生物反馈、放松内视心象法和音乐治疗相结合对鼻咽癌患者生活质量的影响

The effect of psychological intervention which ,biofeedback combine with relax therapy and music treatment on the quality of life and emotion in thepatients with nasopharyngeal carcinoma

目的研究生物反馈治疗、放松内视心象法和音乐治疗相结合对鼻咽癌病人的情绪和生活质量影响。方法采用临床对照研究，随机将113例鼻咽癌患者分为干预组（62例）和对照组（51例），用世界卫生组织生存质量量表简表（WHOQOL—BREF）、焦虑自评量表（SAS）、抑郁自评量表（SDS）评定其干预前后的情绪和生存质量。结果①在干预后，干预组SAS标准分、SDS指数、精神情感症状、精神运动性障碍和抑郁心理障碍评分[分别为（44．23±7．53）分、（0．50±0．04）分、（3．01±0．87）分、（2．70±0．51）分、（17．00±1．88）分]显著低于对照组[分别为（48．36±6．77）分、（0．56±0．06）分、（3．90±1．31）分、（3．49±0．45）分、（18．07±2．11）分，P〈0．05或0．01]。干预组各项指标评分显著低于干预前（P〈0．05）。②在干预后，干预组生理领域、心理领域和生存质量总的感受评分显著高于对照组（P〈0．01）。结论生物反馈治疗、放松内视心象法和音乐治疗相结合能有效改善鼻咽癌患者的焦虑抑郁情绪和生活质量，建议临床推广使用。

Objective To investigate the integration effect of psychological intervention which biofeedback combine with relax therapy and music treatment on quality of life（QOL） and emotion in patients with nasopharyngeal carcinoma. Method To use clinic control study,a total of 113 patients with nasopharyngeal carcinoma were randomly grouped psychological intervention and control group. All participants completed pre-intervention and post- intervention measures and a 6-week follow-up questionnaire consisting of WHO quality of life questionnaire brief （WHOQOL-BREF） and SAS, SDS. Result （1）After treatment, the scores of SAS, SDS, mental mood symptoms, mental motor disorder and depression disorder in the psychological therapy group （44.23 ± 7.53,0.50 ± 0.04, 3.01 ± 0.87,2.70 ± 0.51,17.00 ± 1.88 respectively）were lower than those in control group（48.36 ± 6.77,0.56 ± 0.06,3.90 ± 1.31,3.49 ± 0.45,18.07 ± 2.11 respectively ）, P = 0.021 , 0. 001,0. 017,0.000,0. 038 respectively. （2）After treatment, the scores of physical field physiological field and quality of life in the psychological group were significantly higher than those in the control groups （P 〈 0.01 ）. Conclusion It can efficiently improve anxiety depression and Quality of life of patients with nasopharyngeal carcinoma to use psychological intervention which biofeedback combine with relax therapy and music treatment.