心理干预对白血病患者心理状态及化疗依从性的影响

目的　探讨心理干预对白血病患者心理状态及化疗依从性的影响。方法　对近三年收治的白血病患者 82例 ,分别入选观察组 ( 4 2例 )与对照组 ( 4 0例 ) ,在相同药物治疗的情况下对观察组实行针对性的心理干预。评价两组初治诱导化疗的疗效。心理干预前后让患者填写症状自评量表 ,比较两组的差别 ,观察两组对化疗的依从性。结果　初治诱导化疗的完全缓解率观察组 76.2 % ,对照组 70 % ,两组差别无显著性 (P >0 .0 5 ) ,但观察组在接受心理干预后负性情绪 (抑郁、焦虑、敌对及恐惧 )得到改善 (P <0 .0 5 ) ,化疗依从率观察组 ( 85 % )优于对照组 ( 67.5 % )差别有显著性 (P <0 .0 2 5 )。结论　对白血病患者进行心理干预 ,有助于建立良好的医患关系 ,提高患者对白血病的认知 ,改善不良心境 ,从而有效的提高其对化疗的依从性。

The influence of psychological intervention with leukemia sufferers'''' psychological status and chemotherapy compliance

Objective To explore the influence of psychological intervention with leukemia sufferers' psychological status and chemotherapy compliance. Method 82 Leukemia sufferers received by the hospital in recent three years were chosen into experimental group (42) and contrasting group (40), both receiving the same medical tretment,with only special psychological intervention with the experimental group, evaluating the effects of the chemotherapy treatment to the two groups of patients.Before and after the psychological intervention , the suffers were required to fill in the symptom check list 90 , comparing the differences and observing the chemotherapy compliance of the two groups. Result The completive remittence rate of the experimental group after chemotherapy treatment is 76.2%,while the other group is 70%,with no remarkable difference betweenthe two (P>0.05). However, after receiving psychological intervention,such emotions as depression, anxiety, hostility and fear have been greatly improved (P<0.05). The chemotherapy compliance rate of the experimental group(80.5%) is superior to that of the contrasting group (67.5%) with remarkable difference (P<0.025).Conclusion Psychological intervention with leukemia sufferers can help establish good relationship between medical staff and patients ,deepen sufferers' understanding of leukemia and improve the unhealthy mood in order to increase their chemotherapy compliance.