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1、小组心理干预对恶性肿瘤患者生存质量的影响谭永红，陈洁，向贵平（400061重庆，武警重庆总队医院心理咨询门诊）[摘要]目的探讨半结构化团体心理辅导对恶性肿瘤患者的生存质量、情绪状态、社会支持和应对方式的影响。方法对42例病理确诊1年以上、预期生存期大于半年的恶性肿瘤患者进行为期12周的半结构化团体心理辅导，并在辅导前和辅导结束后4周分别进行QLQ-c30、SAS、SDS、SSRS和应对方式问卷评估。结果团体心理辅导后患者抑郁、焦虑、疲乏、食欲丧失、失眠及疼痛评分显著降低（t=2.751～7.280，P=0.000～0.006）；总健康状况、情绪功能及社会支持在小组干预后则显著增强（t
2、=－10.442～－3.489，P=0.001～0.000）；应对方式无明显变化（t=－0.428～1.869，P=0.069～0.672）。结论半结构化团体心理辅导可明显改善肿瘤患者的生存质量、情绪状态和社会支持，但对患者的应对方式影响不明显。【关键词】恶性肿瘤；团体心理辅导；生存质量；社会支持；应对方式【中图法分类号】【文献标志码】AGrouppsychologicalinterventionimprovessurvivalaualityofmalignanttumorpatientsTanYonghong,ChengJie,XiangGuiping(PsychologicalC
3、ounsellingClinic,ChongqingCorpsHospitalofChinesePeople’sArmedPoliceForce,Chongqing,400061,China)[Abstract]ObjectiveToinvestigatetheimpactofsemi-structuredgrouppsychologicalinterventiononthesurvivalquality,emotion,socialsupportandcopinginmalignanttumorpatients.MethodsAtotalof42patientswithpathol
4、ogically-identifiedcarcinomaover1year,anticipationoflifetimemorethan6monthsandKarnofskyperformancescale(KPS)≧80weresubjectedinthisstudyduringJunetoNovember2008.Theywereassignedinto3groupswithoutobviousdifferenceinage,genderandtumortypes,andthenreceiveda12-weeksemi-structuredgroupinterview.Befor
5、eandin4weeksaftertheinterview,allpatientswereinvestigatedbythescaleofQLQ-c30,self-ratingdepressionscale(SDS),self-ratinganxietyscale(SAS),socialsupportratingscale(SSRS),copingstylequestionnaire,andself-madesubjectfeelingquestionnaire.ResultsThescoresofSDS,SAS,fatigue,lossofappetite,insomniaandp
6、ainweredroppeddown(t=7.28to2.751,P=0.000to0.006),andthescoresofgeneralhealth,emotionalfunctionandSSRSwereincreased(t=-3.489to-10.442,P=0.001to0.000)significantlyin4weeksaftertheendofinterviewthanthosebefore.Butthescoreofcopestylehadnosignificantdifferencebetweenthebeginand4-weekaftertheend(t=-0
7、.428to1.869,P=0.672to0.069）.ConclusionSemi-structuredgrouppsychologicalinterventionhassignificantimpactonthesurvivalquality,emotionalstatusandsocialsupportofthemalignanttumorspatients,buthasnosignificanteffectontheircopingstyles.[
