摘要
目的：分析心理行为干预对宫颈癌患者心理健康和生活质量的影响。方法：选取2015年3月至2017年4月我院诊治的宫颈癌患者160例,按入院顺序编号,应用随机数表法将其分为观察组、对照组各80例,两组均实施新辅助化疗,化疗期间对照组实施常规护理,观察组在此基础上给予心理行为干预。采用汉密顿抑郁自评量表（HAMD）、汉密顿焦虑自评量表（HAMA）、匹兹堡睡眠质量指数量表（PSQI）、生命质量核心量表（QLQ-C30）、症状自评量表（SCL-90）评价两组负性情绪、睡眠质量、生活质量及心理健康状况,并分析两组干预前后治疗依从性。结果：干预3周后,观察组HAMD评分（11.45±1.42）分、HAMA评分（12.10±1.15）分、PSQI评分（6.93±1.26）分较对照组低（t=-19.630,-16.873,-20.187;P〈0.01）,而SCL-90评分（80.45±5.77）分、QLQ-C30评分（87.15±10.21）分高于对照组（t=7.650,6.752;P〈0.01）;干预后观察组治疗依从性明显高于对照组（Z=7.666,P〈0.01）。结论：心理行为干预可明显改善宫颈癌患者负性情绪、生活质量,提高其心理健康水平及新辅助化疗依从性,值得在临床推广实践。
Objective：To analyze the effects of psychological behavior intervention on mental health and quality of life in patients with cervical cancer.Methods：A total of 160 cases of patients with cervical cancer treated in our hospital from March 2015 to April 2017 were numbered by the admission sequence and then divided into the observation group and the control group with 80 cases in each group according to the random number table method.The two groups were treated with neoadjuvant chemotherapy.During chemotherapy,the control group was given routine nursing,and the observation group was given psychological behavior intervention on this basis.The Hamilton Depression self-rating scale（HAMD）,Hamilton Anxiety rating scale（HAMA）,Pittsburgh sleep quality index scale（PSQI）,the quality of life core scale（QLQ-C30）and symptom checklist SCL-90 were used to evaluate the negative emotions,sleep quality,life quality and mental health status of the two groups,and treatment compliance of the two groups was analyzed before and after intervention.Results：After 3 weeks of intervention,the scores of HAMD,HAMA and PSQI were（11.45±1.42）points,（12.10±1.15）points and（6.93±1.26）points in the observation group,which were lower than those of the control group（t=-19.630,-16.873,-20.187;P〈0.01）.The scores of SCL-90 and the QLQ-C30 were（80.45±5.77）points and（87.15±10.21）points,which were higher than those of the control group（t=7.650,6.752;P〈0.01）.After treatment,the treatment compliance of the observation group was higher than that of the control group（Z=7.666,P〈0.01）.Conclusion：Psychological behavior intervention can significantly improve the negative emotion,quality of life,mental health level and compliance of neoadjuvant chemotherapy in treatment of patients with cervical cancer.
作者
程荣花
CHENG Ronghua(Department of Gynecology,Zhumadian Central Hospital of Henan,Zhumadian 463000,Chin)
出处
《中国健康心理学杂志》
2018年第8期1152-1156,共5页
China Journal of Health Psychology
关键词
心理行为干预
新辅助化疗
宫颈癌
心理健康
生活质量
Psychological behavior intervention
Neoadj uvant chemotherapy
Cervical cancer
Mental health
Quali-ty of life
