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个体化心理干预对颅内肿瘤患者心理应激影响
引用本文:刘燕,李志丽,刘洋,杨琳.个体化心理干预对颅内肿瘤患者心理应激影响[J].中国继续医学教育,2020(11):195-196.
作者姓名:刘燕  李志丽  刘洋  杨琳
作者单位:国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院神经外科
基金项目:北京希望马拉松专项基金资助项目(LC2012C43)。
摘    要:目的探讨个体化心理干预对颅内肿瘤患者围术期心理应激的影响。方法采用方便抽样的方法选取2013年1月-2019年3月入院拟行手术治疗的颅内肿瘤患者240例,随机分为对照组和观察组,每组各120例。对照组接受常规护理,观察组在此基础上,还接受个体化心理干预。比较两组患者入院时、术前1天、术后7天焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分及患者满意度。结果对照组和观察组入院时SAS、SDS评分差异无统计学意义(P>0.05);观察组在干预后的术前1天、术后7天SAS、SDS评分均低于对照组(P<0.05);观察组患者满意度高于对照组(P<0.05)。结论个体化心理干预能改善颅内肿瘤患者围术期焦虑抑郁状态,提高患者满意度。

关 键 词:个体化心理干预  颅内肿瘤  围术期  心理应激  焦虑  抑郁

Effect of Individualized Psychological Intervention on Psychological Stress in Patients With Intracranial Tumor
LIU Yan,LI Zhili,LIU Yang,YANG Lin.Effect of Individualized Psychological Intervention on Psychological Stress in Patients With Intracranial Tumor[J].China Continuing Medical Education,2020(11):195-196.
Authors:LIU Yan  LI Zhili  LIU Yang  YANG Lin
Institution:(Department of Neurosurgery,National Cancer Center/National Cancer Clinical Medical Research Center/Cancer Hospital,Chinese Academy of Medical Sciences Peking Union Medical College,Beijing 100021,China)
Abstract:Objective To investigate the effect of individualized psychological intervention on perioperative psychological stress in patients with intracranial tumors. Methods By convenient sampling method, 240 patients with intracranial tumor who were admitted to the hospital for surgical treatment from January 2013 to March 2019 were randomly divided into control group and observation group, 120 cases in each group. The control group received routine nursing, and the observation group also received individualized psychological intervention.The two groups of patients were compared with the self-rating anxiety scale(SAS) score and the self-rating depression scale(SDS) score at the time of admission, 1 day before surgery, 7 days after surgery, and patient satisfaction. Results There were no significant differences in SAS and SDS scores between the control group and the observation group at admission(P > 0.05). The SAS and SDS scores of the observation group were lower than those of the control group 1 day before and 7 days after surgery(P < 0.05). The patient satisfaction in the observation group was higher than that in the control group(P < 0.05). Conclusion Individualized psychological intervention can improve the perioperative anxiety and depression status of patients with intracranial tumors and improve patient satisfaction.
Keywords:individualized psychological intervention  intracranial tumor  perioperative period  psychological stress  anxiety  depression
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