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心理干预对非小细胞肺癌化疗患者负性心理及生活质量的影响 被引量:24

Effect of psychological intervention on negative psychological and quality of life for patients with non-small cell lung cancer undergoing chemotherapy
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摘要 目的探讨心理干预措施对非小细胞肺癌化疗患者负性心理反应的作用及其对生活质量的影响。方法选择2012年10月至2014年12月间收治的98例肺癌患者,采用随机数字表法随机分为研究组(51例)和对照组(47例)。研究组患者在常规化疗方案的基础上进行心理干预,对照组患者行常规化疗方案。采用抑郁自评量表(SAS)、焦虑自评量表(SDS)和中国癌症化疗患者生活质量调查问卷(QLQ-CCC)评价并比较两组患者的干预效果。结果护理干预前后,两组患者症状自评量表(SCL-90)各因子评分比较显示,干预前两组间各因子的差异均无统计学意义(P〉0.05),干预后研究组患者各因子评分均明显降低(P〈0.05),对照组患者无明显变化(P〉0.05),且研究组患者的各因子评分均低于对照组(P〈0.05)。两组患者首次测评SAS及SDS评分的差异无统计学意义(P〉0.05)。干预第8周时,研究组患者评分显著低于首次测评(P〈0.05),对照组无明显变化(P〉0.05),且研究组患者显著低于对照组(P〈0.05)。两组患者化疗前,在生理功能、心理功能和社会功能障碍、日常活动影响以及对治疗的满意态度等评分的差异均无统计学意义(P〉0.05)。护理干预第8和16周时,研究组患者各方面评分均低于对照组(P〈0.05)。结论心理干预可以明显改善非小细胞肺癌患者的心理障碍,提高患者的生活质量。 Objective To explore Effect of psychological intervention on negative psychological and quality of life for patients with non-small cell lung cancer undergoing chemotherapy. Methods From October 2012 to December 2014,98 lung cancer patients admitted in The Second Clinical Hospital Affiliated to Harbin Medical University were randomly divided into research group( 51 cases) and control group( 47 cases). Patients of research group were reveived chemotherapy and psychological intervention,while cases of control group were reveived chemotherapy. The intervention effect were eveluated and compared by self-rating depression scale( SDS),self-rating anxiety scale( SAS) and quality of life questionnaire for Chinese cancer patients( QLQ-CCC). Results Before nursing intervention,each factor score of symptom checklist90( SCL-90) in two groups has no difference( P 0. 05); After nursing intervention,each factor score in research group was significantly reduced( P 0. 05); but each factor score in control group didn't significantly change( P 0. 05),and the scores in research group were significantly lower than that in control group( P 0. 05); The scores of SAS and SDS in first evaluation between two groups were no statistical significance( P 0. 05),but after intervention at 8thwk,scores in research group were significantly lower than first evaluation( P 0. 05),while scores in control group had no significant changes( P 0. 05),and scores in research group were significantly lower than that in control group( P 0. 05); Before chemotherapy,physiological function,psychological function and social function obstacles,daily activities effects and treatment of satisfaction attitude scores between two group had not significant difference( P 0. 05); After nursing intervention on 8thand 16 thwk,score of each factor in research group were lower than that in control group( P 0. 05). Conclusion Psychological intervention can improve psychological disorders in patients with non sm
作者 郑建榕 王健 李佳谦 田君子 ZHENG Jian-rong, Wang Jian, Li Jia-qian, TIAN Jun-zi ( The Second Department of Respiration Medicine, The Second Clinical Hospital Affiliated to Harbin Medical University, Harbin 150086, China)
出处 《中国肿瘤临床与康复》 2015年第11期1402-1405,共4页 Chinese Journal of Clinical Oncology and Rehabilitation
关键词 肺肿瘤 心理干预 药物疗法 心理 生活质量 Lung neoplasms Chemotherapy Drug therapy Psychological intervention Quality of life
作者简介 郑建榕,女,护师,主要从事临床护理专业。
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