综合性放松训练对肝癌患者焦虑抑郁状态的疗效  

Effect of comprehensive relaxation training on anxiety and depression in patients with hepatic carcinoma

作　　者：卜秀梅[1] 王璇[2] 曹丽君[1] 朱国翠[1] 

机构地区：[1]中国医科大学附属第一医院消化内科,辽宁省沈阳市110001 [2]沈阳医学院奉天医院心内科,辽宁省沈阳市110024

出　　处：《中国临床康复》2005年第44期16-17,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:观察综合性放松训练对肝癌患者焦虑抑郁状态的影响。方法:于2003-07/2004-09选择中国医科大学附属一院消化内科和肿瘤内科住院患者100例,符合标准的患者共有60例,随机分为观察组(30例)和对照组(30例)。对照组给予常规内科治疗,观察组在常规内科治疗基础上,进行综合性放松训练,包括:①由专业护士和患者谈心。②对患者进行健康教育。③调动患者心理、社会支持系统。④肌肉放松训练和内心意念引导训练。于治疗3周后用焦虑自评量表评定两组患者的精神状态。焦虑自评量表按焦虑分值分为重度(>60分),中度(50～60分),轻度(30～49分)。临床疗效评定痊愈者为焦虑症状缓解,焦虑自评量表评分恢复正常。显效者焦虑症状基本缓解,焦虑自评量表评分较前下降2级,但未恢复正常。有效者焦虑症状有所改善,焦虑自评量表评分较前下降1级,但未恢复正常。无效者焦虑症状无改善,焦虑自评量表评分下降不明显,或反而有所上升。结果:共收治患者100例,纳入分析60例,无脱落者。①两组患者临床疗效观察结果:观察组痊愈10例(33%),好转11例(37%),显效7例(23%),无效2例(7%);对照组痊愈3例(10%),好转6例(20%),显效9例(30%),无效12例(40%)。观察组评分总有效率明显优于对照组(93%,60%,χ2=12.6,P<0.01)。②两组患者的焦虑自评量表评分结果比较:观察组患者经综合性放松训练后,评分低于对照组(40.46±5.63,49.37±6.28,P<0.01)。结论:综合性放松训练可有效缓解肝癌患者的焦虑抑郁症状。AIM： To observe the effect of comprehensive relaxation training on anxiety and depression in patients with hepatic carcinoma. METHODS： Totally 100 inpatients were selected from the Department of Digestion and Department of Oncology, the First Affiliated Hospital of China Medical University between July 2003 and September 2004. Sixty patients with hepatic carcinoma were in accordance with the standards, and were divided randomly into observational group （n=30） and control group （n=30）. The patients in the control group were given routine treatment of internal medicine, besides those in the observational group received comprehensive relaxation training, including ① heart-to-heart talking between professional nurse and patients; ② health education to the patients; ③ shift the psychological and social support systems of the patients; ④ muscular relaxation training and internal intention conductive training. The mental status of the patients in both groups were assessed with self-rating anxiety scale （SAS） at 3 weeks after treatment. The SAS was classified as severe （〉 60 points）, moderate （50-60 points） and mild （30-49 points）. The evaluation of clinical efficacy was that cure as remission of anxious symptoms and recovery to normal of SAS score; significant efficacy as general remission of anxious system and SAS score decreased by 2 grades but not recovered to normal; valid as anxious symptoms ameliorated and SAS score decreased by 1 grade but not recovered to normal; invalid as no amelioration of anxious symptoms and SAS score decreased unobviously or increased occasionally. RESULTS： Totally 100 patients were treated, and 60 of them were involved in the analysis of results, and no one lost midway. ① Results of clinical officacy in the two groups： In the observational group, SAS showed that it was cured in 10 cases （33%）, turned to better in 11 cases （37%）, significantly effective in 7 cases （23%） and invalid in 2 cases （7%）. In the control group, SAS showed

关 键 词：肝肿瘤 焦虑 抑郁症 身心放松技巧 

分 类 号：R735.7[医药卫生—肿瘤]