结合微信群的团体认知行为干预对社区癌症患者生活质量的影响

顾益玮; 章璞; 刘文娟; 季建林; 闫蓓; 杨琛

doi:10.19428/j.cnki.sjpm.2018.18629

结合微信群的团体认知行为干预对社区癌症患者生活质量的影响

Group cognitive behavioral intervention combined with Wechat for improvement on life quality of cancer patients in communities

摘要

摘要:
目的探讨结合微信群的团体认知行为干预对社区癌症患者生活质量及情绪状态的改善效果。
方法采用开放对照试验设计。选取上海市迎博社区卫生中心管理的癌症患者作为团体干预组(n=54)，北蔡社区管理的癌症患者作为常规随访组(n=56)。对团体干预组进行每周一次的干预，共计6次面对面(每次120 min)和15次微信群交流(每次30 min)；常规随访组仅提供学习材料和定期电话随访。采用生活质量核心问卷(QLQ-C30)、焦虑自评量表(SAS)和抑郁自评量表(SDS)对所有受试者进行基线和21次干预后测评，比较干预前后躯体功能、情绪功能、社会功能、整体健康和生活质量及焦虑抑郁情绪状态的变化，并与常规随访组患者进行比较。
结果21周团体干预结束测评时，团体干预组的SAS和SDS评分低于基线，整体生活质量、情绪功能、认知功能高于基线，常规随访组的SDS得分低于基线(均P＜0.05);其余各项得分的组间差异均无统计学意义(均P＞0.05)。
结论结合网络的团体认知行为干预可提高社区癌症患者整体生活质量、情绪功能和认知功能，减轻抑郁、焦虑情绪。

Abstract:
ObjectiveTo explore the effect of group cognitive behavioral intervention combined with internet on the quality of life and mood for community cancer patients.
MethodsTotally 122 patients previously diagnosed with cancer in Yingbo and Beicai communities participated in this open controlled trial.Of them, 54 patients in Yingbo community joined the intervention group, including 6 face to face therapies and 15 WeChat group communications, whereas 56 patients in Beicai community were cared as usual.All participants completed baseline measures and post-intervention measures (after 21 interventions) questionnaire consisting of the Cancer Quality-of-life Core Questionnaire(QLQ-C30), Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale(SAS).
ResultsAfter 21 weeks of psychological interventions, participants′ score of global quality of life and emotion function were significantly higher (P < 0.05), and there were significantly decreases on scores of SAS and SDS compared with the baseline assessment.There were no significant changes on the scores of QLQC30 and SAS in the control group over time(P > 0.05).
ConclusionThis study provides evidence for the positive effect of group psychological therapy combined with internet for community cancer patients on their quality of life, depression and anxiety mood.

HTML全文

参考文献(15)

施引文献

资源附件(0)