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目的探讨集体心理治疗结合个体心理治疗联合吗啡缓释片对癌症疼痛患者情绪及生活质量的影响。方法采用病例对照的研究方法,对干预组晚期癌症患者在吗啡缓释片治疗疼痛的同时,进行集体心理治疗结合个体心理治疗,对照组只进行吗啡缓释片治疗。应用抑郁自评量表(SDS)、焦虑自评量表(SAS)、癌症患者生存质量核心量表(QLQ-C30)对干预组和对照组在干预前后进行测试。结果干预组患者生活质量核心量表分值在干预前后有显著不同,主要表现为情感功能、认知功能、社会功能、整体健康状况等分值在干预前后差异有统计学意义(P<0.05),干预组焦虑、抑都等负性情绪减少。结论癌痛患者在进行躯体治疗的同时,实施有效的心理治疗可以纠正患者消极的应对方式,改善其不良情绪和减轻临床症状,有助于提高患者的生活质量。
Objective To investigate the effects of collective psychotherapy combined with individual psychotherapy and morphine sustained-release tablets on the emotional and quality of life of patients with cancer pain. Methods A case-control study was conducted. Patients in the intervention group with advanced cancer were treated with morphine sustained-release tablets to treat pain, and group psychotherapy was combined with individual psychotherapy. The control group received only morphine sustained-release tablets. The Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), and Cancer Quality of Life Scale (QLQ-C30) were used to test the intervention group and the control group before and after the intervention. Results The scores of quality of life scales in the intervention group were significantly different before and after the intervention, mainly manifested in the differences in emotional function, cognitive function, social function, and overall health status before and after intervention (P<0.05). In the intervention group, anxiety, depression, and other negative emotions decreased. Conclusion In the treatment of patients with cancer pain, effective psychotherapy can be used to correct the patient’s negative coping style, improve their negative emotions and reduce clinical symptoms, and help improve the patient’s quality of life.