焦点式心理干预联合人文关怀对行放疗的胃癌患者的临床效果及对患者心理状态的影响  

Clinical Effects of a Focused Psychological Intervention Combined with Humane Care for Gastric Cancer Patients Undergoing Radiotherapy and its Effect on Patients'Psychological Status

作　　者：朱相清 贾春林 徐丹华 张静 和劲光[1] ZHU Xiangqing;JIA Chunlin;XU Danhua;ZHANG Jing;HE Jinguang(Department of Oncology Radiotherapy,Heze Municipal Hospital,Heze 274000,China)

机构地区：[1]菏泽市立医院肿瘤放疗科,山东菏泽274000

出　　处：《中国医药指南》2022年第26期17-20,共4页Guide of China Medicine

摘　　要：目的分析焦点式心理干预联合人文关怀对行放疗的胃癌患者的临床效果及对患者心理状态的影响。方法选取2021年3月至2022年3月于我院接受放疗治疗的胃癌患者142例,按照随机数字表法将患者分为对照组、研究组,各71例。其中对照组在患者放疗期间给予人文关怀干预,研究组在对照组的基础上给予患者焦点式心理干预。分析两组患者人格特征、生活质量、癌因性疲乏、生存质量、心理状态以及干预满意度。结果干预后两组患者人格特征相关指标评分有所下降,且与对照组相比,研究组内外向、神经质、掩饰性、神经质相关评分均较低(P<0.05);干预后两组患者社会功能、生理职能、情感职能以及生理功能评分均有所上升,且研究组社会功能、生理职能、情感职能以及生理功能评分高于对照组,差异有统计学差异(P<0.05);干预后两组患者癌因性疲乏评分有所下降,生存质量评分有所上升,且与对照组相比,研究组癌因性疲乏评分较低,生存质量评分较高(P<0.05);干预后两组患者HAMA、HAMD评分均有所下降,且与对照组相比,研究组HAMA、HAMD评分较低(P<0.05);对照组患者满意度为84.51%,显著低于研究组的95.77%(P<0.05)。结论使用焦点式心理干预联合人文关怀对行放疗的胃癌患者进行干预,能够有效的改善患者的人格特征,提高患者生活质量以及生存质量,降低患者的癌因性疲乏,缓解患者的心理状态,有着较好的临床干预满意度。Objective To analyze the clinical effects of a focal psychological intervention combined with humane care for gastric cancer patients undergoing radiotherapy and the effects on patients'psychological status.Methods 142 gastric cancer patients treated with radiotherapy in our hospital from March 2021 to March 2022 were selected,and the patients were divided into control group,study group,and 71 patients each group according to the random number table method.In which,the control group was given humane care intervention during radiotherapy to patients,and the study group was given patient focal psychological intervention on the basis of the control group.Person characteristics,quality of life,cancer fatigue,quality of life,psychological status,and satisfaction with the intervention were analyzed in two group.Results After the intervention,the scores of related indexes of personality characteristics of the two groups decreased,and compared with the control group,the scores of extroversion,neuroticism,concealment and neuroticism in the study group were lower(P<0.05);After the intervention,the scores of social function,physiological function,emotional function and physiological function of the two groups increased,and the scores of social function,physiological function,emotional function and physiological function of the study group were higher than those of the control group(P<0.05);After the intervention,the cancer-related fatigue score of the two groups decreased and the quality of life score increased.Compared with the control group,the cancer-related fatigue score of the study group was lower and the quality of life score was higher(P<0.05);After the intervention,the scores of HAMA and HAMD in the two groups decreased,and compared with the control group,the scores of HAMA and HAMD in the study group were lower(P<0.05);The satisfaction rate of the control group was 84.51%,which was significantly lower than that of the study group(95.77%)(P<0.05).Conclusion The intervention of patients with gastric cancer undergoin

关 键 词：胃癌 焦点式心理干预 人文关怀 放疗 心理状态 

分 类 号：R473.73[医药卫生—护理学] R735.2[医药卫生—临床医学]