综合心理干预对早期鼻咽癌放疗患者焦虑、抑郁情绪的影响  

The Effects of Comprehensive Psychological and Behavioral Intervention on Anxiety and Depression of Patients with Early Nasopharyngeal Carcinoma

作　　者：吴建华[1] 邱伟[1] 

机构地区：[1]南京军区福州总医院放疗介入皮肤科,福建福州350025

出　　处：《中国健康心理学杂志》2017年第12期1808-1811,共4页China Journal of Health Psychology

摘　　要：目的:研究综合心理行为干预对早期鼻咽癌放疗患者焦虑、抑郁情绪及并发症影响。方法:选取2009年12月至2015年12月在我院行根治行放射治疗的早期鼻咽癌患者118例,按照数字表法分为两组,对照组给予常规护理,研究组在常规护理基础上行综合心理行为干预,比较两组患者负性情绪改善情况及并发症发生率。结果:经过综合心理行为干预后,患者在出院时,研究组焦虑评分明显低于对照组,组间比较差异有统计学意义(t=16.562,P<0.05);研究组抑郁评分明显低于对照组,组间比较差异有统计学意义(t=16.149,P<0.05);两组患者放射治疗期间张口困难发生率分别为16.95%和15.25%,二者比较无统计学差异;3个月后随访时张口困难发生率分别为55.93%和16.95%,二者比较有统计学差异(χ~2=19.36,P<0.05);研究组与对照组患者放射性口腔黏膜炎发生率分别为86.44%和30.51%,二者比较有统计学差异(χ~2=38.01,P<0.05);两组患者放射治疗期间放射性皮炎发生率分别为94.92%和22.03%,二者比较有统计学差异(χ~2=64.53,P<0.05)。结论:综合心理行为干预能够明显改善早期鼻咽癌放射治疗患者的紧张、焦虑情绪,减轻放射线引起的相关并发症,值得进一步推广应用。Objective：To study the effects of comprehensive psychological and behavioral intervention on anxiety and depression of patients with early nasopharyngeal carcinoma.Methods：We selected 118 patients with early nasopharyngeal carcinoma treated by radical radiotherapy in our hospital from December 2009 to December 2015,According to the digital table method,the participants were randomly divided into two groups,The control group was given routine nursing,and the study group received comprehensive psychological and behavioral intervention on the basis of routine nursing,We compared two groups of patients with negative mood improvement and complications.Results：After comprehensive psychological behavior intervention,the anxiety score of the study group was significantly lower than that of the control group（t=16.562,P0.05）;The depression score of the study group was significantly lower than that of the control group（t=16.149,P0.05）;Two groups of patients in the treatment of radiation during mouth opening difficulty rate were 16.95% and 15.25%,respectively,there was no significant difference between two groups;After 3 months of follow-up,the incidence of mouth opening difficulty in the two groups was respectively 55.93% and 16.95%,the difference between the two groups was statistically significant（χ~2=19.36,P0.05）;The incidence of oral mucositis in two groups was 86.44% and 30.51%,respectively.The difference between the two groups was statistically significant（χ~2=38.01,P0.05）;The incidence of radiation dermatitis in two groups of patients during radiotherapy was 94.92% and 22.03%,respectively.The difference between the two groups was statistically significant（（χ~2=64.53,P0.05）.Conclusion：Comprehensive psychological and behavioral intervention can significantly improve the tension and anxiety of patients with early nasopharyngeal carcinoma radiotherapy,and reduce the related complications caused by radiation,which is worthy of further promotion and application.

关 键 词：心理行为干预 鼻咽癌 放射治疗 焦虑 抑郁 并发症 

分 类 号：R395.5[哲学宗教—心理学]