团体心理治疗在中晚期乳腺癌患者中的应用研究

目的观察团体心理治疗对中晚期乳腺癌患者的治疗作用。方法将60例中晚期乳腺癌症患者按随机数字表分为对照组和观察组各30例,对照组接受常规化疗和心理护理,观察组除接受常规化疗外同时参加为期12周、每周1次的团体心理治疗。比较两组患者治疗前后焦虑、抑郁水平和治疗后癌症患者生存质量问卷评分情况。结果经过12周的团体心理治疗后,观察组患者的焦虑、抑郁水平显著低于对照组;癌症患者生存质量问卷评分中5项功能量表和总体健康状况评分高于对照组,3项症状量表和失眠、食欲丧失2个单项测量项目评分低于对照组,两组比较均有统计学意义。结论团体心理治疗可以缓解中晚期乳腺癌患者的焦虑和抑郁情绪,提高生存质量。     

“互联网+”视域下癌症病人支持性照护模式的研究进展

从“互联网+”视角出发综述基于“互联网+”技术的癌症病人支持性照护模式的研究进展,包括社交软件依托型延续性支持照护模式、智慧应用程序(APP)信息管控端支持照护模式、远程端调控支持照护模式、智能数字挖掘支持照护模式、虚拟现实技术辅助支持照护模式,提出培养通用技术型专业照护人才,构建四元一体、多元链接的互联网支持照护系统展望,以期为建立更加完善的癌症病人支持性照护模式提供借鉴。     

产后抑郁患者团体人际心理治疗效应研究

目的探讨团体人际心理治疗（IPT）方案治疗产后抑郁（PPD）患者的效果。方法对23例确诊为产后抑郁患者，采用团体人际心理治疗。总治疗次数12次，治疗前、后及治疗后第6个月随访用爱丁堡产后抑郁量表（EPDS-10）、汉密尔顿抑郁量表（HAMD-17）、人际间问题问卷（IIP）和夫妻适应量表（DAS）评估。结果（1）23例患者治疗后抑郁均分显著低于治疗前（EPDS-10：t=5．10，P〈0．001；HAMD-17：t=6．40，P〈0．001；治疗前、后DAS和IIP的得分比较差异无统计学意义）；（2）14例痊愈患者与9例未愈（部分缓解＋无缓解）患者治疗前抑郁评分（EPDS-10和HAMD-17）差异无统计学意义，但对该两组患者治疗前IIP的社交回避、复仇2个子量表比较结果显示：痊愈患者较少回避社交（t=3．50，P〈0．01）和较少复仇（t=2．80，P〈0．01）；（3）23例产后抑郁患者治疗后第6个月抑郁分显著低于治疗前评分（EPDS-10：F=24．30，P〈0．001；q=6．44，P〈0．01；HAMD-17：F=33．59，P〈0．001；q=4．88，P〈0．01）。上述时点IIP和DAS总分比较无显著性改变。结论团体人际心理治疗方案对产后抑郁有较好的治疗效应。     

支持性团体心理治疗对精神科医护人员心理韧性及生活质量的影响

目的 探讨支持性团体心理治疗对精神科医护人员心理韧性及生活质量的影响.方法 将238名精神科医护人员按随机数字表法分为两组,每组119名.对照组予以常规心理干预,观察组在对照组基础上予以支持性团体心理治疗.比较治疗前后两组心理韧性量表、精神科医护人员工作压力调查表、职业倦怠量表、医学应对方式问卷、生活质量综合评定问卷-...     

支持性团体治疗对首发精神分裂症患者自知力恢复的观察

目的观察支持性团体治疗促进首发精神分裂症患者自知力恢复的效果。方法将100例首发精神分裂症患者按入院顺序分观察组、对照组各50例。两组均接受抗精神病药物治疗和常规健康教育,观察组在此基础上给予支持性团体治疗。采用自知力与治疗态度问卷及社会功能评定量表对两组患者在治疗前及治疗8周后进行测评。结果两组治疗前自知力、治疗态度及社会功能评分比较无统计学意义(P0.05)。治疗8周后,两组均有明显改善,与治疗前比较有非常显著性差异(P0.01),但观察组自知力、治疗态度及社会功能评分改善优于对照组,两组比较有显著性差异(P0.05)。结论支持性团体治疗有助于首发精神分裂症患者恢复自知力、改善社会功能。     

