原发性肝癌患者心理问题调查与心理干预对照研究

目的：探讨心理干预疗法对原发性肝癌患者心理状况及生活质量的影响。方法：将64例原发性肝癌患者按照等对匹配原则随机分为干预组和对照组各32例,干预组在接受常规医疗和护理的同时给予心理干预,包括心理情绪干预、躯体功能干预和生活行为干预,对照组仅接受常规医疗和护理。采用症状自评量表和肿瘤患者生活质量核心量表评定患,接受行为干预治疗3个月后的心理状况及生活质量,并与对照组患者进行比较。结果：干预组经心理干预后,症状自评量表总均分及其它各因子分均显著低于对照组,差异有极显著性。生存质量量表干预组整体健康水平及生存质量均较对照组显著提高,躯体症状均较对照组明显减轻,差异有极显著性。结论：行为干预疗法可显著改善肝癌患者的心理状况,提高患者生活质量。

Investigation of psychological problems and psychological intervention in patients with primary liver cancer

Objective：To explore the effects of psychological intervention on mental health and quality of life in the patients with primary liver cancer.Methods：Sixty-four cases of primary liver cancer were randomly divided into intervention group and control group in accordance with the principle of matching,with 32 cases for each group.Both groups received conventional medical treatment and care and the psychological intervention was added to the intervention group,including psychological intervention,physical function intervention and life style intervention.Symptom checklist,quality of life core rating scale for cancer patients and the psychological status and quality of life 3 months after behavioral intervention were used to evaluate the patients and the comparison was made with the control group.Results：The total average symptom checklist,and other various factor scores were significantly lower in the intervention group after psychological intervention than those of the control group,with a significant difference.Quality of Life Scale showed overall health and quality of life in the intervention group was significantly increased compared with the control group and somatic symptoms were significantly reduced in the intervention group than those in the control group,with a significant difference.Conclusion：The behavioral intervention can significantly improve the psychological status and improve quality of life in patients with liver cancer