音乐治疗加放松内心意象法对癌症化疗病人生活质量的影响

目的：通过临床实验验证自行编制的“音乐治疗加放松内心意象法”这种心理干预方法的效果。探讨心理干预能否提高癌症化疗病人的生活质量。方法：运用随机对照的方法，对260例化疗病人（实验组124例，对照组136例）进行了心理干预临床实验研究。采用中国癌症化疗患者生活质量量表（QLQ－CCC）及卡氏功能状态量表作为癌症化疗病人生活质量状况和心理干预效果的测查指标，在实验设计和病人筛选时对医学变量进行了控制，同时对心理变量也进行了控制。结果：癌症化疗病人的生活质量状况以化疗前最好，化疗后次之，化疗中最差。经过心理干预的癌症化疗病人，化疗后其生活质量各功能指标均明显提高，化疗中仅以心理情绪状况明显提高。结论：“音乐治疗加放松内心意象法”这种心理干预方法简便实用，可明显提高癌症化疗病人生活质量。

Effect of Music Therapy and Relaxation Inner Image on Quality of Life in Cancer Patients receiving Chemotherapy

Objective: To develop and test the effect of “music therapy and rela xation inner image" on quality of life (QOL) of cancer patients receiving chemot herapy. Method: Two hundred and sixty cancer patients receiving chemotherapy wer e randomly divided into study group (124 cases) and control group (126 cases). Q uality of Life Questionnaire for Chinese Cancer Patients with Chemotherapy (QLQ- CCC) and Karnofsky Performance Status (KPS) were used as indicators for measurin g quality of life before, during and after chemotherapy. Results: In control gro up, the quality of life was best before chemotherapy, worst during chemotherapy and better after it. Compared with the control, study group had better quality o f life after chemotherapy and less mental symptom score of SCL-90 during the the rapy. Conclusion: The "music therapy and relaxation inner image " is a pr actical method to improve quality of life of cancer patients with chemotherapy.