摘要【目的】探讨合理情绪疗法对乳腺癌根治术患者心理弹性及创伤性成长的影响。【方法】本院收治的126例乳腺癌根治术患者随机分为观察组和对照组,各63例,对照组给予包括健康教育、生活指导等常规护理干预,观察组在此基础上联合应用合理情绪疗法。比较两组患者心理弹性、创伤性成长、生活质量等指标。【结果】观察组患者坚韧、自强、乐观及心理弹性量表(CD-RISC)总评分明显高于对照组( P <0.05, P <0.01);人际关系、新可能性、个人力量、精神改变、欣赏生活及创伤后成长量表(PTGI)总评分明显高于对照组( P <0.05);观察组健康状况、生理职能、生理功能、躯体疼痛、活力、情感职能、精神健康等评分明显高于对照组( P <0.05)。【结论】合理情绪疗法可以恢复乳腺癌根治术患者的心理健康,促进术后创伤后成长,提高生活质量。
[1] Walsh DMJ, Groarke AM, Morrison TG, et al . Measuring a new facet of post traumatic growth: Development of a scale of physical post traumatic growth in men with prostate cancer[J]. PLoS One, 2018, 13(4): e0195992. [2] Greup SR, Kaal SEJ, Jansen R, et al . Post-Traumatic Growth and Resilience in Adolescent and Young Adult Cancer Patients: An Overview[J]. J Adolesc Young Adult Oncol, 2018, 7(1): 1-14. [3] 唐丽娟,江伟,吴红斌,等.理性情绪疗法在肝肾阴虚型围绝经期综合征的临床应用[J].华夏医学,2017,30(4):104-106. [4] Xn Y, Jn Z.Factor analysis and psychometric evaluatoin of the Connor-Davisson resilience scale (CD-RISC) with Chniese people[J]. Soc Behav Personal, 2007, 35(1): 19-30. [5] 汪际,陈瑶,王艳波,等.创伤性成长评定量表的修订及信效度分析[J].护理学杂志:外科版,2011,12(9):196. [6] 彭丹霞. 合理情绪疗法对肿瘤专科医院脑肿瘤患者焦虑的影响[J].国际护理学杂志,2017,36(9):1257-1259. [7] Nishi D, Kawashima Y, Noguchi H, et al . Resilience, post-traumatic growth, and work engagement among health care professionals after the Great East Japan Earthquake: A 4-year prospective follow-up study[J]. J Occup Health, 2016, 58(4): 347-353. [8] Romeo A, Ghiggia Tesio V, et al . Post-traumatic growth, distress and attachment style among women with breast cancer[J]. J Psychosoc Oncol, 2017, 35(3): 309-322.
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