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目的 :评价书写表达对化疗期乳腺癌患者抑郁情绪、睡眠质量和益处发现水平的干预效果。方法 :采用随机数字表法将纳入研究的乳腺癌患者随机分为干预组(n=39)和对照组(n=41),干预组进行4次书写表达干预,对照组不进行书写表达,在干预前,干预后1周、干预后4周时分别应用流调中心抑郁问卷(CES-D)、匹兹堡睡眠质量指数(PSQI)、益处发现量表(BFS)评价干预前后的效果。结果 :重复测量方差分析结果显示,两组患者CES-D、BFS、PSQI得分的组间差异均具有统计学意义(P<0.05),均未显示出明显的交互效应(P>0.05);时间效应在CES-D得分上具有统计学意义(P<0.05),在BFS和PSQI得分上无统计学意义(P>0.05)。结论 :书写表达可改善化疗期乳腺癌患者的抑郁情绪,促进其益处发现,改善其睡眠质量,具有较好的临床意义。
OBJECTIVE: To evaluate the effect of written expression on the depression, sleep quality and the level of benefit found in patients with breast cancer during chemotherapy. METHODS: The included patients were randomly divided into intervention group (n = 39) and control group (n = 41) using random number table. Intervention group was given 4 times expression intervention and control group Before intervention, 1 week after intervention and 4 weeks after intervention, the effect of intervention before and after intervention was evaluated by using the depression-centered questionnaire (CES-D), Pittsburgh sleep quality index (PSQI) and benefit discovery scale (BFS) Results: The results of repeated measures ANOVA showed that the differences of CES-D, BFS and PSQI between the two groups were statistically significant (P <0.05), and no significant interaction effect was found (P> 0.05); time The effect was statistically significant in CES-D scores (P <0.05), but not in BFS and PSQI scores (P> 0.05). Conclusion: The written expression can improve the depression of patients with breast cancer during chemotherapy, promote the discovery of their benefits, and improve the quality of their sleep, with good clinical significance.