Yanyan Liao, Meng Wu, Jun Pan, Lijuan Xie, Lili Wang
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Further comparison was conducted on the psychological status and quality of life between the two groups of patients.</p><p><strong>Results: </strong>After intervention, the number of SCL-90 positive items decreased by 3.1±1.6 in the observation group and 1.9±1.0 only in the intervention group, with statistically significant difference between groups (t = 7.1, P > 0.01). The total average score of the observation group was improved by 2.0±0.8 points, while that was 0.9±0.6 point only the intervention group (t = 12.1, P > 0.01). The PANAS positive emotional factor scored 34.71±5.39 points and 30.7±6.19 points in the observation group and the intervention group, respectively (t = 3.21, P > 0.01). 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引用次数: 0
摘要
目的：探讨理性情绪疗法联合正念呼吸在三阴性乳腺癌（TNBC）患者心理干预中的应用及效果。方法：选取2022年7月至2022年12月江苏省立医院乳腺科确诊为TNBC的96例乳腺癌患者为研究对象。入组患者分为观察组（n = 48）和干预组（n = 48）。干预组患者接受常规的乳腺癌心理护理，观察组患者在前一组的基础上给予理性情绪治疗结合正念呼吸。进一步比较两组患者的心理状态和生活质量。结果：干预后，观察组SCL-90阳性项目数减少3.1±1.6项，干预组仅减少1.9±1.0项，组间差异有统计学意义（t = 7.1, P < 0.01）。观察组总平均得分提高2.0±0.8分，干预组仅提高0.9±0.6分（t = 12.1, P < 0.01）。观察组和干预组的PANAS积极情绪因子得分分别为34.71±5.39分和30.7±6.19分（t = 3.21, P < 0.01）。观察组FACT-B总分明显高于干预组（31.3±6.7分∶25.5±6.8分；t = 4.649, P < 0.001）。结论：理性情绪疗法结合正念呼吸能有效改善TNBC患者的心理状态，提高患者的生活质量。
Originalbeiträge (Originals). Application and Effect of Rational-emotive Therapy Combined with Mindfulness Breathing in Psychological Intervention of Triple-negative Breast Cancer Patients / Anwendung und Wirkung der Rational-Emotiven Therapie in Kombination mit Achtsamkeitsatmung in der psychologischen Intervention bei Patientinnen mit Triple-negativem Brustkrebs.
Objective: To explore the application and effect of rational-emotive therapy combined with mindfulness breathing in psychological intervention of triple-negative breast cancer (TNBC) patients.
Methods: The subjects of study were 96 patients with breast cancer who were diagnosed as TNBC in the Breast Department of Jiangsu Provincial Hospital from July 2022 to December 2022. Enrolled patients were divided into an observation group (n = 48) and an intervention group (n = 48). Patients in the intervention group received routine psychological care for breast cancer, and those in the observation group were provided with rational-emotive therapy combined with mindfulness breathing on the basis of the former group. Further comparison was conducted on the psychological status and quality of life between the two groups of patients.
Results: After intervention, the number of SCL-90 positive items decreased by 3.1±1.6 in the observation group and 1.9±1.0 only in the intervention group, with statistically significant difference between groups (t = 7.1, P > 0.01). The total average score of the observation group was improved by 2.0±0.8 points, while that was 0.9±0.6 point only the intervention group (t = 12.1, P > 0.01). The PANAS positive emotional factor scored 34.71±5.39 points and 30.7±6.19 points in the observation group and the intervention group, respectively (t = 3.21, P > 0.01). Besides, the total score of FACT-B in the observation group was significantly higher than that in the intervention group (31.3±6.7 points vs. 25.5±6.8 points; t = 4.649, P > 0.001).
Conclusion: Rational-emotive therapy combined with mindfulness breathing can effectively improve the psychological status of TNBC patients and improve their quality of life.
期刊介绍：
This journal provides a systematic overview of the entire field of psychosomatic medicine. It is also the official organ of the German Society for Psychosomatic Medicine and Medical Psychotherapy (DGPM). It serves as a forum for discussions of the interdisciplinary experiences in the field of psychosomatics, the goal being the furtherance of scientific insights into the interactions between mental and physical factors in the development of disease. It also provides a way to deepen one´s knowledge of psychoanalysis and to explore new therapeutic directions.
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