摘要
目的探讨心理干预对恶性肿瘤患者介入治疗后心理康复的影响。方法100例综合介入治疗肿瘤患者随机分为心理干预组（50例）和对照组（50例），心理干预组接受综合介入治疗联合术后社区心理干预，对照组只接受综合介入治疗，两组患者均采用临床精神卫生自评量表（SCL-90）、抑郁和焦虑自评量表（SDS、SAS）作为治疗效果的测查指标。结果干预组治疗前后比较在SCL-90总分、躯体化、强迫、人际关系敏感、抑郁、焦虑、恐怖因子评分及阳性项目数方面改善明显（P〈0．05）；干预组与对照组治疗后在SCL-90总分、躯体化、强迫、人际关系敏感、抑郁、恐怖因子评分及阳性项目数方面改善明显。心理干预组在术后1个月抑郁指数及焦虑指数均比治疗前显著下降，对照组抑郁指数下降不明显，焦虑指数下降较明显，但治疗后两组间两项指数对照组均明显高于心理干预组。结论社区心理干预对肿瘤患者综合介入治疗后的心理康复有明显促进作用。
Objective To study the psychological changes and the effect of psychological intervention and to discass the influence of psychological rehabilitation on carcinoma patients after comprehensive interventional therapy. Methods 100 carcinoma patients were divided into two groups randomly：the psychological intervention group（50 cases） received both psychological intervention therapy and comprehensive intervention therapy; the control group（ 50 cases） received only comprehensive interventional therapy;Curative effects were assessed with the Symptom Checklist- 90（SCL-90） ,the Self Rating Depression Scale（SDS） and the Self Rating Anxiety Scale（SAS） for each patient. Results For the psychological intervention group, SCL-90 scores after therapy was significantly lower than that before therapy （ P 〈 0. 05 ）, and were also significantly lower than that （ without anxiety agent） of the control group. The scores of SDS and SAS in post-therapy patients were significantly lower than that of pre-therapy patients in the psychological intervention group. The scores of SDS had no statistical difference between post-therapy patients and pre-therapy patients in the control group. The scores of SAS in post-therapy patients was significantly lower than that of pre-therapy patients in the control group. Both scores of SDS and SAS in the control group were significantly higher than that of the psychological intervention group after therapy. Conclusion Psychological intervention for carcinoma patients after comprehensive interventional therapy played an promotional role in psychological rehabilitation in the community.
出处
《中国基层医药》
CAS
2010年第18期2454-2456,共3页
Chinese Journal of Primary Medicine and Pharmacy
基金
上海市浦东新区优秀学科带头人培养计划课题（PWRd2007-17）
关键词
肿瘤
介入治疗
焦虑
抑郁
社区
心理干预
Cancer
Interventional therapy
Anxiety
Depression
Community
Psychological intervention
