食道癌患者治疗前后心理状况变化及干预效果  

Esophageal cancer patients psychological status before and after treatment and effect of psychological intervention

作　　者：江莉[1] 杨康[2] 

机构地区：[1]第三军医大学新桥医院肿瘤科,重庆400037 [2]第三军医大学西南医院胸心外科,重庆400038

出　　处：《西部医学》2015年第3期455-457,共3页Medical Journal of West China

基　　金：国家自然科学基金(81172379)

摘　　要：目的通过对食道癌患者实施心理干预,了解患者治疗前后心理状况变化。方法选取2010年3月~2013年2月来我院治疗的100例食道癌患者,随机分为实验组和对照组各50例,对照组仅给予常规治疗,实验组在常规治疗的基础上给予心理干预,采用症状自评量表及成人艾森克人格问卷对两组患者干预前后心理状态的变化进行测定和统计学分析。结果食道癌患者治疗后其心理状况会发生较大变化,两组患者在心理干预前通过症状自评量表（SCL-90）和成人艾森克人格问卷（EPQ）评分差异无统计学意（P〉0.05）;两组患者经心理干预后,通过症状自评量表（SCL-90）对各考察项评分及成人艾森克人格问卷（EPQ）评分比较,两组患者评分差异均具有统计学意义（均P〈0.05）。结论积极地心理干预能改善食道癌患者的心理健康状况,稳定患者的情绪,消除恐惧、偏执、焦虑等不良心理状态。Objective To understand the change status of esophageal cancer patients before and after treatment by the psychological intervention.Methods 100 patients with esophageal cancer were randomly divided into experimental group and the control group.The control group was given routine therapy.The experimental group was given psychological intervention on the basis of conventional treatment.psychological state changes were measured before and after the intervention by the self-assessment lists of symptom and adult Eysenck personality questionnaire on two groups,and statistical analysis.Results The psychological condition of patients with esophageal cancer after treatment changed greatly.There were no significant difference of SCL-90 and EPQ before psychological intervention between the two groups（P〉0.05）.There were no significant difference of SCL-90 and EPQ after psychological intervention between the two groups（P〈0.05）.Conclusion Positive psychological intervention can improve the mental health status of the patients with esophageal cancer,patients with stable emotion,eliminating fear,paranoia,anxiety and other adverse psychological state.

关 键 词：食道癌 心理状况变化 心理干预 

分 类 号：R735.1[医药卫生—肿瘤] R471[医药卫生—临床医学]