摘要
目的：研究集体心理干预应用于中央型肺癌患者的临床效果。方法：选择2016年3月-2017年5月在我院接受住院治疗的中央型肺癌患者138例,按照随机数表法分为对照组、观察组各69例,对照组患者给予常规护理,观察组患者在常规护理基础上加入集体心理干预措施。干预结束3个月比较两组患者汉密尔顿抑郁量表（HAMD）、心理痛苦温度计（DT）、生活质量核心问卷（QLQ-C30）调查评分。结果：心理干预前,观察组和对照组DT评分、HAMD评分相似,具有可比性（P〉0.05）,心理干预后,观察组DT评分、HAMD评分明显低于对照组,差异具有统计学意义（t=-2.740,-5.289;P〈0.05）,干预后生活质量评分比较,各个方面观察组得分均高于对照组,差异具有统计学意义（t=2.948,5.561,4.985,5.145,6.669;P〈0.05）,尤其是日常生活、情绪功能、认知功能、社会功能4个方面差异较大。结论：集体心理干预应用于晚期中央型肺癌患者可以提高患者生存质量,减少抑郁心理,痛苦心理。
Objective：To study the clinical effect of collective psychological intervention on patients with central lung cancer.Methods：138 patients with central lung cancer who underwent hospitalization in our hospital from March to August in 2016 were randomly divided into the control group and the observation group which was 69 patients each.The patients in the control group were treated with routine nursing,Patients in the observation group were given collective psychological interventions on a routine basis.At the end of the intervention,the Hamilton Depression Scale（HAMD）,the Psychological Pain Thermometer（DT）,and the Quality of Life Questionnaire（QLQ-C30）were scored in the two groups.Results：Compared with the control group,the scores of DT and HAMD were similar（P〈0.05）.After intervention,the DT score and the HAMD score were significantly lower in the observation group（t=-2.740,-5.289;P〈0.05）,the scores of quality of life in the observation group were significantly higher than those of the control group（t=2.948,5.561,4.985,5.145,6.669;P〈0.05）,especially in daily life,emotional function,cognitive function,social function of the four aspects of the larger differences.Conclusion：Collective psychological intervention in patients with central lung cancer can improve their quality of life,reduce the psychological depression,pain,which is worthy of clinical promotion.
作者
张洁
ZHANG Jie(The First Hospital Affiliated by Hebei North University ,Zhangjiakou 075000,Chin)
出处
《中国健康心理学杂志》
2018年第7期1045-1048,共4页
China Journal of Health Psychology
