摘要
目的探讨心理干预结合姑息护理对晚期肿瘤患者心理状态和生活质量的影响。方法便利抽样选择2015年1月至2017年1月东台市人民医院肿瘤科收治的晚期肿瘤患者52例为研究对象,随机分为观察组和对照组,对照组予以常规肿瘤晚期姑息护理,观察组在对照组基础上予以个体化心理干预。治疗前后采用癌症患者生命质量测定量表(quality of life questionnaire-core 30,QLQ-C30)、汉密尔顿焦虑评价量表(Hamilton anxiety scale,HAMA)和汉密尔顿抑郁评价量表(Hamilton depression scale,HAMD)进行评价。结果治疗后,两组在各个领域得分较治疗前均明显改善,且差异有统计学意义(P<0.05)。治疗后观察组在角色功能、情绪功能和社会功能得分高于对照组(P<0.05),躯体功能、认知功能和晚期肿瘤模块两者比较差异无统计学意义(P>0.05);观察组焦虑得分和抑郁得分低于干预前和对照组,差异有统计学意义(均P<0.05);对照组在干预后的焦虑得分和抑郁得分低于干预前,但无明显差异(P>0.05)。结论个体化心理干预结合姑息护理可以改善晚期肿瘤患者的生活质量,尤其是角色功能、情绪功能和社会功能,同时能够降低焦虑和抑郁水平。
Objective To evaluate the effect of psychological intervention combined with palliative care on mental status and quality of life in patients with terminal tumor.Methods By convenience sampling,52cases were selected and randomly divided into observation group and control group.The control group received palliative care,while the observation group received psychological intervention combined with palliative care.The quality of life and mental status were evaluated by quality of life questionnaire core30(QLQ C30),Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)in two groups.Results The scores of two groups in each dimension after treatment were higher than before treatment,there was significant difference among them(P<0.05).The scores of role function,emotional function and social function in observation group were higher than control group after treatment(P<0.05).No statistical significance of physical function,cognitive function and modes of tumor found in two groups(P>0.05).The scores of anxiety and depression in observation group after treatment were lower than before intervention and control group(allP<0.05).The scores of anxiety and depression in control group after treatment were lower than before intervention(P>0.05).Conclusion Psychological intervention combined with palliative care can improve the quality of life for the patients with terminal tumor,especially in role function,emotional function and social function,meanwhile,it could reduce the level of anxiety and depression.
作者
崔桂琴
潘骥群
Cui Guiqin;Pan Jiqun(Department of Oncology,Dongtai People’s Hospital,Dongtai 224200,Jiangsu Province,China)
出处
《解放军护理杂志》
CSCD
2017年第20期16-20,共5页
Nursing Journal of Chinese People's Liberation Army
关键词
晚期肿瘤
姑息护理
心理干预
生活质量
心理状态
terminal tumor
palliative care
psychological intervention
quality of life
mental status
