心理干预对晚期癌症化疗患者心理状况及生活质量的影响  

Impact on the mental condition and the quality of life of the mental intervention on the patients with advanced cancers

作　　者：陈玲玲[1] 沈川[2] 徐胜前[3] 张冬英[1] 

机构地区：[1]浙江省丽水市人民医院肿瘤科,浙江丽水323000 [2]浙江省丽水市人民医院耳鼻咽喉科,浙江丽水323000 [3]浙江省丽水市人民医院肝胆胰外科,浙江丽水323000

出　　处：《中国现代医生》2015年第28期150-154,共5页China Modern Doctor

基　　金：浙江省公益性技术应用研究计划一般项目(社会发展项目)(2014C33146)

摘　　要：目的评价心理干预对晚期癌症化疗患者心理状况及生活质量的影响。方法将65例晚期癌症患者按照护理干预方法分为对照组(n=33)与观察组(n=32),分别采用常规护理与心理护理干预,比较两组的护理效果。结果观察组护理干预后SAS及SDS评分均显著低于护理干预前及对照组(P<0.05),观察组护理满意度显著优手对照组(P<0.05);观察组患者护理干预后NPIS评分也均显著高于对照组护理干预后(P<0.05);两组护理后生活量表各维度(情感、一般感情指数、健康指数、生活满意度)评分均显著高于护理前,两组内护理前后比较差异有统计学意义(P<0.05),且观察组护理后量表各维度评分均显著高于对照组护理后,护理后组间比较差异有统计学意义(P<0.05);两组患者护理干预后并发症发生率均显著少于护理前(P<0.05),但观察组护理干预后并发症发生率与对照组护理干预后比较无统计学意义(P>0.05)。结论心理干预可有效改善晚期癌症化疗患者的心理状况及生活质量,且可有效降低并发症的发生率,应在临床上进行推广。Objective To evaluate the impact on the mental condition and the quality of life of the mental intervention on the patients with advanced cancers. Methods 65 cases with advanced cancers were recruited and divided into con- trol（n=33） and observation group （n=32）. Patients in the both groups were received regular nursing. And patients in the experiment were also given mental intervention. The nursing efficacy was compared between the two groups. Re- suits The median SAS and SDS score in the observation group after intervention were statistical significant higher than before treatment and that of control group（P〈0.05）. The nursing satisfaction in observation group were significant higher than control group after intervention（P〈0.05）; And the NPIS score in the observation group was also significant elevated than the control group（P〈0.05）. The life quality（emotion, general emotion index, healthy index and life satis- faction） were significant elevated after treatment in both the observation group and control group（P〈0.05）; And the above index in the observation group were much higher than the control group after intervention, with statistical differ- ence （P〈0.05）; The complication significant decreased in both the observation group and control group, with statistical difference（P〈0.05）, but without statistical difference between the two groups（P〉0.05）. Conclusion Mental intervention can improve the mental status and quality of live in patients with advanced stage cancer, which could also decrease the adverse event rate with recommendation.

关 键 词：晚期癌症 心理护理 心理状况 SF-36生活量表 并发症 

分 类 号：R473.73[医药卫生—护理学]