本文選題：淋巴瘤患者 + 積極心理品質(zhì)　； 參考：《山西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:調(diào)查惡性淋巴瘤患者積極心理品質(zhì)水平及群組差異,調(diào)查惡性淋巴瘤患者情緒、行為、睡眠等相關(guān)變量以探索積極心理品質(zhì)的影響因素;實施以催眠療法為主的心理干預(yù)方案,檢驗催眠療法對惡性淋巴瘤患者積極心理品質(zhì)與免疫功能的效用。方法:本研究包含兩項研究。研究一:調(diào)查研究。對符合要求的145名淋巴瘤患者測查自編人口學(xué)問卷、Herth希望量表(HHI)、總體幸福感量表(GWB)、患者抑郁自評量表(PHQ-9)、廣泛性焦慮量表(TCSQ)、特質(zhì)應(yīng)對方式量表(TCSQ)、社交回避及苦惱量表(SAD)、匹茲堡睡眠質(zhì)量指數(shù)量表(PSQI),分析其積極心理品質(zhì)群組差異及其影響因素。研究二:干預(yù)研究。篩選符合要求的60名淋巴瘤患者,采取開放化隨機原則進(jìn)行分組,30例患者作為實驗組,30例患者作為對照組;在接受常規(guī)藥物治療的基礎(chǔ)上,實驗組接受以催眠為主的心理干預(yù),對照組不接受;此外,兩組患者不接受其他處理。運用實驗組對照組前測后測設(shè)計的統(tǒng)計方法進(jìn)行數(shù)據(jù)統(tǒng)計,探討以催眠為主的心理干預(yù)對淋巴瘤患者積極心理品質(zhì)、負(fù)性情緒、行為方式、睡眠質(zhì)量以及免疫功能的影響。結(jié)果:1.調(diào)查研究結(jié)果:(1)惡性淋巴瘤患者積極心理品質(zhì)的部分維度在不同性別、年齡段、受教育程度、醫(yī)療費用影響、家庭支持程度、病程、分期等特征上表現(xiàn)出顯著差異。(2)抑郁和焦慮與患者積極心理品質(zhì)呈顯著負(fù)相關(guān)。消極應(yīng)對與淋巴瘤患者的積極心理品質(zhì)呈顯著負(fù)相關(guān);積極應(yīng)對與淋巴瘤患者積極心理品質(zhì)呈顯著正相關(guān);應(yīng)對方式總體與希望各因子及總分呈顯著正相關(guān)。社交回避與苦惱與淋巴瘤患者積極心理品質(zhì)呈顯著負(fù)相關(guān)。睡眠質(zhì)量各因子得分與淋巴瘤患者積極心理品質(zhì)呈顯著負(fù)相關(guān)。(3)淋巴瘤患者希望水平的主要影響因素依次為:積極應(yīng)對、社交回避、主觀睡眠質(zhì)量、睡眠潛伏期、年齡、習(xí)慣性睡眠效率。以上因素能夠解釋淋巴瘤患者希望水平的變異的43.7%。淋巴瘤患者總體幸福感的主要影響因素依次為:主觀睡眠質(zhì)量、消極應(yīng)對、社交回避、使用睡眠藥物、分期、社交焦慮、睡眠持續(xù)性。以上因素能夠解釋淋巴瘤患者總體幸福感變異的57.2%。2.心理干預(yù)研究結(jié)果:心理干預(yù)前后,淋巴瘤患者的積極心理品質(zhì)水平有了顯著提升,負(fù)性情緒得到顯著改善,應(yīng)對方式出現(xiàn)明顯積極應(yīng)對傾向,社交回避與苦惱得到顯著改善,睡眠質(zhì)量部分因子得到顯著改善,免疫功能中多數(shù)免疫細(xì)胞水平在化療中持平。結(jié)論:淋巴瘤患者的積極心理品質(zhì)水平主要受心理社會因素、睡眠質(zhì)量、疾病相關(guān)因素影響,較少受人口學(xué)特征的影響。以催眠為主的心理干預(yù)可有效提升淋巴瘤患者的積極心理品質(zhì)、改善負(fù)面情緒、應(yīng)對方式、睡眠質(zhì)量,且對化療中患者的免疫功能有較好的保護作用。
[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.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R733.1

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