应对策略指导对缓解妇科恶性肿瘤化疗病人焦虑的作用

Effects of psychological interrention in gynecologic malignancies patients with chemotherapy

目的探讨应对方式及策略对妇科恶性肿瘤化疗患者焦虑情绪的影响。方法运用病例对照实验设计,对实验组病人在化疗期间接受系统的应对策略指导,选用医学应对问卷(MCMQ)及医院焦虑抑郁情绪测定问卷(HAD)作为主要测查工具,对120例住院妇科恶性肿瘤化疗患者应对方式、情绪焦虑阳性率及恶心、呕吐程度进行观察分析。结果实验组病人在接受系统的应对策略指导后倾向于"面对"应对方式,较少运用回避方法,焦虑阳性率较低,恶心、呕吐程度也较轻。结论对妇科恶性肿瘤化疗进行系统的应对指导可以减轻病人的焦虑情绪,并可降低由化疗引起的恶心、呕吐程度。

Objective To explore the effects of the coping styles and psychological intervention in a sample of gynecologic malignancies during chemotherapy. Methods One hundred and twenty inpatients undergoing chemotherapy were randomly assigned to either intervention group or control group. The intervention group received the psychological intervention in coping styles. The medical coping styles questionnaire （MCMQ） and Hamilton depression scale （HAD） in both groups were measured.The data was analyzed by regression statistic method. Results The positive rate of anxiety of intervention group were remarkably less than that of control group,the symptom of nausea and vomiting improved obviously in intervention group. Conclusion Coping styles intervention to gynecologic malignancies daring chemotherapy can lessen the anxiety reaction and the symptom of vomiting and nausea.