心理干预对淋巴瘤首次化疗患者恶心呕吐及生活质量的影响  

Effect of psychological intervention on nausea,vomiting and quality of life in patients with lymphoma first chemotherapy

作　　者：姚婷婷 陈鹏[1] 宗屹 YAO Tingting;CHEN Peng;ZONG Yi(Department of Oncology,Eastern Hospital of Qingdao Municipal Hospital,Qingdao 266071,Shandong,China)

机构地区：[1]青岛市市立医院(东院)肿瘤科,山东青岛2660710

出　　处：《癌症进展》2019年第5期606-608,612,共4页Oncology Progress

摘　　要：目的探讨心理干预对淋巴瘤首次化疗患者恶心呕吐及生活质量等的影响。方法回顾性分析60例淋巴瘤首次化疗患者的临床资料。根据干预方法不同,分为观察组(常规护理干预+心理干预)28例和对照组(常规护理干预)32例。观察两组患者干预后恶心呕吐情况,干预前后焦虑及抑郁情况、生活质量、护理满意度。结果干预后,观察组患者的恶心呕吐程度轻于对照组(P﹤0.05),观察组患者恶心呕吐的缓解时间短于对照组(P﹤0.05)。干预前,两组患者的焦虑、抑郁评分比较,差异均无统计学意义(P﹥0.05);干预后,观察组患者的焦虑、抑郁评分均明显低于对照组(P﹤0.01)。干预前,两组患者的角色功能、躯体功能、社会功能、情绪功能、认知功能评分及总分比较,差异均无统计学意义(P﹥0.05);干预后,观察组患者的角色功能、躯体功能、社会功能、情绪功能、认知功能评分及总分均高于对照组(P﹤0.05)。观察组患者的护理满意度明显高于对照组(P﹤0.01)。结论心理干预可以减轻淋巴瘤首次化疗患者的恶心呕吐程度,缩短恶心呕吐症状的缓解时间,提高患者的生活质量及护理满意度,可在临床推广应用。Objective To explore the effect of psychological intervention on nausea and vomiting and the quality of life in lymphoma patients with first chemotherapy.Method A retrospective analysis was performed on 60 patients with lymphoma undergoing chemotherapy for the first time.According to the nursing intervention method,the patients were divided into observation group(routine nursing intervention + psychological intervention,28 cases)and control group(routine nursing intervention,32 cases).The nausea and vomiting after intervention,anxiety and depression before and after intervention,quality of life and nursing satisfaction of patients in two groups were observed.Result After the intervention,the degree of nausea and vomiting of the patients in observation group was lighter than that of patients in the control group(P<0.05);the control time of nausea and vomiting of patients in the observation group was shorter than that of patients in the control group(P<0.05).There was no significant difference between patients in two groups in the anxiety and depression scores before the intervention(P>0.05);the anxiety and depression scores of patients in the observation group were significantly lower than those of patients in the control group after the intervention(P<0.01).Before the intervention,there were no statistically significant differences between the two groups in the scores of role function,somatic function,social function,emotional function,cognitive function and total scores(P>0.05);after intervention,the scores of role function,somatic function,social function,emotional function,cognitive function and total scores in the observation group were all higher than those in the control group(P<0.05).The satisfaction rate of the observation group was significantly higher than that of the control group(P<0.01).Conclusion Psychological intervention can effectively reduce the degree of nausea and vomiting in lymphoma patients with first chemotherapy,quickly improve the symptoms of nausea and vomiting,relieve anxiety and depre

关 键 词：淋巴瘤 化疗 心理干预 恶心呕吐 生活质量 

分 类 号：R733.4[医药卫生—肿瘤]