心理干预对食管癌根治术患者焦虑抑郁情绪及生活质量的影响  

Effects of psychological intervention on anxiety,depression and quality of life of patients undergoing radical esophageal cancer surgery

作　　者：张继荷 郭亚男[1] 张玉 Zhang Jihe;Guo Yanan;Zhang Yu(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《临床心身疾病杂志》2022年第4期150-153,共4页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨心理干预对食管癌根治术患者焦虑、抑郁情绪及生活质量的影响。方法将98例行食管癌根治术治疗的患者按随机数字表法分为两组,各49例。对照组予以常规护理干预,观察组在对照组基础上予以心理干预,观察1个月。比较干预前后两组焦虑自评量表、抑郁自评量表及生活质量综合评定问卷评分及患者满意度。结果干预后两组焦虑自评量表、抑郁自评量表评分均较干预前显著降低(P<0.01),观察组显著低于对照组(P<0.01)。干预后两组生活质量综合评定问卷的躯体功能、心理功能、社会功能、物质功能维度评分均较干预前显著升高(P<0.01),观察组显著高于对照组(P<0.01)。观察组患者总满意度显著高于对照组(P<0.01)。结论心理干预对食管癌根治术患者的焦虑、抑郁情绪改善作用显著,能提高其生活质量,患者满意度较高。Objective To investigate the effect of psychological intervention on anxiety,depression and quality of life of patients undergoing radical esophageal cancer surgery.Methods A total of 98 patients undergoing radical esophageal cancer surgery were divided into two groups according to random number table method,with 49 cases in each group.The control group was given routine nursing intervention,and the observation group was given psychological intervention on the basis of the control group for 1 month.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),generic quality of life inventory-74(GQOL-74)and patient satisfaction were compared before and after the intervention.Results After the intervention,the SAS and SDS scores of the two groups were significantly lower than those before the intervention(P<0.01),and the observation group was significantly lower than the control group(P<0.01).After the intervention,the scores of physical function,psychological function,social function and material function of GQOL-74 in the two groups were significantly higher than those before the intervention(P<0.01),and the observation group was significantly higher than the control group(P<0.01).The patient satisfaction in the observation group was significantly higher than that in the control group(P<0.01).Conclusions Psychological intervention can significantly improve the anxiety and depression in patients undergoing radical esophageal cancer surgery,and can improve their quality of life,with high patient satisfaction.

关 键 词：心理干预 食管癌根治术 焦虑 抑郁 生活质量 护理满意度 

分 类 号：R735.1[医药卫生—肿瘤] R749.055[医药卫生—临床医学]