心理干预对卵巢癌患者生存质量的影响
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摘要
目的探讨心理干预对卵巢癌患者生存质量的影响。方法选择2017年5月～2018年2月在我院诊断治疗的卵巢癌患者55例为研究对象,随机分为干预组28例与对照组27例。对照组给予常规护理,干预组常规护理基础上给予心理干预。比较两组干预前后SCL-90阳性筛选率,HAMA、HAMD、FACT-O评分结果。结果干预后,两组生存质量各维度以及总分均较干预前升高,差异有统计学意义(P<0.05);干预后,干预组生存质量各维度以及总分得分均显著高于对照组,差异有统计学意义(P<0.05)。两组干预后HAMD、HAMA评分均较干预前下降,差异有统计学意义(P<0.05);干预后,干预组HAMD、HAMA评分显著低于对照组,差异有统计学意义(P<0.05)。两组干预前SCL-90筛选阳性率均为100.0%,提示患者均存在不同程度的负性情绪,干预后,干预组SCL-90筛选阳性率显著低于干预前与对照组,差异有统计学意义(P<0.05)。结论卵巢癌患者给予心理干预能够显著缓解患者焦虑抑郁情绪,改善不良情绪,提高患者生存质量。
Objective To investigate the effect of psychological intervention on the quality of life of patients with ovarian cancer. Methods A total of 55 patients with ovarian cancer diagnosed and treated in our hospital from May 2017 to February 2018 were randomly divided into the intervention group(n=28) and the control group(n=27).The control group received routine nursing, and the intervention group received psychological intervention based on routine nursing. SCL-90 positive screening rate, HAMA, HAMD, FACT-O scores were compared before and after intervention. Results After intervention, the quality of life and total scores of the two groups were higher than those before intervention, and the difference was significant(P<0.05). After intervention, the quality of life and total scores of the intervention group were significantly higher than those of the control group. The difference was statistically significant(P<0.05). The HAMD and HAMA scores of the intervention group were lower than those in the control group after intervention, and the difference was statistically significant(P<0.05). After the intervention, the HAMD and HAMA scores of the intervention group were significantly lower than the control group, and the difference was statistically significant(P<0.05). The positive rates of SCL-90 screening of the two groups before intervention were both 100.0%, suggesting that patients had different degrees of negative emotion. After intervention, the positive rate of SCL-90 screening in the intervention group was significantly lower than that before the intervention and the control group. The difference was statistically significant(P<0.05).Conclusion Psychological intervention in patients with ovarian cancer can significantly alleviate anxiety and depression, improve bad mood and improve the quality of life of patients.
Objective To investigate the effect of psychological intervention on the quality of life of patients with ovarian cancer. Methods A total of 55 patients with ovarian cancer diagnosed and treated in our hospital from May 2017 to February 2018 were randomly divided into the intervention group(n=28) and the control group(n=27).The control group received routine nursing, and the intervention group received psychological intervention based on routine nursing. SCL-90 positive screening rate, HAMA, HAMD, FACT-O scores were compared before and after intervention. Results After intervention, the quality of life and total scores of the two groups were higher than those before intervention, and the difference was significant(P<0.05). After intervention, the quality of life and total scores of the intervention group were significantly higher than those of the control group. The difference was statistically significant(P<0.05). The HAMD and HAMA scores of the intervention group were lower than those in the control group after intervention, and the difference was statistically significant(P<0.05). After the intervention, the HAMD and HAMA scores of the intervention group were significantly lower than the control group, and the difference was statistically significant(P<0.05). The positive rates of SCL-90 screening of the two groups before intervention were both 100.0%, suggesting that patients had different degrees of negative emotion. After intervention, the positive rate of SCL-90 screening in the intervention group was significantly lower than that before the intervention and the control group. The difference was statistically significant(P<0.05).Conclusion Psychological intervention in patients with ovarian cancer can significantly alleviate anxiety and depression, improve bad mood and improve the quality of life of patients.
引文
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[4]王秋临,张小敏,冯莉荔.认知疗法对宫颈癌同步放化疗患者遵医行为及生活质量的影响[J].中国肿瘤临床与康复,2015,22(6):730-733.
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[9]王月芳.认知行为心理治疗在改善晚期卵巢癌患者心理状况和生活质量中的应用价值[J].肿瘤基础与临床,2017,30(2):168-170.
[10]王彦龙,骆亚平,陈瑞欣,等.卵巢癌手术患者术后性功能状态及性生活质量的变化研究[J].中国性科学,2017,26(11):37-39.
[11]杨雁.卵巢癌患者生存质量及其影响因素的研究[J].医学信息,2017,30(10):26-29.
[12]杨国芬.优质护理干预对卵巢癌手术患者负性情绪的影响分析[J].吉林医学,2015,36(2):339-340.
[13]项秀芳,姚博.心理护理对改善晚期卵巢癌患者生活质量的临床效果分析[J].当代医学,2013,19(8):127-128.
