【作者】 刘晶晶；

【导师】 王三秀；

【作者基本信息】 华中科技大学 ， 社会工作（专业学位）， 2023， 硕士

【摘要】 临床上卵巢癌患者承受身体和心理上的双重压力,因此患者的自我效能感已经受到社会的关注。写作疗法因强调个体经历与潜能、发挥主体性而逐渐成为社会工作领域重要的干预方法,并逐渐应用到癌症患者群体中,它通过书写的形式表达,并披露自身情感。临床上卵巢癌患者不仅自我效能感水平较低,还给家庭带来巨大的照顾负担。本研究基于自我效能感理论和自我调节理论的指导,将写作疗法与小组工作相结合,根据自我效能感的影响因素将自我效能感操作化为回忆、榜样、赞美、重释四个书写主题、八次小组活动,从而帮助患者进行情感的宣泄与表达。具体来说,本研究操作方法如下:通过参与式观察患者临床症状、访谈患者的心理需求,考虑到能否连续性参与小组活动筛选了14位患者作为小组的主体部分。结合定量和定性方法进行效果评估:一是采用《一般自我效能量表》、《书写表达自我评价表》和《小组活动满意度调查问卷》收集数据,并对《一般自我效能量表》的前后测数据进行配对样本T检验分析;二是将深度访谈和观察资料进行整理分析,整合定性定量资料探究本次干预小组的实际效果。研究结果表明,写作疗法能够满足卵巢癌患者的精神需求、构建社交网络、提高认知水平。鉴于此,写作疗法对卵巢癌患者自我效能感水平的提升具有重要作用。更多还原

【Abstract】 Ovarian cancer patients are under both physical and psychological stress,and as a result,their self-efficacy has received social attention.Writing therapy is becoming an important intervention in the field of social work because of its emphasis on individual experience and potential and the use of subjectivity,and is increasingly being used with cancer patients to express and disclose their feelings through writing.Patients with ovarian cancer not only have low levels of self-efficacy in clinical practice,but also place a significant burden of care on their families.Based on the guidance of self-efficacy theory and self-regulation theory,this study combined writing therapy with group work to operationalise self-efficacy into four writing themes of reminiscence,role modeling,praise and reinterpretation and eight group activities based on the factors influencing self-efficacy,thereby helping patients to ventilate and express their emotions.Specifically,this study was conducted as follows: 14 patients were selected as the main part of the group by participatory observation of their clinical symptoms,interviewing their psychological needs and considering whether they could participate in the group activities on a continuous basis.A combination of quantitative and qualitative methods was used to assess the effects: firstly,data were collected using the General Self-Efficacy Scale,the Written Expression SelfEvaluation Scale and the Group Activity Satisfaction Questionnaire,and paired-sample ttest analysis was conducted on the pre-and post-test data of the General Self-Efficacy Scale;secondly,the in-depth interview and observation data were collated and analysed,and the qualitative and quantitative data were integrated to explore the actual effects.The findings suggest that writing therapy can meet the spiritual needs,build social networks and improve cognition of ovarian cancer patients.In view of this,writing therapy has an important role in improving the self-efficacy of ovarian cancer patients.更多还原