治疗周期同步团体干预改善转移性乳腺癌患者创伤后成长的随机对照试验OACHSSCD
A randomized controlled trial of treatment-concurrent group intervention for post-traumatic growth in patients with metastatic breast cancer
目的:探讨与转移性乳腺癌患者治疗周期同步开展的团体心理咨询对患者创伤后成长的干预效果.方法:选取某医院乳腺内科接受治疗的转移性乳腺癌患者550名,筛选出简体中文版创伤后成长评定量表(C-PTGI)得分＜61.9分的患者81名,随机分为团体干预组(干预组,n=40)和对照组(n=41).对照组实施常规护理,干预组在常规护理基础上,每(21±3)d开展1次团体心理咨询,共6次.采用C-PTGI、心理弹性量表(CD-RISC)及欧洲癌症研究与治疗组织生活质量核心问卷(EORTC QLQ-C30),在基线、干预后即刻、干预后4周及干预后12周评估.结果:干预组脱落7例,对照组脱落5例.干预后即刻、干预后4周及干预后12周,干预组的C-PTGI、CD-RISC及EORTC QLQ-C30总体生活质量、情绪功能、认知功能、社会功能得分均高于对照组(均P＜0.05).结论:与转移性乳腺癌患者治疗周期同步的团体心理咨询可有效启动并强化患者与创伤后成长相关的积极认知及意义体验,同时对心理弹性的提升和生活质量的改善均具有积极作用.
Objective:To investigate the intervention efficacy of treatment-concurrent group psychological in-tervention on post-traumatic growth in patients with metastatic breast cancer.Methods:A total of 550 patients with metastatic breast cancer were recruited from a hospital's department of breast medicine.Eighty-one patients with a score of＜61.9 on the Chinese Post-Traumatic Growth Inventory(C-PTGI)were randomly assigned to either the intervention group(n=40)and the control group(n=41).The control group received routine nursing care,while the intervention group in addition to routine care,received group psychological counseling intervention(group inter-vention)once every(21±3)days,for a total of six sessions.The C-PTGI,Connor-Davidson Resilience Scale(CD-RISC),and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30(EORTC QLQ-C30)were used for assessment at baseline,immediately post-intervention,and at 4-week and 12-week post-intervention.Results:Seven participants in the intervention group and five in the control group dropped out.Assessments at three time points post-intervention,the intervention group scored significantly higher than the control group on the C-PTGI,CD-RISC,and the global quality of life,emotional functioning,cognitive functioning,and social functioning scales of the EORTC QLQ-C30(Ps＜0.05).Conclusion:Treatment-concurrent group inter-vention scan effectively initiate and strengthen positive cognitive restructuring and meaning-making processes asso-ciated with post-traumatic growth in patients with metastatic breast cancer.Furthermore,it contributes to improved psychological resilience and quality of life.
张智卿;崔晓凤;赵亚蒙;陈淑敏;陈红;杨亚新
郑州大学附属肿瘤医院(河南省肿瘤医院)乳腺科,郑州 450000郑州大学附属肿瘤医院(河南省肿瘤医院)乳腺科,郑州 450000郑州大学附属肿瘤医院(河南省肿瘤医院)乳腺科,郑州 450000郑州大学附属肿瘤医院(河南省肿瘤医院)乳腺科,郑州 450000郑州大学附属肿瘤医院(河南省肿瘤医院)乳腺科,郑州 450000郑州大学附属肿瘤医院(河南省肿瘤医院)乳腺科,郑州 450000
医药卫生
团体干预转移性乳腺癌创伤后成长心理弹性生活质量
group interventionmetastatic breast cancerpost-traumatic growthpsychological resiliencequality of life
《中国心理卫生杂志》 2026 (9)
766-772,7
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