患者及其配偶同步心理干预对乳腺癌化疗负性情绪和胃肠道反应的影响

目的通过对患者及其配偶采取同步心理干预方法，分析由此对乳腺癌化疗负性情绪及胃肠道反应产生的影响。方法选取本院86例乳腺癌化疗患者及其配偶，随机分为干预组和对照组，利用焦虑自评量表（SAS）、抑郁自评量表（SDS）以及乳腺癌生存质量测评量表（FACT-B）实行综合评定，同时记录胃肠道反应的发生率。结果（1）干预组的SAS、SDS评分明显低于对照组（P〈0．05）；干预组经过治疗之后的SAS、SDS评分均比治疗前有所下降（P〈0．05）。（2）干预组恶心、呕吐发生率较对照组明显下降（P〈0．05）。（3）干预组在情感状况领域显著优于对照组。结论患者及其配偶同步心理干预可改善化疗负性情绪和胃肠道反应，提高生存质量。

Effect of synchronous psychotherapy on negative emotion and gastrointestinal reactions in patients with breast cancer undergoing chemotherapy and their spouses

Objective To investigate the effect of patients and their spouses＇ synchronous psychotherapy on negative emotion and gastrointestinal reactions in patients with breast cancer undergoing chemotherapy. Meth- ods 86 cases with breast cancer and their husbands were randomly divided into psychotherapy group and con- trol group. Self-rating Anxiety Scale （SAS）,Self-rating Depression Scale （SDS） and Functional Assessment of Cancer Therapy-Breast Quality of Life Instrument （FACT-B）were used to evaluate before and after treatment. And gastrointestinal reactions were recorded. Results ①The scores of SAS and SDS in the psychotherapy group were significantly lower than those in the control group （P〈0.05）. The scores of SAS and SDS after treatment were significantly lower than those before treatment （P〈0.05）. ②The incidence of nausea and vomit in the psychothera- py group were significantly lower than those in the control group （P〈0.05）. ③The emotional state of the psy- chotherapy group was superior to the control group （P〈0.05）. Conclusions Synchronous psychotherapy can obvi- ously decrease the negative emotions and the gastrointestinal reactions, and improve the life quality of patients.