摘要
目的:探讨放疗、化疗或放化疗治疗方案对老年肿瘤患者治疗过程中相关临床症状和心理健康的影响。方法:选择湖北医药学院附属人民医院肿瘤科2023年1月至8月期间诊治的90例十堰地区肿瘤老年患者,调查借助WHO五项身心健康指标量表、心理痛苦温度计量表、Karnofsky功能状态评分标准量表、癌症治疗相关性症状量表以及抑郁自评量表记录并分析不同治疗方案下患者接受治疗前后症状变化以及心理状态变化,分析相应生理及心理状态情况。结果:第一次寻访中放疗组、化疗组、放化疗组三种治疗措施的症状总分比较,差异有统计学意义(P<0.05),且症状得分:放化疗>放疗>化疗;第二次寻访中三组症状总分均下降,三组治疗措施间的差异均有统计学意义(P<0.05),且症状得分:放化疗>放疗>化疗。放化疗组的症状、SDS评分、心理痛苦温度计评分在治疗后均下降且治疗前后的差异均有统计学意义(P<0.05)。结论:采用放疗和化疗联合疗法方案能显著改善老年肿瘤患者的躯体症况严重情况、抑郁情况、心理痛苦情况。
Objective To investigate the impact of radiotherapy,chemotherapy,or radiochemotherapy on relevant clinical symptoms and mental health of elderly cancer patients during the treatment.Methods Ninety elderly cancer patients in the Shiyan area who were diagnosed and treated at the Department of Oncology of the Renmin Hospital,Hubei University of Medicine from January 2023 to August 2023 were selected.The WHO Five Well-being Index,Distress Thermometer,Karnofsky Performance Status Scale,Cancer-related Symptom Scale,and Self-rating Depression Scale were used to analyze the changes in the symptoms and psychological status of patients before and after treatment with different treatment regimens.Results The total symptom score of the three treatment measures(radiotherapy,chemotherapy,and radiochemotherapy)at the first visit showed significant differences(P<0.05),with the symptom scores in the following order:radiochemotherapy>radiotherapy>chemotherapy.The total symptom score of all three groups decreased at the second visit,and the differences were significant(P<0.05),with the symptom scores in the following order:radiochemotherapy>radiotherapy>chemotherapy.In the radiochemotherapy group,the symptoms,SDS scores,and Distress Thermometer scores all decreased after treatment,and the differences before and after treatment were distinct(P<0.05).Conclusion Radiochemotherapy can significantly improve the physical symptoms,depression,and psychological distress of elderly cancer patients.
作者
吕雯丽
张曼雨
蒙立铭
魏静静
潘春雪
王德利
LV Wen-li;ZHANG Man-yu;MENG Li-ming;WEI Jing-jing;PAN Chun-xue;WANG De-li(School of Medicine and Nursing,Renmin Hospital,Hubei University of Medicine,Shiyan,Hubei 442000,China;Department of Rehabilitation,Renmin Hospital,Hubei University of Medicine,Shiyan,Hubei 442000,China)
出处
《湖北医药学院学报》
CAS
2024年第6期668-672,共5页
Journal of Hubei University of Medicine
基金
湖北医药学院药护学院大学生创新创业项目(X202313249008)。
关键词
心理痛苦
症状管理
老年
肿瘤患者
Psychological pain
Symptom management
Elderly
Cancer patient
