中国临床心理学杂志

疾病认知干预对减轻脑肿瘤患者及其家属焦虑抑郁情绪的作用

作者：肖宁¹ 2 肖水源¹ 彭立辉² 卢明² 周勤³

单位：1. 中南大学公共卫生学院湖南长沙 410078
2. 解放军第 163 医院神经外科湖南长沙 410003
3. 广州军区武汉总医院

分类号：R395.5

出版年,卷(期):页码：2009,17(2):250-252

摘要：

目的：研究家属疾病认知干预对脑肿瘤患者及其家属焦虑抑郁情绪的影响。方法：自制调查表调查分析脑肿瘤患者家属的应激来源，进行相应的疾病健康教育及认知心理干预，使用焦虑自评量表(SAS)及抑郁自评量表(SDS)评估患者及家属的焦虑抑郁情绪。结果：干预组家属在干预2周、1个月及3个月后SAS评分显著低于对照组(t=2.03，P=0.045；t=6.51，P＜0.001；t=7.71，P＜0.001)，干预3个月后干预组家属SDS评分显著低于对照组(t=6，P＜0.001)；干预2周、1月及3月后干预组患者的SAS评分显著低于干预前SAS评分(t=2.04，P＜0.045；t=5.17，P＜0.001；t=6.21，P＜0.001)，干预1月及3月后干预组患者的SDS评分显著低于干预前SDS评分(t=4，P＜0.001；t=8.02，P＜0.001；)结论：家属疾病认知干预能有效减缓家属及患者的焦虑抑郁情绪情绪。

Objective: To explore the influence of cognitive psychological intervention on family caregivers of patients with intracranial tumor and it's effect on anxiety and depression in the patients. Methods: Totally 160 family caregivers and patients with intracranial tumor were randomly divided into intervention group and control group. Self-rating anxiety scale(SAS) and Self-rating depression scale(SDS) were used to evaluate the negative emotion. Cognitive psychological in-tervention on caregivers was conducted in the intervention group, while routine nursing care was given in the control group. Results: Comparison of the scores of self-rating anxiety scale and self-rating depression scale between the two groups was as follows: After 3 month intervention, the scores of caregivers were lower in the intervention group than those in the control group (SAS:t=7.71, P<0.001 ; SDS:t=6, P<0.001), and the scores of patients in the intervention group decreased significantly (SAS:t=6.21, P<0.001 ; SDS:t=8.02, P<0.001). Conclusion: Cognitive psychological intervention can relieve anxiety and depression in family caregivers and patients with intracranial tumor.

基金项目：

作者简介：

参考文献：

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