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目的评估团体心理干预在恶性骨肿瘤患者中的应用价值。方法 2015年5月—2016年2月根据患者意愿将66例恶性骨肿瘤患者分为团体组(n=30)和对照组(n=36),两组患者分别实施团体心理干预治疗和常规电话随访指导,比较两组患者的生活质量、情绪、社会支持等变化。结果团体组干预后的整体健康和生活质量、情绪功能评分和社会支持评定量表总评分[(75.2±21.4)、(59.2±10.5)、(39.20±5.60)分]均明显高于对照组[(68.3±14.7)、(51.4±11.4)、(35.30±5.30)分];焦虑自评量表、抑郁自评量表、自责、退避评分[(39.2±8.3)、(35.1±6.7)、(0.29±0.22)、(0.41±0.22)分]均明显低于对照组[(44.2±7.5)、(40.9±7.7)、(0.34±0.24)、(0.50±0.41)分],差异均有统计学意义(P<0.05)。结论对恶性骨肿瘤患者实施团体心理干预,能有效改善患者的负性情绪,提高患者的社会支持与应对方式状态。
Objective To evaluate the value of group psychological intervention in patients with malignant bone tumors. Methods From May 2015 to February 2016, 66 patients with malignant bone tumor were divided into group (n = 30) and control group (n = 36) according to the patients' wishes. The two groups were treated with group psychological intervention and conventional telephone Follow-up guidance, compared with two groups of patients with changes in quality of life, mood, social support. Results The total scores of overall health and quality of life, emotional function score and social support rating scale after intervention in the group were significantly higher than those in the control group [(75.2 ± 21.4), (59.2 ± 10.5), (39.20 ± 5.60) (39.3 ± 14.7), (51.4 ± 11.4) and (35.30 ± 5.30) respectively; anxiety self-rating scale, depression self-rating scale, (0.29 ± 0.22), (0.41 ± 0.22) points were significantly lower than those in the control group (44.2 ± 7.5, 40.9 ± 7.7, 0.34 ± 0.24, 0.50 ± 0.41), respectively Significance (P <0.05). Conclusion The implementation of group psychological intervention in patients with malignant bone tumors can effectively improve the patients' negative emotions and improve their social support and coping style.