团体心理干预对乳腺癌康复期患者心理康复的影响

目的探讨团体心理干预对乳腺癌康复期患者心理康复的影响。方法对80例门诊复查候诊未参加汝康沙龙活动的乳腺癌康复期患者(对照组)和100例参加汝康沙龙活动的乳腺癌康复期患者(干预组)进行问卷调查。结果显著心理痛苦发生率对照组为36.8%,干预组为21.1%(χ2=5.02,P=0.03);干预组心理痛苦阴性组的疗效因子总分(236.86±35.17)明显高于心理痛苦阳性组(214.21±26.52)(t=2.61,P=0.01),其中有显著性差异的因子有5项:团体凝聚力、普遍性、人际外学习、指示指导、希望重塑。患者报告得分较高的5项因子为:人际外学习、希望重塑、团体凝聚力、引导指示、存在意识。结论团体心理干预可以降低乳腺癌康复期患者的心理痛苦,其中团体凝聚力、普遍性、人际外学习、指示指导、希望重塑、存在意识对乳腺癌康复期患者有相对重要的作用。

Effects of Group Psychotherapy on Breast Cancer Patients

Objective To explore the effects of group psychotherapy on breast cancer patients.Methods 80 outpatients with breast cancer who did not participate in the Rukang Salon(control group) and 100 outpatients participated(intervention group) were surveyed with questionaire.Results The incidence of psychological distress was 36.8% in the control group and 21.1% in the intervention group(=5.02,P=0.03).In the intervention group,the efficacy of those without psychological distress(236.86±35.17) was significantly higher than those with psychological distress(214.21±26.52),(t=2.61,P=0.01).There were significant differences in those 5 factors: group cohesion,universality,interpersonal learning,guide instructions,and hope remodeling.Top 5 factors in scores reported were interpersonal learning,hoping remodeling,group cohesion,guide instructions,and exist consciousness.Conclusion Group psychotherapy can significantly reduce the psychological distress in rehabilitating breast cancer patients.Group cohesion,universality,interpersonal learning,guide instructions,hope remodeling and exist consciousness may play important roles.