5.76) points after treatment in both groups were significantly higher than those before treatment [(19.79 ± 6.38), (24.76 ± 6.22) and (19.68 ± 6.23) and (24.45 ± 6.08), respectively, with significant difference (all P <0.05). After treatment, the scores of social dysfunction sckeening scale (SDSS) and the total scores of the intervention group were significantly lower than those of the control group (all P <0.05). After treatment, the SDSS factors and the total score in both groups were significantly lower than those before treatment (all P <0.05). Conclusions Cognitive psychology intervention can help to improve stress state and improve social function in patients with malignant tumor.