团体心理治疗对改善精神分裂症患者阴性症状的疗效观察

目的:探讨团体心理治疗对改善精神分裂症患者阴性症状及其生活质量的疗效。方法:将120例慢性精神分裂症患者随机分为观察组和对照组各60例。两组都服用抗精神病药物,观察组同时辅以团体心理治疗,3个月为1个疗程,并于治疗前、后采用阴性症状量表及生活质量综合评定问卷分别对两组进行测定。结果:观察组在治疗后阴性症状评定量表评分明显降低,而生活质量综合评定问卷多项评分明显提高,两组比较有统计学差异。结论:团体心理治疗明显提高了患者的社会适应能力及生活自理能力,增强了对外界的关心与兴趣,提高了治疗的信心。     

团体心理治疗模式在《医护心理学》教学中的应用

目的探讨欧文·亚隆的团体心理治疗模式,在《医护心理学》的教学过程的作用。方法将学生分为团体心理治疗组（10人）和观察组（32人）,采用团体心理教学模式进行教学。结果教学结束后,以问卷形式了解学生对教学效果的评价,学生对团体心理治疗模式认同度高于其它教学形式。结论欧文·亚隆的团体心理治疗模式,能有效提高学生学习的积极性,提升心理健康的程度。     

家访对癌症患者治疗过程中的社会心理学的支持性研究

对不同的患群进行随机家访的研究表明：有逆反心理的病人数量明显下降，而且家访使得慢性心衰病人的存活率和生存质量明显提高。关于健康老年人群的家访调查表明：家访可明显降低死亡率，减少医院和家庭护理的工作量。说明由专业人员进行家访     

成人癌症患者支持性照护需求的研究现状

<正>近年来,全球癌症的发病率呈现持续升高的总体趋势,预计到2030年全球将有7500万癌症患者,癌症已成为全球性的公共卫生问题[1]。随着癌症患者生存时间越来越长,长期反复的治疗给癌症患者带来巨大的身心痛苦,严重影响了患者的生活质量。系统了解癌症患者的需求情况,提供合适的心理社会支持与帮助,最大限度地满足患者的需求,使其积     

心脏机械瓣膜置换术患者的心理健康状况及支持性心理治疗

目的 探讨支持性心理治疗措施对心脏机械瓣膜置换术后患者的心理健康状态的影响.方法 将102例行心脏机械瓣膜置换术后患者随机分为实验组和对照组,每组51例.对照组采用常规心理护理.实验组在常规护理的基础上加强倾听、廨释,指导、支持等心理治疗,两组分别于治疗前后采用Zung焦虑自评量表(SAS)和抑郁自评量表(SDS)进行疗效评价.结果 实验组在改善焦虑、抑郁方面优于对照组(P均＜0.05).结论 支持性心理治疗有助于心脏机械瓣膜置换术患者的心理康复.     

Basic strategies of dynamic supportive therapy

Supportive therapy is the psychotherapeutic approach employed with the majority of mentally ill individuals. Nevertheless, most mental health professional training programs dedicate little time and effort to the teaching and learning of supportive therapy, and many mental health professionals are unable to clearly and concisely articulate the nature or process of supportive work. Although supportive therapy incorporates many specific techniques from a wide variety of psychotherapy schools, it can be conceptualized as consisting of a more limited number of underlying strategies. The fundamental strategies that underpin effective supportive therapy with mentally ill individuals are described.     

Creating a culture of compassion: developing supportive care for people with cancer

Receiving the 2003 Distinguished Merit Award from the European Oncology Nursing Society is a great moment in my professional career. It is also a time for reflection. We can easily become immersed in the specifics of our work and forget the larger picture. An opportunity such as this allows me to step back, reflect and review what I have accomplished. It also challenges me to think about the totality of cancer nursing and cancer care, look at where we have been and about where we should be going. At the heart of this lies the concept of supportive care. I would like to consider three pertinent areas. First, I will define what I consider the domain of supportive care in cancer to be. Second, I will look at what is needed to further supportive care for people with cancer. This involves building the discipline of more rigorous symptom assessment and documentation; better management of the symptoms and concerns that confront people with cancer; moving beyond the traditional framework of treatment and care, embracing a more integrated approach; addressing quality whilst at the same expediting the delivery of supportive care services. Third, I would like to consider the challenges to reform that this presents for cancer nursing and cancer nurses. A road map for change will be presented which highlights both the necessity to promote a supportive care culture whilst simultaneously building a dedicated infrastructure of staff and services. Nurses must play a key role in supportive care. Because of our unique clinical and research base, we are primed to assume leadership roles in both these spheres. Mutual valuing, partnership and shared working are the only means of delivering enhanced cancer care. We should grasp opportunities, confident that together we have the skills and knowledge to move forward. Today is yesterday's tomorrow. We cannot do anything about yesterday, but we can do something about today to ensure tomorrow is how we want it to be. We can become what we dream, let us live that dream outside and really drive forward the care we provide for people with cancer and their families.     

