摘要
目的研究恶性肿瘤患者家属的心理状况,并进行心理疏导干预,观察其对患者预后的影响。方法采用问卷调查方式,分析127名恶性肿瘤患者家属心理状况,并进行针对性心理疏导。随访3年,观察患者预后情况。结果本研究127份问卷调查,收回有效问卷125份,有效回收率98.4%。护理前125人,积极向上的心理反应37人(29.6%),怀疑、恼火与不平衡的心理反应49人(39.2%),悲观失望的心理反应14人(11.2%),对治疗丧失信心、甚至绝望的心理反应7人(5.6%),茫然不知所措的心理反应(宿命观点)18人(14.4%)。护理后125人,积极向上的心理反应112人(89.6%),怀疑、恼火与不平衡的心理反应10人(8.0%),悲观失望的心理反应3人(2.4%),对治疗丧失信心、甚至绝望的心理反应0人,茫然不知所措的心理反应(宿命观点)0人。数据经Ridit分析,护理前后积极向上的心理反应人数差异有统计学意义(P<0.05)。患者治疗依从性及生活质量明显提高,41例重返工作岗位,1例绒癌患者治愈并生育,11例老年输卵管癌患者生活均能自理。结论对恶性肿瘤患者家属的心理疏导及健康教育,能最大限度地实现家庭支持系统,有利于患者疾病的预后,提高患者生存质量。
Objective To Research the psychological status of the families of cancer patients,to intervene psychological counseling and to observe its impact on the prognosis of patients.Methods Using questionnaires,127 family members of the psychological status of patients with malignant tumors were analyzed,and targeted psychological counseling was applied.The patient prognoses were observed for 3-year follow-up.Results In this study,the effective recovery rate was 98.4%.In the 125cases before care,37 cases were positive emotional response（29.6%）,suspicion,angry and unbalanced emotional response were 49（39.2%）,pessimistic mood response were 14（11.2%）,the treatment of loss of confidence,even despair reaction were 7（5.6%）,confusion and perplexity of the emotional response（fatalistic point of view） were 18（14.4%）.In the 125cases after care,112 cases were positive emotional response（89.6%）,suspicion,angry and unbalanced emotional response were 10（8.0%）,pessimistic mood response were 3（2.4%）,the treatment of loss of confidence,even despair reaction was 0,confusion and perplexity of the emotional response（fatalistic point of view） were 0.Data by the level of data analysis showed that there was significant difference between before and after care on the number of positive emotional responses（P0.05）.41 cases back to work,one case of choriocarcinoma was cured birth,11 cases of elderly patients with fallopian tube cancer can take care of themselves.Patient treatment compliance and quality of life improved significantly.Conclusion The psychological and health education to families of cancer patients can maximize family support system,and is favorable for prognosis of patients,improve patient quality of life.
出处
《河北中医》
2011年第7期1065-1067,共3页
Hebei Journal of Traditional Chinese Medicine
基金
2007年河北省科学技术研究与发展指导计划项目(编号:072761155)
关键词
焦虑
社会支持
心理护理
肿瘤
Anxiety
Community support
Psychological care
Cancer
