心理干预对放射性脑病患者心理及生活质量的影响

目的探讨心理干预对放射性脑病(radiation encephalo pathy,REP)患者心理及生活质量的影响。方法选取鼻咽癌放射治疗后REP患者35例,按入院时间的先后顺序分为对照组17例和实验组18例。对照组患者给予常规治疗与护理,实验组在对照组基础上由专人进行个性化心理干预,疗程12周。比较两组患者治疗前后汉密顿抑郁量表(hamiltonde pression scale,HAMD)和生活质量量表(theshort-form health survey questionnaire,SF-36)评分情况。结果干预前两组患者HAMD及SF-36评分比较,差异无统计学意义(均P>0.05);干预后实验组患者HAMD及SF-36评分明显优于对照组,两组比较,均P<0.01,差异具有统计学意义。结论心理干预能缓解REP患者不良心理状况,提高患者生活质量。

Effect of psychological intervention on the mental conditions and the quality of life of patients with radiation encephalopathy

Objective To explore the effect of psychological intervention on the mental conditions and the quality of life of patients with radiation encephalopathy（REP）.Methods thirty-five patients with REP from radiotherapy for nasopharyngeal carcinoma were divided into the control group（n=17）and the experiment group（n=18）according to their registration sequence. The control group was managed with conventional nursing,and the experiment group with individualized psychological intervention in addition to routine nursing for 12 weeks.The two groups were compared in terms of depression and quality of life by Hamilton Depression rating Scale（HAMD）and The short-form health survey questionnaire（SF-36）.Results The two groups before treatment showed no statistical difference in scores by HAMD and SF-36（P0.05）.The experiment group was superior to the control group after intervention in depression and quality of life（ P0.01）.Conclusion Psychological intervention may alleviate REP in the patients at poor psychological status and improve their quality of life.