Effects of positive psychology-based group counseling in rectal cancer patients with stoma

F. Yu, Ning Liu, Shu-hong Yan
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Abstract

Objective To explore the effects of positive psychology-based group counseling in rectal cancer patients with stoma. Methods From January to December 2018, this study selected 100 patients with rectal cancer permanent stoma and reexamine one month after surgery in the Fourth Hospital of Harbin Medical University as subjects by convenience sampling. All of patients were divided into control group (n=47) and observation group (n=53) with the method of random number table. A total of 5 cases of observation group withdrew from the study and 48 valid questionnaires were gained; 41 valid questionnaires were collected in control group. Control group carried out routine health guidance after discharge, while observation group implemented the positive psychology-based group counseling. The intervention effects were evaluated with the Post-traumatic Growth Inventory (PTGI) and the Herth Hope Index (HHI) . Results After intervention, the scores of personal strength, new possibility, interpersonal relationship and self-transformation in PTGI of patients in observation group were higher than those in control group with statistical differences (P 0.05) . The scores of three dimensions in HHI of patients in observation group were higher than those in control group after intervention with statistical differences (P<0.05) . Conclusions Positive psychology-based group counseling can improve the post-traumatic growth and hope of rectal cancer patients with stoma. Key words: Rectal neoplasms; Psychology, positive; Group counseling; Enterostomy; Posttraumatic growth, psychological; Hope
以积极心理学为基础的团体咨询在直肠癌造口患者中的效果
目的探讨以积极心理学为基础的团体咨询在直肠癌造口患者中的效果。方法2018年1月至12月,选取哈尔滨医科大学第四医院100例直肠癌永久性造口患者,术后1个月复查为研究对象。采用随机数字表法将所有患者分为对照组(n=47)和观察组(n=53)。观察组共退出研究5例,获得有效问卷48份;对照组收集有效问卷41份。对照组患者出院后进行常规健康指导,观察组患者出院后进行积极心理学为主的小组咨询。采用创伤后成长量表(PTGI)和赫斯希望指数(HHI)评价干预效果。结果干预后,观察组患者PTGI的个人力量、新可能性、人际关系、自我转化得分均高于对照组,差异有统计学意义(P < 0.05)。干预后观察组患者HHI三个维度得分均高于对照组,差异有统计学意义(P<0.05)。结论积极心理学为基础的团体辅导能提高直肠癌造口患者创伤后的成长和希望。关键词:直肠肿瘤;积极心理学;团体咨询;肠造口术;创伤后成长,心理;希望
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