强化心理支持干预对卵巢癌化疗患者不良反应、心理弹性及生活质量的影响  

Effect of enhanced psychological support interventions on adverse reactions,psychological resilience and quality of life in patients with ovarian cancer after chemotherapy

作　　者：穆克代斯·海拉 程建云[1] 张莉[1] Mukedaisi·Haila;CHENG Jianyun;ZHANG Li(Department of Gynecology,First Affiliated Hospital of Xinjiang Medical University,Urumqi 830001,Xinjiang,China)

机构地区：[1]新疆医科大学第一附属医院妇科

出　　处：《癌症进展》2020年第3期321-324,共4页Oncology Progress

摘　　要：目的探讨强化心理支持干预对卵巢癌化疗患者不良反应、心理弹性及生活质量的影响。方法依据心理干预方法的不同将90例卵巢癌化疗患者分为观察组和对照组,每组45例,对照组患者给予常规心理支持,观察组在对照组的基础上采用强化心理支持干预。比较两组患者的不良反应发生率及干预前后的心理弹性评分和生活质量。结果观察组患者的胃肠道反应发生率低于对照组(P﹤0.05)。干预后,两组患者的心理弹性评分均高于本组干预前,且观察组患者的心理弹性评分高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者生活质量各维度评分均高于本组干预前,且观察组患者生活质量各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。结论强化心理支持干预能够减少卵巢癌化疗患者的不良反应,改善其心理弹性及生活质量。Objective To explore the effects of enhanced psychological support interventions on adverse reactions,psychological resilience and quality of life(QOL)in patients with ovarian cancer after chemotherapy.Method In all,90 patients with ovarian cancer were included in the analysis and were further divided into two groups according to different intervention administered as study group or control group,with 45 cases in each group.The control group was given routine psychological support,and the study group was administered with enhanced psychological support interventions in addition to the routine care in control group.The incidence of adverse reactions,psychological resilience scores and QOL scores were evaluated before and after intervention,besides,the results were compared between the two groups.Result The incidence of adverse gastrointestinal tract reactions in study group was significantly lower than that in control group(P<0.05).After intervention,the scores of psychological resilience in both groups increased significantly,and markedly higher psychological resilience score was observed in study group versus control group(P<0.05).After intervention,the scores of each dimension under QOL scale in the two groups were significantly improved compared to those before intervention,and the study group demonstrated significantly higher QOL scores than control group,there were statistically significant differences noted(P<0.05).Conclusion Enhanced psychological support interventions lend to obvious reduction of adverse reactions among ovarian cancer patients undergoing chemotherapy and thus may improve their psychological resilience and QOL.

关 键 词：心理支持 卵巢癌 心理弹性 生活质量 不良反应 

分 类 号：R737.31[医药卫生—肿瘤]