论文部分内容阅读
目的评价基于智谋理论的分阶段心理教育课程对乳腺癌患者心理行为的影响。方法将324例乳腺癌患者随机分为对照组及干预组各162例,对照组给予常规护理及心理护理,干预组在此基础上实施基于智谋理论的分阶段心理教育课程及个体化心理干预措施,使用智谋量表、症状自评量表(SCL-90)评价两组干预效果。结果干预组乳腺癌患者出院时及疗程结束后两个阶段躯体化、强迫、人际关系、抑郁、焦虑、敌对性、恐怖、偏执及精神病性因子均分及症状自评总分显著低于对照组(P<0.05,P<0.01),个人智谋、社会智谋及智谋总分显著高于对照组(均P<0.01)。结论基于智谋理论的分阶段心理教育课程可有效提高乳腺癌患者智谋状况,减少患者心理行为症状。
Objective To evaluate the psychological behavior of patients with breast cancer based on the theory of mental arithmetic. Methods 324 cases of breast cancer were randomly divided into control group and intervention group, 162 cases in each group. The control group was given routine nursing and psychological nursing. Based on the intervention group, the intervention group implemented the staged psychological education curriculum and individualized psychological intervention , Using self-efficacy scale, Symptom Checklist 90 (SCL-90) to evaluate the effect of intervention in both groups. Results The total scores of somatization, coercion, interpersonal relationship, depression, anxiety, hostility, terror, paranoid and psychotic factors and self-assessment of symptoms in both groups at the time of discharge and after the end of treatment were significantly lower in intervention group than those in control group (P <0.05, P <0.01). The scores of personal resourcefulness, social resourcefulness and resourcefulness were significantly higher than those of the control group (all P <0.01). Conclusions The staged psychological education curriculum based on the theory of conspiracy can effectively improve the mental status of patients with breast cancer and reduce their psychological and behavioral symptoms.