摘要
目的:探讨直肠癌Dixon手术患者治疗过程中心理干预的临床意义。方法:将59例直肠癌Dixon手术患者作为试验组,对其治疗过程实行心理干预治疗。同时取资料相匹配的未采取心理干预治疗的直肠癌患者58例与之对照。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对两组患者在围手术期、化疗期、康复期的心理状况进行调查。比较两组患者各阶段心理问题的发生率。结果:直肠癌Dixon手术患者在治疗过程的各个阶段均存在有不同程度的心理障碍,包括焦虑、抑郁、躯体症状等。经过心理干预,化疗期试验组抑郁、躯体症状的发生率较对照组明显降低(P<0.05);康复期试验组焦虑、抑郁、躯体症状的发生率也较对照组明显降低(P<0.05)。
Objective： To analyze the effects of psychological intervention on rectum cancer patients during treatment and investigate their clinical significance. Methods： A total of 117 rectum cancer patients were divided into two groups： the trial group, 59 cases with psychological intervention and the control groups without psychological intervention. Then the survey for the psychological problems was performed with the use of self anxiety evaluating system （SAS）, self depression evaluating system （SDS） separately for the two groups at the time of the diagnosis and operation, as well the time of the first chemotherapy and 3 months after operation, the occuring percentage of the psychological problems were compared among above-stages. Results： The patients suffered from psychological problems at varying degrees during every stages at treatment. Through the psychological therapy, the occurring rates of serf-depression and body symptoms distress in the trial group after the first chemotherapy were remarkable lower than those in the control group （ p 〈 0. 05 ）. Statistically significant differences were also observed according to anxiety, self-depression, body symptoms distress and body attention distress between the two groups at the time of 3 months after operation （ P 〈 0.05 ）. Conclusion： Psychological intervention can reduce the occurring rates of psychological problems of rectum cancer patients in different pedods of treatment.
出处
《沈阳医学院学报》
2008年第4期215-217,共3页
Journal of Shenyang Medical College
关键词
直肠癌
手术患者
心理干预
Rectum cancer
surgerypatients
Psychological intervention
