持续心理干预对生物治疗期间卵巢癌患者负性情绪的影响  

Effect of continuous psychological intervention on negative emotions of patients with ovarian cancer during biotherapy

作　　者：王凌珊[1] 郭丽娟[1] 韩向北[1] 杨东[1] 

机构地区：[1]吉林省人民医院医学诊治中心,130021

出　　处：《国际护理学杂志》2014年第11期3187-3190,共4页international journal of nursing

基　　金：吉林省卫生厅科研计划项目

摘　　要：目的：探讨持续心理干预对卵巢癌生物治疗患者负性情绪及生存质量的影响。方法选取住院治疗的卵巢癌患者80例，随机分为对照组和干预组，每组40例。对照组患者采用生物治疗前后的常规护理，干预组患者在常规护理的基础上实施心理干预。比较两组患者1个月后的心理状况和生活质量。结果治疗后干预组患者HAMA、HAMD得分均明显低于对照组（均P＜0.05），患者总体健康状况、情感功能、认知功能得分均明显高于对照组（均P＜0.05），疲劳、食欲、失眠得分均低于对照组（均P＜0.05），两组患者躯体功能、角色功能、社会功能、疼痛、呼吸困难、恶心呕吐、便秘、腹泻、经济困难得分差异无统计学意义。结论持续心理干预可以改善卵巢癌患者负性情绪，提高生活质量。Objective To explore the effect of continuous psychological intervention on negative emotions and quality of life to pa -tients with ovarian cancer during biotherapy.Methods A total of 80 patients with ovarian cancer were randomly divided into tow groups , the control group was given biotherapy and routine nursing , and the intervention group was given psychological intervention in addition to biother -apy and routine nursing.Hamilton Anxiety Scale （HAMA） and the Hamilton Depression Scale （HAMD）, and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire -30 （ QLQ-C30 ） were used to measure the psychosomatic reaction and quality of life of ovarian cancer patients during biotherapy before and after intervention .Results After intervention , the scores of HAMA and HAMD in the intervention group were significantly lower than those in control group （P〈0.05）, scores for general quality of life and emo-tional function were higher , while scores for fatigue , insomnia and loss of appetite were lower in intervention group than those in control group with statistically significant differences （P〈0.05） Conclusions Continuous psychological intervention can improve the state of negative emotions and quality of life .

关 键 词：心理干预 生物治疗 卵巢癌 负性情绪 

分 类 号：R473.73[医药卫生—护理学]