心理护理对乳腺癌患者术后生活质量的影响

目的观察心理护理对乳腺癌患者术后生活质量的影响。方法180例乳腺癌术后患者随机分为:对照组(术后进行化疗)和观察组(化疗同时进行心理护理),治疗后2组采用生活质量问卷(QLQ-C30)和卡氏功能量表(KPS)测查。结果观察组QLQ-C30各指标和KPS得分均优于对照组。结论心理护理能减轻乳腺癌患者化疗的负反应及术后提高生活质量。     

癌症患者支持性照顾需求的研究进展

阐述癌症患者支持性照顾需求的概念及国内外研究现状,分析其影响因素,提出目前癌症患者支持性照顾需求研究中存在的不足及研究展望.     

Developing supportive care for family members of people with lung cancer: a feasibility study

Purpose Families provide crucial support, yet their own needs often go unrecognised and, as a consequence, remain unmet. The purpose of this study was to evaluate a newly developed supportive intervention for family members of patients with lung cancer. Materials and methods A consecutive convenience sample of 25 family members of people with lung cancer received an individualised supportive intervention from a support nurse over a period of 12 weeks. This involved in-depth assessment followed up with a tailored plan of ongoing support to address informational, emotional, social and practical needs. A concurrent mixed method design explored perceptions and outcomes of those receiving the intervention and assess its appropriateness, acceptability and feasibility. Data were collected through a semi structured telephone interview with family members, and support nurses maintained a contact log. A questionnaire addressed emotional well-being [general health questionnaire (GHQ-12)], quality of life [quality of life family version (Family QoL)] and needs for care [family inventory of needs (FIN)]—at baseline and week 12. Results Family members perceived they had derived benefit from the intervention. Certain elements clearly emerged as important for participants, including being listened to by someone who could facilitate emotional expression, being provided with individually tailored information and receiving practical help and advice. Outcomes mapped to five main areas: information needs, communication between family members, emotional well-being, being supported and facilitating family member’s role. There was a trend for more needs to be met and quality of life and emotional well-being to improve at week 12. Conclusion This study has demonstrated that a supportive intervention for family members of patients with lung cancer can be delivered to good effect by experienced cancer nurses. The active components of the intervention have been distinguished and provide the basis for development of a larger sufficiently powered trial.     

Cancer supportive care,improving the quality of life for cancer patients. A program evaluation report

Goals of work As medical care for cancer has become more specialized in diagnosis, treatment has become more technical and fragmented. In order to help cancer patients and their families, we developed a coordinated program called the Stanford Cancer Supportive Care Program (SCSCP) at the Center for Integrative Medicine at Stanford Hospital and Clinics. The Stanford Cancer Supportive Care Program was initiated in 1999 to provide support for cancer patients, addressing the need for improved physical and emotional well-being and quality of life. This paper is a program evaluation report.Patients and methods The number of patient visits grew from 421 in 1999 to 6319 in 2002. This paper describes the utilization of the SCSCP program as assessed by 398 patient visit evaluations during a 9-week period, January 2002 to March 2002. During this time we collected attendance records with demographic data and anonymous questionnaires evaluating each program. Patients were asked to evaluate how the program helped them regarding increase of energy, reduction in stress, restful sleep, pain reduction, sense of hopefulness, and empowerment.Main results Over 90% of the patients using the SCSCP felt there was benefit to the program. Programs were chosen based on a needs assessment by oncologists, nurse managers, social workers, and patients. Massage, yoga, and qigong classes had the highest number of participants. Qualitative data showed benefit for each program offered.Conclusions This evaluation of a free cancer supportive care program initiated in a hospital outpatient setting provides initial evidence of patient satisfaction and improvement in quality of life.