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目的探究团体积极心理疗法在宫颈癌术后焦虑抑郁患者中的治疗效果。方法选取2014年1月至2015年1月在我院100例宫颈癌接受手术治疗后焦虑抑郁的患者作为研究对象,按随机数表法分为对照组和观察组,每组50例患者。对照组患者进行宫颈癌手术后给予术后常规治疗方法 10周,观察组患者在术后常规治疗方法基础上给予团体积极心理疗法10周,采用焦虑自评量表(SAS)评估患者焦虑程度,采用抑郁自评量表(SDS)评估患者抑郁状态,采用生命质量测定量表(EORTC QLQ-C30)对患者的生活质量进行评分,比较治疗前、后两组评估结果的差异。结果两组患者治疗前SAS、SDA及EORTC QLQ-C30评分比较,差异无统计学意义(P>0.05);而治疗后两组SAS、SDA评分均低于治疗前,EORTC QLQ-C30评分均高于治疗前,差异具有统计学意义(P<0.05)。且治疗后观察组SAS、SDS评分均低于对照组,观察组的EORTC QLQ-C30评分明显高于对照组,组间差异具有统计学意义(P<0.05)。结论在常规治疗基础上增加团体积极心理疗法能够更有效的减轻宫颈癌术后焦虑抑郁患者的抑郁、焦虑的不良情绪,提高患者的生活质量,值得在临床工作中推广和应用。
Objective To investigate the treatment effect of aggressive psychotherapy in patients with anxiety and depression after cervical cancer surgery. Methods From January 2014 to January 2015, 100 patients with cervical cancer who underwent surgical treatment of anxiety and depression in our hospital were selected as the research object. According to the random number table, the patients were divided into control group and observation group, 50 patients in each group. Patients in the control group were given conventional postoperative chemotherapy for 10 weeks after operation. The patients in the observation group were given positive psychotherapy for 10 weeks on the basis of conventional postoperative treatment, and their anxiety level was assessed by SAS (anxiety self-rating scale) The depressive state was evaluated by Self-rating Depression Scale (SDS). The quality of life was scored by EORTC QLQ-C30, and the differences between the two groups were compared. Results There was no significant difference in SAS, SDA and EORTC QLQ-C30 scores between the two groups before treatment (P> 0.05). After treatment, SAS and SDA scores of both groups were lower than before treatment, and EORTC QLQ-C30 scores were high Before treatment, the difference was statistically significant (P <0.05). After treatment, SAS and SDS scores in the observation group were lower than those in the control group. The EORTC QLQ-C30 score in the observation group was significantly higher than that in the control group. There was significant difference between the two groups (P <0.05). Conclusions The increase of group active psychotherapy based on routine treatment can effectively reduce the depression and anxiety of patients with anxiety and depression after cervical cancer surgery and improve the quality of life of patients. It is worth to be popularized and applied in clinical practice.