胃癌术后患者心理问题调查与心理干预对照研究  

Investigations of psycho-problems and contrast studies of psycho-intervention in postoperative patients with gastric carcinoma

作　　者：蒋颖[1] 华红霞[1] 卢回芬[1] 吕振雷[2] 周振和[2] 

机构地区：[1]无锡市第二人民医院内科,江苏无锡214151 [2]无锡市精神卫生中心

出　　处：《临床心身疾病杂志》2006年第1期39-41,共3页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨临床心理干预对胃癌术后患者心理问题的辅助治疗效果。方法将64例胃癌术后患者按照等对匹配原则随机分为干预组和对照组各32例;干预组在接受常规医疗和护理的同时给予心理干预,对照组仅接受常规医疗和护理,两组疗程均为15d。采用症状自评量表、患者生存质量量表和胃癌疗效评估标准评价两组心理适应、生存质量和躯体症状。结果干预组经心理干预后,症状自评量表除恐怖因子分外,总均分及其它各因子分均显著低于对照组,差异有极显著性(P< 0．01);生存质量量表干预组整体健康水平及生存质量均较对照组显著提高,躯体症状均较对照组明显减轻,差异有极显著性 (P<0．01)。结论临床心理干预能减轻胃癌术后患者的心理不适,提高患者的生存质量,短期内能改善患者的部分躯体症状。Objective To explore the effectiveness of psycho-intervention on psycho-problems in postoperative patients with gastric carcinoma. Methods According to the equal-matched rule, 64 patients were randomly divided into intervention and control group （each n= 32）. The former received routine treatment combined with psycho intervention and the latter did routine treatment singly for 15 days. Psycho adaptation, life quality and somatic symptoms were assessed with Symptom Check-list-90（SCL-90）, Quality of Life Questionnaire-Core（QLQC30） and Evaluation Criterion of Curative Effect for Gastric Careinoma（ECCEGC）. Results Except phobia factor of the SCL-90, total score and scores of other factors were significantly lower in intervention group than in control group, difference was most significant（P〈0.01） ; whole health levels and quality of life were more improved and somatic symptoms milder in intervention group than in control group, differences were most significant（P〈0.01）. Conclusion Clinical psycho-intervention can alleviate psycho-discomfort, improve patients＇ quality of life and partial somatic symptoms.

关 键 词：胃癌 术后 心理干预 心理问题 生存质量 

分 类 号：R735.2[医药卫生—肿瘤]