The applied value of group psychotherapy intervention in patients with malignant bone tumor_West China Medical Journal

Authors：

DENG Xianjun ,  LI Lingli , HOU Xiaoling , ZHOU Xun , ZHAN Yujia

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LI Lingli, Email: lilinli2000@126.com

Keywords：

Malignant bone tumor; Group psychotherapy intervention; Quality of life

DOI：

10.7507/1002-0179.201709187

Video：

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Objective To evaluate the applied value of group psychotherapy intervention in patients with malignant bone tumor. Methods From May 2015 to February 2016, 66 patients with malignant bone tumor were divided into the intervention group (n=30) and the control group (n=36) according to their preference. Patients in the intervention group were treated with psychological intervention and the ones in the control group were only received regular telephone follow-up guidance. The quality of life, mood, social support and other changes were collected and compared between the two groups. Results The patients’ overall health and quality of life scores, emotional function scores and Social Support Revalued Scale scores in the intervention group (75.2±21.4, 59.2±10.5, 39.20±5.60) were higher than those in the control group (68.3±14.7, 51.4±11.4, 35.30±5.30), while the patients’ Self-rating Anxiety Scale scores, Self-rating Depression Scale scores, self-blame, and retreat scores in the intervention group (39.2±8.3, 35.1±6.7, 0.29±0.22, 0.41±0.22) were lower than those in the control group (44.2±7.5, 40.9±7.7, 0.34±0.24, 0.50±0.41), and the differences were all statistically significant (P<0.05). Conclusion The implementation of group psychotherapy intervention in patients with malignant bone tumor can effectively ameliorate the patients’ negative emotions, and improve social support and coping styles status of the patients.

Citation： DENG Xianjun, LI Lingli, HOU Xiaoling, ZHOU Xun, ZHAN Yujia. The applied value of group psychotherapy intervention in patients with malignant bone tumor. West China Medical Journal, 2017, 32(11): 1770-1773. doi: 10.7507/1002-0179.201709187 Copy

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7.	胡楠, 王晶, 高兴. Maslow 理论对骨肿瘤术后截肢患者抑郁状态的影响. 护理实践与研究, 2013, 10(6): 10-12.
8.	Antoni MH. Psychosocial intervention effects on adaptation, disease course and biobehavioral processes in cancer. Brain Behav Immun, 2013, 30(Suppl): S88-S98.
9.	Schulte F, Vannatta K, Barrera M. Social problem solving and social performance after a group social skills intervention for childhood brain tumor survivors. Psychooncology, 2014, 23(2): 183-189.
10.	姜于, 林静. 心理评估和干预对骨肿瘤患者抑郁的影响. 承德医学院学报, 2015, 32(6): 534-535.
11.	王亚朋, 庞英, 唐丽丽. 团体心理治疗对胃癌患者生活质量及情绪状况的效果. 中国心理卫生杂志, 2013, 27(7): 490-495.
12.	智晓旭, 周立, 李莉, 等. 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. 中华护理教育, 2013, 10(11): 509-511.
13.	杨红梅, 尚昕, 王静, 等. 骨肿瘤患者姑息心理护理的方法及效果. 中华现代护理杂志, 2011, 17(8): 876-880.
14.	朱雪辉. 骨肿瘤手术患者心理问题分析与对策. 北方药学, 2011, 8(3): 118.

1. 何立宏, 马保安, 周勇, 等. 118 例骨肿瘤患者的心理调查研究. 现代肿瘤医学, 2011, 19(11): 2317-2319.
2. 万崇华, 陈明清, 张灿珍, 等. 癌症患者生命质量测定量表 EORTC QLQ-C30 中文版评介. 实用肿瘤杂志, 2005, 20(4): 353-355.
3. 陶明, 高静芳. 修订焦虑自评量表. 中国神经精神疾病杂志, 1994, 20(5): 301-303.
4. 王春芳, 蔡则环, 徐清. 抑郁自评量表-SDS 对 1 340 例正常人评定分析. 中国神经精神疾病杂志, 1986, 12(5): 267-268.
5. 刘继文, 李富业, 连玉龙. 社会支持评定量表的信度效度研究. 新疆医科大学学报, 2008, 31(1): 1-3.
6. 安晶, 王源, 夏丽娟, 等. 心理干预对骨肿瘤保肢治疗病人心理状态的影响. 护理研究, 2013, 27(9B): 2871-2872.
7. 胡楠, 王晶, 高兴. Maslow 理论对骨肿瘤术后截肢患者抑郁状态的影响. 护理实践与研究, 2013, 10(6): 10-12.
8. Antoni MH. Psychosocial intervention effects on adaptation, disease course and biobehavioral processes in cancer. Brain Behav Immun, 2013, 30(Suppl): S88-S98.
9. Schulte F, Vannatta K, Barrera M. Social problem solving and social performance after a group social skills intervention for childhood brain tumor survivors. Psychooncology, 2014, 23(2): 183-189.
10. 姜于, 林静. 心理评估和干预对骨肿瘤患者抑郁的影响. 承德医学院学报, 2015, 32(6): 534-535.
11. 王亚朋, 庞英, 唐丽丽. 团体心理治疗对胃癌患者生活质量及情绪状况的效果. 中国心理卫生杂志, 2013, 27(7): 490-495.
12. 智晓旭, 周立, 李莉, 等. 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. 中华护理教育, 2013, 10(11): 509-511.
13. 杨红梅, 尚昕, 王静, 等. 骨肿瘤患者姑息心理护理的方法及效果. 中华现代护理杂志, 2011, 17(8): 876-880.
14. 朱雪辉. 骨肿瘤手术患者心理问题分析与对策. 北方药学, 2011, 8(3): 118.

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West China Medical Journal

The applied value of group psychotherapy intervention in patients with malignant bone tumor

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