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首页> 外文期刊>BioResearch open access. >Therapeutic Alliance in a Single Versus Group Rehabilitative Setting After Breast Cancer Surgery: Psychological Profile and Performance Rehabilitation
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Therapeutic Alliance in a Single Versus Group Rehabilitative Setting After Breast Cancer Surgery: Psychological Profile and Performance Rehabilitation

机译：乳腺癌手术后单组康复治疗中的治疗联盟：心理概况和性能康复

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The survival rate of women after breast cancer has improved significantly worldwide. More attention should be paid to the rehabilitation intervention after surgery. Cancer rehabilitation helps breast cancer survivors maintain the highest possible physical, social, psychological, and vocational function in the limits that are imposed by the cancer and its treatments. The aim of our research was to determine the rehabilitative setting that promotes greater efficacy of the rehabilitation. A double-blind, randomized controlled trial with 45 patients enrolled was conducted. All participants were randomized into two groups: single rehabilitative training ( N =?22) and group rehabilitative training ( N =?23). Outcomes were assessed for each group before treatment (T0), after first 6 weeks of rehabilitative treatment (T1), and after 3 months (T2). All patients underwent the same rehabilitation treatment, but the setting differed between single and group rehabilitative training, which included four to five patients each and evaluated using Minnesota Multiphasic Personality Inventory (MMPI-2), Working Alliance Inventory Patient form (WAIP), Disabilities of Arm, Shoulder and Hand Questionnaire (DASH), and visual analog scale (VAS). Two patients dropped out in the single treatment group. In the within-group analysis at the three evaluation times, on the VAS, a significant reduction in pain was reported and maintained at the follow-up, as was observed for the DASH and WAIP scales. In the between-group analysis WAIP and Bond scale scores differed significantly in favor of the single treatment. In the group treatment, the Psychopathic Deviate, Masculine/Feminine, and Social Discomfort scales of the MMPI-2 correlated with WAIP Tot at T1. There was an association between the Correction, Hysteria, Paranoid, and Schizophrenia MMPI-2 scales and Δ VAS T0T1 in the total sample. Proposing the same rehabilitative intervention in both breast cancer groups, our results showed significant reduction in pain and good functional recovery of the upper limb, which did not depend on the setting (single or group). However, with single rehabilitation treatment, patients developed a better therapeutic alliance and experienced a more comfortable environment.
机译：全世界范围内，乳腺癌患者的女性生存率已显着提高。术后应更加重视康复干预。癌症康复可以帮助乳腺癌幸存者在癌症及其治疗所施加的限制下，保持最高的身体，社会，心理和职业功能。我们研究的目的是确定可以提高康复效果的康复环境。进行了一项双盲，随机对照试验，纳入了45名患者。所有参与者随机分为两组：单项康复训练（N = 22）和分组康复训练（N = 23）。在治疗前（T0），康复治疗的前6周（T1）和3个月后（T2）对每个组的结果进行评估。所有患者均接受相同的康复治疗，但单人康复训练和小组康复训练的设置有所不同，其中每人包括4至5名患者，并使用明尼苏达州多相性人格问卷（MMPI-2），工作联盟清单患者表格（WAIP），手臂，肩膀和手调查表（DASH）和视觉模拟量表（VAS）。单一治疗组中有2名患者退学。在三个评估时间的组内分析中，在VAS上，据报道疼痛显着减轻并在随访中得以维持，如DASH和WAIP量表所观察到的。在组间分析中，WAIP和Bond量表评分差异显着，有利于单一治疗。在小组治疗中，MMPI-2的精神变态，男性/女性和社会不适量表与T1时的WAIP Tot相关。总样本中的校正，歇斯底里，偏执和精神分裂症MMPI-2量表与ΔVAS T0T1之间存在关联。在两个乳腺癌组中提出相同的康复干预措施，我们的结果表明疼痛显着减轻，上肢功能恢复良好，这与设置（单个或一组）无关。但是，通过单一的康复治疗，患者可以建立更好的治疗联盟，并享有更舒适的环境。

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