心理干预对肺结核合并肺癌患者负性情绪和生活质量的影响  

Influence of psychological intervention on negative emotion and quality of life of patients with tuberculosis combined with lung cancer

作　　者：王蕾[1] 王业建[1] WANG Lei;WANG Yejian(Sixth People’s Hospital of Zhengzhou City,Zhengzhou 450061,China)

机构地区：[1]郑州市第六人民医院,河南郑州450061

出　　处：《肿瘤基础与临床》2020年第2期129-131,共3页journal of basic and clinical oncology

摘　　要：目的探讨心理干预在肺结核合并肺癌患者治疗过程中的应用价值。方法入组2016年1月至2019年1月期间在郑州市第六人民医院治疗的肺结核合并肺癌患者90例,随机均分为对照组和观察组2组,每组45例。对照组进行常规治疗和护理,观察组在常规治疗和护理的基础上进行心理干预。采用焦虑自评量表(SAS)评价患者的焦虑状态,采用抑郁自评量表(SDS)评价患者的抑郁状态,采用简明健康状况调查量表(SF-36)评价患者的生活质量。结果干预后,观察组SAS、SDS评分分别为(35.56±3.41)、(38.42±3.52)分,低于对照组的(44.12±3.03)、(50.13±2.53)分(t=3.218,P=0.032;t=4.679,P=0.009)。观察组SF-36量表中精神健康、活力、生理功能、生理职能、社会功能、机体疼痛、情感职能、健康总体自评等8项评分均显著高于对照组(t=2.899,P=0.044;t=4.272,P<0.001;t=5.241,P<0.001;t=5.386,P<0.001;t=4.587,P<0.001;t=6.538,P<0.001;t=5.432,P<0.001;t=4.087,P<0.001)。结论心理干预能明显改善肺结核合并肺癌患者的焦虑、抑郁等负性情绪,提高患者的生活质量。Objective To explore the application value of psychological intervention in the treatment of tuberculosis combined with lung cancer.Methods From January 2016 to January 2019,90 patients with tuberculosis combined with lung cancer who were treated in the Sixth People’s Hospital of Zhengzhou City were selected as the research objects,and were randomly divided into the control group and the observation group,with 45 patients in each group.The control group received routine treatment and nursing,the observation group received psychological intervention on the basis of routine treatment and nursing.Self-rating anxiety scale(SAS)was used to evaluate the anxiety,self-rating depression scale(SDS)was used to evaluate the depression,and SF-36 scale was used to evaluate the quality of life.Results After the intervention,the SAS and SDS scores of the observation group[(35.56±3.41)and(38.42±3.52)scores]were significantly lower than those of the control group[(35.56±3.41)and(38.42±3.52)scores;t=3.218,P=0.032;t=4.679,P=0.009].The scores of mental health,vitality,physiological function,physiological function,social function,body pain,emotional function,self-assessment of overall health of SF-36 scale in the observation group were significantly higher than those in the control group(t=2.899,P=0.044;t=4.272,P<0.001;t=5.241,P<0.001;t=5.386,P<0.001;t=4.587,P<0.001;t=6.538,P<0.001;t=5.432,P<0.001;t=4.087,P<0.001).Conclusion Psychological intervention can significantly improve the anxiety and depression of patients with tuberculosis combined with lung cancer,and improve the quality of life of patients.

关 键 词：肺结核 肺癌 负性情绪 生活质量 

分 类 号：R734.2[医药卫生—肿瘤]