沙盘游戏疗法在肿瘤放疗患者中的应用

目的探讨沙盘游戏疗法对肿瘤放疗患者心理痛苦及生活质量的作用。方法采用便利抽样法,选取2019年1—12月于上海市质子重离子医院住院进行放疗的49例肿瘤患者为研究对象,采用分层随机分组方法,将患者随机分为对照组28例和试验组21例。对照组给予常规心理护理,试验组在此基础上给予沙盘游戏疗法。采用心理痛苦温度计和欧洲癌症研究与治疗组织生命质量核心量表中的5个功能维度比较两组患者干预前后的心理痛苦程度和生活质量水平。结果干预后,两组患者心理痛苦温度计得分均低于干预前,且试验组得分低于对照组,差异有统计学意义(P<0.01)。干预前后试验组患者的躯体功能、角色功能、认知功能、情绪功能、社会功能维度得分下降程度均小于对照组,差异有统计学意义(P<0.01)。结论沙盘游戏疗法对肿瘤放疗患者的心理痛苦和生活质量有一定改善作用。

Application of sandplay therapy in patients with tumor during radiotherapy

Objective To explore the effect of sandplay therapy on distress and quality of life in patients with tumor during radiotherapy.Method A total of 49 patients with tumor during radiotherapy admitted to Shanghai Proton and Heavy Ion Center from January 2019 to December 2019 were enrolled,and divided into experimental group(21 cases)and control group(28 cases)by stratified random method.Both groups received routine nursing,and extra sandplay therapy was given to the experimental group.The degree of psychological distress and quality of life of the two groups before and after the intervention were compared by using the Distress Thermometer and the five functional dimensions of the life quality core scale of European Organization for Research and Treatment of Cancer.Results After the intervention,the Distress Thermometer scores of both groups were lower than those before the intervention,and the score of the experimental group was lower than that of the control group.The difference was statistically significant(P<0.01).Before and after the intervention,the decrease of dimension scores(physical function,role function,cognitive function,emotional function,social function)in the experimental group were less than those in the control group.The differences were statistically significant(P<0.01).Conclusions Sandplay therapy can reduce the distress and improve the quality of life for patients with tumor during radiotherapy.