心理干预对癌症患者及主要照顾者依从性和生活质量的影响

 目的　探讨心理干预对癌症患者及主要照顾者的依从性和生活质量的影响，以及患者心理问题和主要照顾者心理问题之间的相关性。方法　将入组患者随机分成干预组和对照组，干预组给予规范抗肿瘤治疗的同时对患者及主要照顾者进行每周一次的心理干预治疗。对照组仅给予规范的抗肿瘤治疗。使用TDL生活质量测定表、焦虑自评量表（SAS）、抑郁自评量表（SDS）等，在心理干预前、干预8周后对两组患者及主要照顾者分别进行2次问卷调查；并记录两组患者对计划治疗的完成情况。应用SPSS 12.0软件完成数据统计。结果　干预组患者能完成预计治疗的人数比为51例，对照组为38例，两者比较差异具有统计学意义（P＜0.05）；干预组患者及其家属的TDL生活质量测定评分明显高于对照组（P＜0.05）；干预组患者及其家属的焦虑自评量表（SAS）、抑郁自评量表（SDS）评分明显低于对照组（P＜0.05）。结论　在癌症患者的治疗过程中对患者及主要照顾者加入有效的心理干预治疗，能提高癌症患者的依从性，能提高癌症患者及主要照顾者的生活质量，且患者心理问题和主要照顾者心理问题之间存在正相关性。

Impact of psychological intervention to compliance and quality of life for cancer patients and their primary caregivers

Objective　To investigate the impact of compliance and quality of life of psychological intervention for cancer patients and their primary caregivers, as well as the correlation between the psychological issues of patients and primary caregivers. Methods　The enrolled patients were randomly divided into intervention group and control group. The patients in intervention group were given to standardize anti-tumor therapy, while the patients and their primary caregivers were given psychological intervention once a week. The patients in the control group only received standard anti-tumor therapy. By TDL determination of quality of life, anxiety rating scale (SAS) and Self-Rating Depression Scale (SDS), in front of the psychological intervention after 8 weeks of intervention, the two groups of patients and their primary caregivers were questionnaired, and recorded the completion of the treatment plan. By SPSS12.0 software, the statistics were completed. Results　51 cases in intervention group and 38 cases in control group were able to complete the number of people expected to treat there was a statistically significant (P < 0.05). TDL Determination and quality of life scores in intervention group patients and their families were significantly higher (P < 0.05). Anxiety rating scale (SAS) and Self-Rating Depression Scale (SDS) score in intervention group patients and their families were significantly lower than control group (P < 0.05). Conclusion　The effective psychological intervention to cancer patients and primary caregivers during the treatment of patients could improve the compliance of cancer patients, the quality of life of cancer patients and their primary caregiver. The psychological problems between the patients and primary caregivers is positive correlation.