妇科恶性肿瘤患者心理状况及生活质量的心理干预研究

目的探讨心理干预措施对改善妇科恶性肿瘤患者的生命质量的作用及有效性。方法对2008年11月-2010年11月收治的87例妇科恶性肿瘤患者,随机分为试验组与对照组,试验组43例,实施心理干预及常规治疗;对照组44例,采取常规治疗;并对两组患者入院后及出院前生存质量、心理状况以问卷调查方式进行资料收集,用以比较、评价心理干预对改善妇科恶性肿瘤患者生命质量的作用及效果。结果妇科恶性肿瘤患者抑郁发生率为56.3%(49/87),焦虑发生率为62.1%(54/87);心理干预后两组患者组间各指标比较,试验组患者的总体健康状况、生存质量、角色功能、情绪功能、认知功能得分比对照组增高(P<0.05);试验组患者疲倦、恶心呕吐、失眠、食欲下降、便秘症状、抑郁、焦虑得分比对照组得分下降(P<0.05)。结论心理干预可改变妇科肿瘤患者的负性心理倾向,缓解抑郁、焦虑等情绪,减轻化疗药物所引起的系列副作用,能有效提高其生活质量。

Psychological Status,Quality of Life and Related Psychological Intervention in Patients with Gynecological Malignancies

Objective To investigate the function and effectiveness of psychological intervention on the improvement of life quality in patients with gynecologic malignant tumors.Methods Eighty-seven patients with gynecologic malignant tumors from November 2008 to November 2010 were randomly divided into the experimental group(n=43) and the control group(n=44).Patients in the experimental group underwent psychological intervention during routine treatment,while patients in the control group were given the routine treatment without psychological intervention.Questionnaire survey was adopted to investigate the psychological status of all the patients after admission and before discharging.The function and effectiveness of psychological intervention were evaluated.Results In the experimental group,56.3%(49/87) of the patients had depressive symptoms,and 62.1%(54/87) had anxiety symptoms.Compared with the control group,patients in the experimental group had significantly higher scores of quality of life,physical function,role function,emotional function,and cognitive function(P < 0.05) and had significantly lower scores of fatigue,nausea and vomiting,insomnia,loss of appetite constipation,depression and anxiety(P < 0.05).Conclusion Psychological intervention may alleviate the negative emotion like depression and anxiety,retain favorable physical and mental status,and decrease the side effects caused by chemotherapy,in patients with gynecologic malignant tumors.