以互助为核心的团体干预对肺癌患者医学应对方式的效果研究

目的 探讨以互助为核心的团体心理干预对肺癌患者医学应对方式的影响.方法 采用便利抽样的方法,收集2011年12月至2012年5月上海市某医院经病理学确诊的68例肺癌患者,依据设定的配对条件随机分为试验组（34名）和对照组（34名）.对试验组进行为期3个月的团体干预,采用医学应对方式量表（MCMQ）进行效果评定.对照组给予常规护理.结果 试验结束后,干预组面对分量表得分明显高于干预前（P＜0.01）,屈服分量表得分明显低于干预前（P＜0.01）,回避分量表前后得分差异无统计学意义（P＞0.05）;对照组医学应对方式各分量表得分比较差异无统计学意义（P＞0.05）.结论 以互助为核心的团体心理干预可促进肺癌患者趋向于选择积极的医学应对方式,适当选择屈服和回避的应对方式,有利于患者的生活质量稳定.

Effect of group psychological intervention with helping each others as core on the medical coping modes in patients with lung-cancer

Objective To evaluate the effect of group psychological intervention with helping each others as core on the medical coping modes in patients with lung-cancer. Methods Sixty-eight patients with lung cancer from December 2011 to May 2012 were randomly divided into two groups,34 cases in each group. The patients in the experiment group received group psychological intervention for 3 months and the patients in the control group received routine care. All patients were investigated with the Medical Coping Modes Questionnaire（MCMQ） before and after intervention. Results After intervention ,the factor score of confronce in the experimental group was significantly higher than before（P〈0.01） and the factor score of resignation was significantly lower than before（P〈0.01）. No significant difference was found in any factor score in the control group（P〉0.05）. Conclusion Group psychological intervention is effective to encourage the lung cancer patients to take positive coping modes to improve the quality of life.