心理治疗对直肠癌Miles术患者心理健康状况的影响

Impact of Psychotherapy on Mental Health of Patients Undergone Miles Operation for Rectal Carcinoma

探讨心理治疗对直肠癌Miles术患者心理健康状况改善的作用。治疗组61例采用心理治疗加手术治疗，对照组60例采用单纯手术治疗，选用Zung抑郁自评量表（SDS）评定患者的抑郁情绪作为评价患者是否存在心理创伤指标。结果显示，治疗组患者抑郁率为23．0％，对照组为61．7％（P〈0．05）。治疗组患者可积极配合治疗并定期随访。结果表明，心理疗法配合手术治疗直肠癌，能有效改善患者的心理状况，增加患者战胜疾病的信心及配合治疗的决心，是提高患者生存质量的有效手段，应作为常规的治疗方法。

The impact of psychotherapy on mental health of patients undergone Miles operation for rectal carcinoma was assessed. Sixty one cases received psychotherapy and Miles operation（ pilot group）, and 60 cases underwent Miles operation plus no psychotherapy （control group）. Zung self-evaluation depression score was used to assess the patients＇ depressive status. Results showed that the depression rate in the pilot group was 23.0%,while that in the control group was 61.7%（ P 〈0.05）,and that patients of the pilot group were active in cooperation with treatment and followed up. It is revealed that psychotherapy,as a cooperative therapy in the treatment of rectal carcinoma, is an effective means in improving patients＇ psychological status, strengthening the confidence against disease and enhancing the life quality.