[14]龚晓燕,郭亮晶.优质护理对妇科肿瘤患者术后康复及生活质量的影响[J].中国医学创新,2013,10(36):61-62.
[15]余丽,黄一华,施贵宁.护理干预对卵巢癌化疗患者生活质量的影响[J].中国癌症防治杂志,2013,5(3):262-265.
[16]周菁,王亚仙.家属同步健康教育对宫颈癌术后化疗患者抑郁相关心理状态和生活质量的影响[J].中国医药导报,2015,12(31):164-168.
[17]杜小雅.持续心里干预对卵巢癌患者生物治疗患者负面情绪、免疫功能及生存质量的影响[J].检验医学与临床,2016,13(17):2520-2522.
[18]纪英,王倩,宋萍.自我效能干预对恶性肿瘤放化疗患者癌痛及生活质量的护理效果[J].中国医药导报,2017,14(8):171-174.
[19]郝美美.紫杉醇联合顺铂治疗晚期卵巢癌患者的护理观察[J].中国当代医药,2017,10(17):173-175.
[20]王庆碧.社会支持和心理护理干预对乳腺癌术后化疗患者生活质量的影响[J].医院管理论坛,2014,31(9):40-42.
[21]袁道海,陈德慧,张乃芬.PDCA联合ABC管理健康教育模式对卵巢癌患者化疗过程中机体状态的影响[J].中国医药导报,2017,14(1):154-157.
[22]蓝素纯,谢丽琴,黄彩红.心理护理联合健康指导在晚期卵巢癌化疗患者中的应用效果[J].中国当代医药,2017,10(28):183-185.
[2]曹胜,陆华.卵巢癌患者生存影响因素及预测分析[J].新中医,2012,44(11):109-111.
[3]沈慧.舒适护理对卵巢癌化疗患者负性情绪和生活质量的影响[J].河北医学,2014,20(3):516-518.
[4]王秋临,张小敏,冯莉荔.认知疗法对宫颈癌同步放化疗患者遵医行为及生活质量的影响[J].中国肿瘤临床与康复,2015,22(6):730-733.
[5] Celia DF,Tulsky DS,Gray G. The functional assessment of cancer therapy scale:Development and validation of the general measure[J].J Clin Oncol,1993,11(3):570-579.
[6] Thompson E.Hamilton rating scale for anxiety(HAMA)[J]. Occup Med(Lond),2015,65(7):601.
[7] Hamilton M. A rating scale for depression[J].J Neurol Neurosurg Psychiatry,1960,23:56-62.
[8] Ruis C,van den Berg E,van Stralen HE,et al. Symptom checklist 90-revised in neurological outpatients[J]. J Clin Exp Neuropsychol,2014,36(2):170-177.
[9]王月芳.认知行为心理治疗在改善晚期卵巢癌患者心理状况和生活质量中的应用价值[J].肿瘤基础与临床,2017,30(2):168-170.
[10]王彦龙,骆亚平,陈瑞欣,等.卵巢癌手术患者术后性功能状态及性生活质量的变化研究[J].中国性科学,2017,26(11):37-39.
[11]杨雁.卵巢癌患者生存质量及其影响因素的研究[J].医学信息,2017,30(10):26-29.
[12]杨国芬.优质护理干预对卵巢癌手术患者负性情绪的影响分析[J].吉林医学,2015,36(2):339-340.
[13]项秀芳,姚博.心理护理对改善晚期卵巢癌患者生活质量的临床效果分析[J].当代医学,2013,19(8):127-128.
[14]龚晓燕,郭亮晶.优质护理对妇科肿瘤患者术后康复及生活质量的影响[J].中国医学创新,2013,10(36):61-62.
[15]余丽,黄一华,施贵宁.护理干预对卵巢癌化疗患者生活质量的影响[J].中国癌症防治杂志,2013,5(3):262-265.
[16]周菁,王亚仙.家属同步健康教育对宫颈癌术后化疗患者抑郁相关心理状态和生活质量的影响[J].中国医药导报,2015,12(31):164-168.
[17]杜小雅.持续心里干预对卵巢癌患者生物治疗患者负面情绪、免疫功能及生存质量的影响[J].检验医学与临床,2016,13(17):2520-2522.
[18]纪英,王倩,宋萍.自我效能干预对恶性肿瘤放化疗患者癌痛及生活质量的护理效果[J].中国医药导报,2017,14(8):171-174.
[19]郝美美.紫杉醇联合顺铂治疗晚期卵巢癌患者的护理观察[J].中国当代医药,2017,10(17):173-175.
[20]王庆碧.社会支持和心理护理干预对乳腺癌术后化疗患者生活质量的影响[J].医院管理论坛,2014,31(9):40-42.
[21]袁道海,陈德慧,张乃芬.PDCA联合ABC管理健康教育模式对卵巢癌患者化疗过程中机体状态的影响[J].中国医药导报,2017,14(1):154-157.
[22]蓝素纯,谢丽琴,黄彩红.心理护理联合健康指导在晚期卵巢癌化疗患者中的应用效果[J].中国当代医药,2017,10(28):183-185.