| Background:Breast cancer is one of the common malignant tumors in the female, with the continuousimprovement of medical standards,5-year survival is significantly improved. On the otherhand, in view of the importance of breast and the characteristics of breast cancer, there isclosely linked between the breast cancer occurrence,development,prognosis and thepatient’s mental state. How to improve the psychological state and quality of life of breastcancer patients, is a hot topic of the present study.Objective:To product Group Computer Magnanimous-Relaxed Therapy(GCMRT), explore itsefficiency for in-patients diagnosed as breast cancer in psychosomatic conditions,coping,psychological adjustment and quality of life, and so on,combined with the earlyresults of the study-"Individual Magnanimous-Relaxed Therapy and effect of its in breastcancer ",we purpose to further provide theoretical basis and help the rehabilitation ofpatients to clinical psychological intervention and provide a reference for future clinicalresearch.Methods:1. According to the product process of Iindividual Computer Magnanimous-RelaxedTherapy and according to the principle of the onset of group psychotherapy,study theproduct of Group Computer Magnanimous-Relaxed Therapy (GCMRT),which is flashformat,and have Mandarin and Cantonese dubbing.2.In according with the principles of inclusion criteria,80cases of in-patients diagnosed asbreast cancer were matched and grouped into GCMRT group and control group, n=40,tocontroll clinical trial research. GCMRT group was given Group Computer Magnanimous-Relaxed Therapy intervention for3months, the control group were notgiven this intervention. Both groups were hospitalized for routine treatment.HospitalAnxiety Depression Scale (HAD),Psychological Adjustment Scale for CancerPatients(PASCP), Cancer Coping Modes Questionnaire (CCMQ),Functional LivingIndex-cancer(FLIC),Tumour Psychological Scale (TPS), as well as The House-Tree-Persontest were used to evaluate the two groups of patients. Analysising of the differences of thetwo groups in the three months before and after the treatment of emotional, psychological,behavioral and other changes,to evaluate the curative effect of GCMRT.Results:1.Produced Group Computer Magnanimous-Relaxed Therapy(GCMRT,flash format)2. The GCMRT treatment for breast cancer patients after one week, one month and threemonths,HAD total score, anxiety and depression score in HAD were significantlylower,the differences were significant (p=0.000). In the control group which did not giventhis intervention in the last three months,HAD total score, anxiety and depression scores inHAD were higher, the difference in the total score was significant (p1=0.001; p2=0.002;p3=0.012), anxiety score after three months was significantly difference (p3=0.009),depression score was significantly difference after a week and one month (p1=0.000;p2=0.002). After the intervention, comparison of the difference between the two groupsdisplayed, the GCMRT treatment for breast cancer patients after a week, one month andthree months, the differences between HAD total score, anxiety and depression score inHAD were significant(p<0.05).3. The GCMRT treatment for breast cancer patients after one week, one month and threemonths, PASCP total score and "emotion/self-esteem" dimensions were higher, thedifferences were significant after one month and three months(p2=0.015, p3=0.007;p2’=0.006, p3’=0.007);"Subjective feeling" and "interpersonal relationship/social life"dimensions were higher, the differences were significant (p<0.05),"The daily life"dimension was lower, the difference was significant(p1=0.000; p2=0.000; p3=0.015);"Other" dimension was higher, the difference was significant after three months (p3=0.045).While in the control group which did not given this intervention in three months,PASCPtotal score and "emotion/self-esteem"dimensions were lower, and the differences weresignificant after a week(p1=0.000;p1’=0.010);"Interpersonal relationship/social life"dimension was lower, the difference was significant after one week(p1=0.031);"The dailylife" dimension was lower after one week and one month, the difference was significant (p1=0.000, p2=0.009);"Other" dimension was lower, the difference was significant after oneweek and one month (p1=0.001;p2=0.005). After the intervention, comparison of thedifference between the two groups displayed,the GCMRT treatment for breast cancerpatients after one week, one month and three months, the differences between PASCP totalscore,"Subjective feeling","emotion/self-esteem","Interpersonal relationship/social life"and "Other" dimensions were significant(p<0.05),but the differences between "The dailylife" dimensions were significant after a week(p1=0.018).4. In the GCMRTgroup, CCMQ total score was higher after a week, the difference wassignificant (p1=0.001);"face" dimension was higher, the difference was significant(p=0.000);"avoidance and suppression" dimension was higher, the difference wassignificant after a week(p1=0.000);"surrender" dimension was lower,the difference weresignificant after one month and three months(p2=0.003; p3=0.001); the "fantasy" and "vent"dimensions were lower, the differences were significant (p<0.05). In the control groupwhich did not given intervention in three months,"face "dimension was