个体化心理干预对膀胱癌根治术患者的效果观察及对其术后负性情绪的影响  

Effect of individualized psychological intervention on patients with bladder cancer undergoing radical mastectomy and its effect on postoperative negative emotions

作　　者：居多多 赵云[1] 李蓓[1] 李才玉 JU Duoduo;ZHAO Yun;LI Bei(Department of Urology,Jiangsu Cancer Hospital,Nanjing 211800,China)

机构地区：[1]江苏省肿瘤医院泌尿外科

出　　处：《中国健康心理学杂志》2019年第1期109-113,共5页China Journal of Health Psychology

摘　　要：目的:探讨分析个体化心理干预对膀胱癌根治术患者的效果及对其术后负性情绪的影响。方法:选取2014年5月-2017年6月在我院进行膀胱癌根治术治疗的患者80例,依据数字表法随机分为对照组和研究组,对照组采用普通干预,研究组在此基础上采用个体化心理干预,统计对比两组患者的负性情绪、并发症发生以及生活质量的变化情况。结果:干预完成后均得到改善,研究组患者的抑郁和焦虑得分明显低于对照组(t=-15.23,-16.82;P<0.05);干预完成后,研究组患者感染、出血和尿失禁的发生率明显低于对照组,差异有统计学意义(χ^2=6.05,P=0.013);干预完成后对照组的躯体功能、心理功能、生理功能、社会功能评分均提高(t=-9.13,-12.72,-13.64,-13.34;P<0.001),研究组的躯体、心理、生理、社会功能评分也均提高(t=-14.97,-19.47,-20.28,-23.18;P<0.001)。干预后研究组患者的躯体、生理、心理和社会等功能评分明显高于对照组(t=-6.51,-10.09,-11.40,-12.87;P<0.001)。结论:针对膀胱癌根治术患者应用个体化心理干预,可以有效改善患者的术后负性情绪,减少并发症的发生,提高生活质量,值得推广以及应用。Objective:To investigate the effect of individualized psychological intervention on patients with radical mastectomy and its effect on negative emotions.Methods:Totally 80 patients who underwent radical mastectomy for bladder cancer in our hospital from May 2014 to June 2017 were randomly divided into control group and study group according to digital table method.The control group received general intervention.Based on the use of individualized psychological intervention,statistics were compared between the two groups of patients with negative emotions,complications and changes in quality of life.Results:After the intervention,the scores of depression and anxiety in the study group were significantly lower than those in the control group(t=-15.23,-16.82;P<0.05).After the intervention,the patients in the study group were infected with hemorrhage and urinary incontinence,the difference was statistically significant(χ^2=6.05,P<0.05).Body function,psychological function,physiological function and social function score of the control group increased after the intervention(t=-9.13,-12.72,-13.64,-13.34;P<0.001),Physical and social function scores also increased(t=-14.97,-19.47,-20.28,-23.18;P<0.001).The physical,psychological,psychological and social function scores of the study group were significantly higher than those of the control group after intervention(t=-6.51,-10.09,-11.40,-12.87;P<0.001).Conclusion:The application of individualized psychological intervention in patients with radical resection of bladder cancer can effectively improve the postoperative negative emotions,reduce the incidence of complications,improve the quality of life,worthy of promotion and application.

关 键 词：个体化心理干预 膀胱癌 根治术 负性情绪 生活质量 

分 类 号：R749.92[医药卫生—神经病学与精神病学]