心理护理干预对白血病患者情绪状况及生活质量的影响  

Effects of psychological nursing intervention on emotional state and quality of life for leukemia patients

作　　者：黄乐听[1] 徐武秀[2] 林海玉[1] 

机构地区：[1]温州医科大学附属第二医院血液内科,325003 [2]温州医科大学附属第二医院儿科,325003

出　　处：《中华现代护理杂志》2016年第11期1569-1572,共4页Chinese Journal of Modern Nursing

基　　金：温州市科技计划项目（Y20130354）

摘　　要：目的 探讨白血病患者临床护理过程中进行心理干预对缓解患者情绪状况,改善生活质量的效果.方法 选择白血病病例120例进行为期1年的随访,分别设立常规治疗组（60例）和心理干预组（60例）.采用医院焦虑和抑郁量表（HADS）比较常规治疗组和心理干预组的情绪状况,并采用生活质量问卷（EORTC-QLQ）评价两组患者生活质量.结果 经过1年的随访,常规治疗组HADS平均分为（8.3±3.2）分,心理干预组平均分为（6.2±4.1）分,差异有统计学意义（P＜0.05）.1年随访后两组的EORTC-QLQ的评测在总体健康状况、角色功能、情绪功能以及社会功能上差异有统计学意义（P＜0.05）.不同白血病分型患者HADS评分差异有统计学意义（P＜0.01）.结论 白血病患者在治疗的过程中实施心理干预,能够明显减轻其抑郁症状,改善生命质量,从而改善预后.Objective To investigate the effects of psychological intervention on relieving the emotional state and improving life quality for patients with leukemia during clinical nursing.Methods A total of 120 cases of leukemia were collected to follow up one year,and were divided into routine treatment group （60 cases） and psychological intervention group （60 cases） respectively.The emotional states of both groups were compared using hospital anxiety and depression scale （HADS）,while the life quality of patients was assessed andcompared by quality of life questionnaire （EORTC-QLQ）.Results Mter one year of follow-up,the mean HADS score of routine treatment group was （8.3 ± 3.2）,whereas that of psychological intervention group was （6.2 ± 4.1） with significant difference between two groups （P 〈 0.05）.The assessments of overall health status,role function,emotional function and social function from EORTC-QLQ for both groups patients were significantly different after one-year follow-up （P 〈 0.05）.The HADS scores of patient with different types of leukemia varied statistically as well （P 〈 0.01）.Conclusions Psychological intervention for patients with leukemia during treatment can relieve the symptoms of depression significantly and improve the quality of life,which is prognosis favorable.

关 键 词：白血病 抑郁 焦虑 生活质量 心理护理干预 

分 类 号：R473.73[医药卫生—护理学]