lower,thedifference was significant after a week(p1=0.00);"avoidance and suppression" dimensionwas higher, the difference was significant after one month(p2=0.041);"fantasy" dimensionwas higher,but it was lower after one month, the difference was significant after threemonths(p3=0.018). After the intervention, comparison of the difference between the twogroups displayed, the GCMRT treatment for breast cancer patients after a week, one monthand three months, the differences between "face ","fantasy" and "vent" dimensions weresignificant(p<0.05), but the differences between CCMQ total score,"avoidance andsuppression"dimensions were significant after a week (p1=0.001; p1’=0.000); thedifferences between “surrender” dimension was significant after one month and threemonths(p2=0.010,p3=0.000).5. The GCMRT treatment for breast cancer patients after a week, one month and threemonths, FLIC total score was higher, the difference was significant (p1=0.000; p2=0.000;p3=0.015);"hardship due to cancer" dimension was lower,but it was higher after one month,the difference was significant after one week and one month(p1=0.009, p2=0.007);"Bodywell and ability" dimension was higher,but it was lower after three months, the differencewas significant after a week(p1=0.012);"psychological well" and "social good"dimensionswere higher, the differences were significant(p1=0.002, p2=0.000, p3=0.000; p1’=0.006,p2’=0.000, p3’=0.009);"nausea" dimension was higher,but it was lower after threemonths,the difference was significant after a week(p1=0.000).In the control group which did not given this intervention in three months, FLIC total score was higher, the differencewas significant after one month(p2=0.003);"psychological well" was lower, the differencewas significant(p1=0.000; p2=0.000; p3=0.003);"hardship due to cancer"dimension washigher, the difference was significant after one month and three months (p2=0.000;p3=0.000);"social good" dimension was lower,but it was higher after one month, thedifference was significant after three months (p3=0.006);"nausea" dimension was higher,the difference was significant (p=0.000). After the intervention, comparison of thedifference between the two groups displayed,the GCMRT treatment for breast cancerpatients after a week, one month and three months, the differences between "psychologicalwell" dimensions were significant(p<0.05),the differences between FLIC total score,"social good"dimensions were significant after a week and one month(p1=0.003,p2=0.012; p1=0.002, p2=0.005), the differences between "hardship due to cancer"dimensions were significant after a week(p1=0.003), the differences between "nausea"dimensions were significant after one month and three months(p2=0.000,p3=0.005).6. The GCMRT treatment for breast cancer patients after a week, one month and threemonths,TPS total score,"personality characteristics","emotional expression","unconscious" and "cognitive habits" dimensions were lower, the differences weresignificant (P<0.05). In the control group which did not given this intervention in threemonths,"unconscious" dimension was lower, the difference was significant (p1=0.000;p2=0.000, p3=0.001);TPS total score,"cognitive habits" and "emotional expression"dimensions were higher, the differences were significant after a week (p=0.017; p’=0.034;p’’=0.002). After the intervention, comparison of the difference between the two groupsdisplayed, the GCMRT treatment for breast cancer patients after a week, one month andthree months, the differences between TPS total score,"personality characteristics","emotional expression"and "cognitive habits" dimensions dimensions weresignificant(p<0.05).7. Most of the breast cancer patients who received the GCMRT treatment couldmaintain a more complete self-image, good social function and interpersonalrelationship,positive and hopeful towards life. The majority of patients in the control group,who were not given the intervention three months,were negative, pessimistic towards life,avoiding reality,and the self-image was not complete.8. The breast cancer patients who received the GCMRT treatment before and after eachtreatment, blood pressure and heart rate decreased, the difference was significant in the heart rate (p1=0.004; p2=0.000, p3=0.046, p4=0.000); the difference was significant in theSBP in the second and fourth intervention(p2=0.000, p4=0.039); the difference wassignificant in the DBP in the second intervention (p2=0.001).Conclusion: Group Computer Magnanimous-Relaxed Therapy (GCMRT) is a homemadeintegrated psychological intervention, easy to understand, simple to operate, lively andinteresting.It can effectively solve the breast cancer patients with anxiety anddepression;improve patients’ coping, psychological adjustment capacity and quality of life;mitigate the adverse psychological state of tumor； it can enable participants to maintainrelatively complete self-image,positive and optimistic attitude towards life; it can adjustthe participants’ blood pressure and heart rate. The therapy which is applied in breast cancerclinical treatment, daily care and rehabilitation applications will contribute to effectiveresponse in patients to improve patients’ psychological adjustment ability, emotional,physical and mental state, improve the quality of life. |
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