心理干预对妇科恶性肿瘤患者正向情绪的提升效应

Effect of psychological intervention in elevating the positive emotion of patients with gynecological malignant tumor

目的女性生殖器官恶性肿瘤近1/3患者伴发心理情绪障碍,而且这种情绪可对疾病的治疗和发展有着正向或负向的助导作用。本文旨在观察心理干预在妇科恶性肿瘤患者治疗中的辅助作用。方法通过问卷调查妇科恶性肿瘤患者的情绪焦虑或抑郁积分状况,将100例情绪焦虑积分或情绪抑郁积分阳性率患者随机分两组,干预方法采用认知干预、情绪与行为干预、家庭干预;情绪评估采用医院情绪焦虑抑郁测定法。结果妇科恶性肿瘤患者的情绪焦虑阳性率为69%,情绪抑郁阳性率为59.5%,情绪焦虑均分(HAD-A)(10.68±4.60)和情绪抑郁均分(HAD-D)(10.46±4.42)均明显高于正常人群(分别为5.34±1.20,5.05±1.37,t=2.36,2.53,P<0.05);心理干预显著降低妇科恶性肿瘤患者情绪焦虑均分和情绪抑郁均分,与观察组比较,差异有显著性意义(干预组与观察组HAD-A比较,t=2.02～2.88,P<0.05,干预组与观察组HAD-D比较t=2.11～2.48,P<0.05)。结论心理干预能有效防止妇科恶性肿瘤患者情绪焦虑和情绪抑郁症状发生,减轻心理压力,为药物治疗提供帮助。

AIM:Almost one third of the patients with gynecological malignant tumor are accompanied by mental and emotional disorder,which may have positive or negative effect on the treatment and development of the disease.The aim of this paper is to observe the assisting effect of psychological intervention on the treatment of gynecological ovary cancer.METHODS:Totally 100 patients with gynecological malignant tumor,who had emotional positive scores of anxiety and depression,were divided into two groups randomly by assessing their scores of depression or anxiety.The patients received cognitive intervention,emotional and behavioral interventions and family intervention.The anxiety and depression test were performed to assess the effect of psychological intervention.RESULTS:Emotional anxiety and depression positive ratios in patients with gynecological malignant tumor were 69%and 59.5%respectively,and their mean scores of Hospital anxiety depression scale(HAD)-anxiety(HAD A)(10.68±4.60) and HAD depression(HAD D)(10.46±4.42) were significantly higher than those of the normals(5.34±1.20,5.05±1.37)(t=2.36,2.53,P< 0.05),psychological intervention could decrease the mean scores of HAD A and HAD D significantly as compared with those in the observed group(HAD A:t=2.02-2.88,P< 0.05,HAD D:t=2.11-2.48,P< 0.05).CONCLUSION:Psychological intervention can effectively prevent the occurrence of emotional anxiety syndrome and emotional depression syndrome in patients with gynecological malignant tumor,relieve their emotional stress and provide helpfulness for drug treatment.