心理支持对晚期肺癌患者生存质量的影响

Influence of Psychological Support on Quality of Life in Patients with Advanced Lung Cancer

目的探讨心理支持的综合干预对肺癌患者生存质量的影响。方法108例晚期肺癌患者在住院治疗同时辅以心理支持,分别于干预前后进行2次《癌症患者生存质量调查问卷》调查并同时作KPS评分,比较心理支持综合干预前后生存质量各项指标的变化。结果心理支持的综合治疗对于患者精神、周围人理解与配合、治疗的态度、家庭理解与配合、自身对疾病的认识、日常生活状态等均有显著提高(P<0.01),对于食欲、睡眠、疼痛也有改善(P<0.05)。QOL评分与KPS评分有相关关系。结论传统抗肿瘤治疗辅以心理支持,开展群体抗癌干预模式有助于患者生存质量的提高。

Objective To explore the influence of a comprehensive intervention with psychological support on the quality of life （QOL） in patients with lung cancer. Methods 108 cases of patients with advanced lung cancer received simultaneously the residential treatment and psychological support. Subjective assessments included QOL by means of a patient questionnaire and KIPS score. The index changes of QOL were compared before and after the comprehensive psychological support. Results The improvements were noted in the spirit of patients, understanding and cooperation of family members and other people around them, attitude to treatment,understanding to the self-disease and daily life （P 〈 0.01 ） , even in the appetite, sleeping and pain relief （ P 〈 0.05 ）. QOL score was well correlated to the KPS score. Conclusion Traditional anti-tumor therapy with psychological support groups（ intervention model） can improve QOL of cancer patients.