CAJ | 학술논문

目的探讨合理情绪疗法对舌癌术后患者心理状况及生活质量的影响.方法将64例舌癌术后患者按随机数字法分为观察组和对照组各32例,对照组给予口腔科术后常规护理,观察组在此基础上给予合理情绪疗法,主要措施包括深入性谈话、与不合理信念辩论、运用合理情绪想象技术、认知性的家庭作业等,分别采用症状自评量表(SCL-90)和世界卫生组织生活质量量表(WHOQOL-100)评价两组患者心理护理前后的心理状况和生活质量.结果心理护理结束后,观察组患者SCL-90中焦虑、人际关系敏感和敌对维度评分改善分别为(0.77±0.38),(0.32 ±0.39),(0.22±0.39)分,均优于对照组的(0.48±0.42),(0.12±0.35),(0.02 ±0.30)分,差异均有统计学意义(t分别为2.90,2.16,2.30；P均＜0.05)；心理护理结束时,观察组患者WHOQOL-100评分的总分及心理、独立性、社会关系和精神支持因子分改善情况均优于对照组,差异均有统计学意义(t分别为19.71,22.37,16.55,8.62,7.61；P均＜0.05).结论合理情绪疗法能够明显缓解舌癌术后患者因为病情产生的焦虑和抑郁程度,改善患者的心理状态,提高患者的生活质量.
목적 탐토합리정서요법대설암술후환자심리상황급생활질량적영향.방법 장64례설암술후환자안수궤수자법분위관찰조화대조조각32례,대조조급여구강과술후상규호리,관찰조재차기출상급여합리정서요법,주요조시포괄심입성담화、여불합리신념변론、운용합리정서상상기술、인지성적가정작업등,분별채용증상자평량표(SCL-90)화세계위생조직생활질량량표(WHOQOL-100)평개량조환자심리호리전후적심리상황화생활질량.결과 심리호리결속후,관찰조환자SCL-90중초필、인제관계민감화활대유도평분개선분별위(0.77±0.38),(0.32 ±0.39),(0.22±0.39)분,균우우대조조적(0.48±0.42),(0.12±0.35),(0.02 ±0.30)분,차이균유통계학의의(t분별위2.90,2.16,2.30；P균＜0.05)；심리호리결속시,관찰조환자WHOQOL-100평분적총분급심리、독립성、사회관계화정신지지인자분개선정황균우우대조조,차이균유통계학의의(t분별위19.71,22.37,16.55,8.62,7.61；P균＜0.05).결론 합리정서요법능구명현완해설암술후환자인위병정산생적초필화억욱정도,개선환자적심리상태,제고환자적생활질량.
Objective To study the effects and importance of rational emotive behavior therapy (REBT)on the psychological status and life quality of patients with tongue carcinoma after operation.Methods A total of 64 tongue cancer patients randomly divided into experiment group (n =32) and control group (n =32),routine nursing was given to the control group,while mental nursing of REBT was given to the patients of experiment group,including deeply conversation,debate about the unreasonable conviction,reasonable emotion imagination technique and homework of cognition etc.Respectively symptom check list-90 (SCL-90) and World Health Organization quality of life-100(WHOQOL-100) were adopted to evaluate the mental condition and life quality before and after the mental nursing.Results After intervention,the improved scores of anxiety,interpersonal relationship,and antagonism of experiment group were significantly better than that of control group [(0.77 ±0.38) vs (0.48 ±0.42),(0.32 ±0.39) vs (0.12 ±0.35),(0.22 ±0.39) vs (0.02 ±0.30) ; P ＜0.05)].In experiment group,the total average score of WHOQOL-100,and the factors scores such as psychology,independence,social relation and mental support and so on were significantly improved than that of control group (t =19.71,22.37,16.55,8.62,7.61,respectively ; P ＜ 0.05).Conclusions The reasonable emotion therapy can obviously alleviate the anxiety and depression of tongue cancer sufferers which caused by the illness condition,and it also can improve the sufferers' mental status,improve the living quality of them.