催眠对淋巴瘤患者积极心理品质及免疫功能的影响

发布时间：2018-05-20 23:26

本文选题：淋巴瘤患者 + 积极心理品质　；参考：《山西医科大学》2017年硕士论文

【摘要】：目的:调查恶性淋巴瘤患者积极心理品质水平及群组差异,调查恶性淋巴瘤患者情绪、行为、睡眠等相关变量以探索积极心理品质的影响因素;实施以催眠疗法为主的心理干预方案,检验催眠疗法对恶性淋巴瘤患者积极心理品质与免疫功能的效用。方法:本研究包含两项研究。研究一:调查研究。对符合要求的145名淋巴瘤患者测查自编人口学问卷、Herth希望量表(HHI)、总体幸福感量表(GWB)、患者抑郁自评量表(PHQ-9)、广泛性焦虑量表(TCSQ)、特质应对方式量表(TCSQ)、社交回避及苦恼量表(SAD)、匹兹堡睡眠质量指数量表(PSQI),分析其积极心理品质群组差异及其影响因素。研究二:干预研究。筛选符合要求的60名淋巴瘤患者,采取开放化随机原则进行分组,30例患者作为实验组,30例患者作为对照组;在接受常规药物治疗的基础上,实验组接受以催眠为主的心理干预,对照组不接受;此外,两组患者不接受其他处理。运用实验组对照组前测后测设计的统计方法进行数据统计,探讨以催眠为主的心理干预对淋巴瘤患者积极心理品质、负性情绪、行为方式、睡眠质量以及免疫功能的影响。结果:1.调查研究结果:(1)恶性淋巴瘤患者积极心理品质的部分维度在不同性别、年龄段、受教育程度、医疗费用影响、家庭支持程度、病程、分期等特征上表现出显著差异。(2)抑郁和焦虑与患者积极心理品质呈显著负相关。消极应对与淋巴瘤患者的积极心理品质呈显著负相关;积极应对与淋巴瘤患者积极心理品质呈显著正相关;应对方式总体与希望各因子及总分呈显著正相关。社交回避与苦恼与淋巴瘤患者积极心理品质呈显著负相关。睡眠质量各因子得分与淋巴瘤患者积极心理品质呈显著负相关。(3)淋巴瘤患者希望水平的主要影响因素依次为:积极应对、社交回避、主观睡眠质量、睡眠潜伏期、年龄、习惯性睡眠效率。以上因素能够解释淋巴瘤患者希望水平的变异的43.7%。淋巴瘤患者总体幸福感的主要影响因素依次为:主观睡眠质量、消极应对、社交回避、使用睡眠药物、分期、社交焦虑、睡眠持续性。以上因素能够解释淋巴瘤患者总体幸福感变异的57.2%。2.心理干预研究结果:心理干预前后,淋巴瘤患者的积极心理品质水平有了显著提升,负性情绪得到显著改善,应对方式出现明显积极应对倾向,社交回避与苦恼得到显著改善,睡眠质量部分因子得到显著改善,免疫功能中多数免疫细胞水平在化疗中持平。结论:淋巴瘤患者的积极心理品质水平主要受心理社会因素、睡眠质量、疾病相关因素影响,较少受人口学特征的影响。以催眠为主的心理干预可有效提升淋巴瘤患者的积极心理品质、改善负面情绪、应对方式、睡眠质量,且对化疗中患者的免疫功能有较好的保护作用。
[Abstract]:Objective: to investigate the positive mental quality level and group difference in patients with malignant lymphoma, and to investigate the related variables such as emotion, behavior, sleep and so on, in order to explore the influencing factors of positive mental quality. To test the effect of hypnotherapy on the positive psychological quality and immune function of malignant lymphoma patients. Methods: this study included two studies. Research I: investigation and study. A self-designed demographic questionnaire for 145 patients with lymphoma, including the Herth Hope scale, the General Well-being scale (GWBN), the Self-Rating Depression scale (PHQ-9), the extensive anxiety scale (TCSQA), the trait coping style scale (TCSQN), and the amount of social avoidance and distress, was compiled for 145 patients with lymphoma. SAD, Pittsburgh Sleep quality Index (Pittsburgh Sleep quality Index) and PSQI were used to analyze the group difference of positive mental quality and its influencing factors. Study 2: intervention study. Sixty lymphoma patients who met the requirements were selected, 30 patients were divided into experimental group and 30 patients as control group, and the experimental group received hypnotic psychological intervention on the basis of routine drug therapy. The control group was not accepted; in addition, the two groups of patients did not accept other treatment. To investigate the effect of hypnotic psychological intervention on the positive psychological quality, negative emotion, behavior style, sleep quality and immune function of lymphoma patients, we used the statistical method of pre-test and post-test design in the experimental group to investigate the influence of hypnotic psychological intervention on the positive psychological quality, negative emotion, behavior style, sleep quality and immune function. The result is 1: 1. The results of the investigation showed that some dimensions of positive psychological traits of malignant lymphoma patients were gender, age, education, medical cost, family support, course of disease. There were significant negative correlation between depression and anxiety and positive psychological quality. Negative coping was negatively correlated with positive mental quality of lymphoma patients, positive coping style was positively correlated with positive psychological quality of lymphoma patients, and coping style was positively correlated with all factors of hope and total score. There was a significant negative correlation between social avoidance and distress and positive psychological traits in lymphoma patients. There was a significant negative correlation between the scores of sleep quality factors and the positive psychological quality of lymphoma patients. (3) the main influencing factors of Lymphoma patients' level of hope were: positive coping, social avoidance, subjective sleep quality, sleep latency, age, etc. Habitual sleep efficiency. The above factors can explain the variation of the desired level in lymphoma patients (43.7%). The main influencing factors of overall well-being of lymphoma patients were subjective sleep quality, negative coping, social avoidance, use of sleep drugs, stages, social anxiety and sleep persistence. These factors account for the 57.2% variation in overall well-being in lymphoma patients. The results of psychological intervention study showed that before and after psychological intervention, the positive psychological quality of lymphoma patients was significantly improved, the negative emotion was significantly improved, the coping style was obviously positive coping tendency, and social avoidance and distress were significantly improved. Some factors of sleep quality were significantly improved, and most immune cell levels in immune function were flat in chemotherapy. Conclusion: the positive psychological quality of lymphoma patients is mainly affected by psychosocial factors, sleep quality, disease related factors, and less by demographic characteristics. Hypnotic psychological intervention can effectively improve the positive psychological quality of lymphoma patients, improve negative emotions, coping styles, sleep quality, and has a better protective effect on the immune function of patients with chemotherapy.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R733.1

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