虚拟现实技术联合心理干预在改善乳腺癌患者死亡焦虑中的应用研究  

Study of application of virtual reality technology combined with psychological intervention in improving the death anxiety of breast cancer patients

作　　者：曹华华[1] 程红 应笑[3] 徐宝兰[4] CAO Huahua;CHENG Hong;YING Xiao;XU Baolan(Rehabilitation Club,Jiangxi Cancer Hospital,Jiangxi Province,Nanchang 330029,China;The First Ward of Breast Surgery,Jiangxi Cancer Hospital,Jiangxi Province,Nanchang 330029,China;The Third Ward of Gynecological Tumor,Jiangxi Cancer Hospital,Jiangxi Province,Nanchang 330029,China;Department of Organization and Personnel,Jiangxi Cancer Hospital,Jiangxi Province,Nanchang 330029,China)

机构地区：[1]江西省肿瘤医院康复俱乐部,江西南昌330029 [2]江西省肿瘤医院乳腺外科一病区,江西南昌330029 [3]江西省肿瘤医院妇瘤三病区,江西南昌330029 [4]江西省肿瘤医院组织人事科,江西南昌330029

出　　处：《中国当代医药》2023年第17期189-192,F0003,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202210057)。

摘　　要：目的探究虚拟现实(VR)技术联合心理干预在改善乳腺癌患者死亡焦虑中的应用效果。方法选择2021年6月至2022年8月江西省肿瘤医院乳腺外科收治的经死亡焦虑量表(T-DAS)判定为具有高死亡焦虑标准的50例乳腺癌患者作为研究对象,按随机数字表法分为对照组与观察组,每组各25例。对照组予以常规干预,观察组实施VR联合心理干预,两组均持续干预3个月。比较两组的死亡焦虑、生活质量、患者满意度。结果两组患者干预前的死亡焦虑、生活质量比较,差异无统计学意义(P>0.05);观察组干预后的T-DAS中情感、时间意识、认知、压力与痛苦评分均低于对照组,欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)中功能领域、总体生活质量评分高于对照组,症状领域、单一项目评分低于对照组,差异有统计学意义(P<0.05);观察组的患者总满意度高于对照组,差异有统计学意义(P<0.05)。结论VR联合心理干预能够有效减轻乳腺癌患者死亡焦虑,提高生活质量,进而提高患者满意度,具有临床推广价值。Objective To investigate the application effect of virtual reality(VR)technology combined with psychological intervention in improving the death anxiety of breast cancer patients.Methods A total of 50 patients with breast cancer who were admitted to the Department of Breast Surgery of Jiangxi Cancer Hospital from June 2021 to August 2022 and judged to have high death anxiety standard by templer-death anxiety scale(T-DAS)were selected as research objects.According to the random number table method,they were divided into control group and observation group,with 25 cases in each group.The control group was given routine intervention,and the observation group was given VR combined with psychological intervention.The intervention lasted for 3 months in both groups.The death anxiety,quality of life and patient satisfaction were compared between the two groups.Results There were no statistically significant differences in death anxiety and quality of life between the two groups before intervention(P>0.05).After intervention,the scores of emotion,time awareness,cognition,stress and pain in the T-DAS of the observation group were lower than those of the control group,and the scores of functional field and overall quality of life in the European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)were higher than those of the control group,and the scores of symptom field and single item were lower than those of the control group,with statistically significant differences(P<0.05).The total satisfaction of patients in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion VR combined with psychological intervention can effectively reduce the death anxiety of breast cancer patients,improve the quality of life,and improve the satisfaction of patients,which is worthy of clinical promotion.

关 键 词：乳腺癌 虚拟现实技术 心理干预 死亡焦虑 生活质量 

分 类 号：R737.9[医药卫生—肿瘤]