书写表达对改善化疗期乳腺癌患者益处发现水平、抑郁情绪、睡眠质量的效果

doi:10.3969/j.issn.1672-1756.2017.09.007

书写表达对改善化疗期乳腺癌患者益处发现水平、抑郁情绪、睡眠质量的效果

刘少华强万敏沈傲梅陈育红

天津医科大学肿瘤医院护理部，300060 天津市（刘少华，强万敏，沈傲梅）；乳腺一科（陈育红）

出版日期:2017-09-25 发布日期:2017-09-25
基金资助:
国家肿瘤临床医学研究中心培育项目（5-2-16）

Effects of expressive writing intervention on benefit finding, depression and sleep quality among breast cancer patients receiving chemotherapy

Online:2017-09-25 Published:2017-09-25

摘要/Abstract

摘要： 目的：评价书写表达对化疗期乳腺癌患者抑郁情绪、睡眠质量和益处发现水平的干预效果。方法：采用随机数字表法将纳入研究的乳腺癌患者随机分为干预组(n=39)和对照组(n=41)，干预组进行4次书写表达干预，对照组不进行书写表达，在干预前，干预后1周、干预后4周时分别应用流调中心抑郁问卷（CES-D）、匹兹堡睡眠质量指数(PSQI)、益处发现量表（BFS)评价干预前后的效果。结果：重复测量方差分析结果显示，两组患者CES-D、BFS、PSQI得分的组间差异均具有统计学意义（P<0.05），均未显示出明显的交互效应（P>0.05）；时间效应在CES-D得分上具有统计学意义（P<0.05），在BFS和PSQI得分上无统计学意义（P>0.05）。结论：书写表达可改善化疗期乳腺癌患者的抑郁情绪，促进其益处发现，改善其睡眠质量，具有较好的临床意义。

Abstract: Objective: To identify the effects of expressive writing intervention on depression, benefit finding and sleep quality among breast cancer patients receiving chemotherapy. Methods: About 80 patients were randomly assigned to the intervention group (n=39, expressive writing) and the control group (n=41, no writing). Patients completed The Center for Epidemiological Studies Depression Scale (CES-D), Benefit Finding Scale (BFS) and Pittsburgh Sleep Quality Index (PSQI) at baseline and 1, 4 weeks after intervention. Results: Repeated ANOVA showed that group effects were significant on scores of CES-D, BFS and PSQI between the two groups (P<0.05), while there showed no statistically different of all interaction effects. Time effect of scores of CES-D were significant (P<0.05), and time effects of scores of BFS and PSQI had no significance (P>0.05). Conclusions: Expressive writing may relieve depression, facilitate benefit finding, and improve sleep quality in breast cancer patients receiving chemotherapy. Thus, the expressive writing has good clinical implications.

刘少华强万敏沈傲梅陈育红. 书写表达对改善化疗期乳腺癌患者益处发现水平、抑郁情绪、睡眠质量的效果[J]. , 2017, 17(9): 1181-1185.