心理行为干预对老年恶性肿瘤患者抑郁症状的影响  

Effect of psychological intervention on depressive symptoms in elderly patients with malignant tumor

作　　者：董青[1] 高云阁[1] 王社论[1] 张瑞萍[1] 周学慧[1] 翟树森[1] 崔庆超[1] 

机构地区：[1]解放军306医院血液肿瘤科,北京100101

出　　处：《总装备部医学学报》2013年第2期98-100,共3页Medical Journal of General Equipment Headquarters

摘　　要：目的掌握老年恶性肿瘤患者的心理特点,并探讨心理干预及人文关怀对老年恶性肿瘤患者抑郁和焦虑情绪的影响。方法将2011年1月～2012年12月我科收治的老年恶性肿瘤98例随机分为心理干预组与对照组,心理干预采取健康教育、支持疗法、认知疗法、行为疗法、音乐疗法。应用SCL-90症状自评量表及老年抑郁量表(GDS)对两组患者心理健康状况进行分析和评估,两组比较采用单因素方差分析。结果老年恶性肿瘤患者发生抑郁的概率明显高于一般人群;心理干预组与对照组老年恶性肿瘤患者的生活质量比较,差异有统计学意义(P<0.05)。结论在老年恶性肿瘤治疗过程中更应注重心理干预,这对其治疗与康复具有积极意义。Objective To explore the psychological characteristics and effect of psychological intervention on depressive symptoms among elderly patients with malignant tumor. Methods Total 98 elderly patients with malignant tumors diagnosed from January 2011 to December 2012 in our department were randomly assigned to study (n=52) and control group (n=47). Psychological intervention included measures of health education, supportive therapy, cognitive therapy, behavior therapy, and music therapy. Both groups were evaluated with SCL-90 and GDS form and the results were compared with single factor analysis of variance. Results The incidence of depression in elderly patients with malignant tumors was significantly larger than the general population. Psychological intervention group and control group differences in quality of life in elderly patients with malignant tumor had statistical significance. Conclusion In elderly patients with malignant tumors treatment process should be paid more attention to the psychological intervention, and the treatment has a positive effect.

关 键 词：心理干预 老年恶性肿瘤 症状自评量表 

分 类 号：R473.73[医药卫生—护理学]