宣泄和认知干预对胃癌患者化疗期间生活质量的影响

Effect of Abreaction and Cognition on Life Quality Improving for Gastric Cancer Patients during Chemical Therapy

目的:观察宣泄和认知干预对胃癌患者化疗期间生活质量影响。方法:55例胃癌患者化疗期间接受情绪宣泄和癌症知识认知治疗,1次/5～7 d,共6周;在化疗1周时及化疗结束3 d内使用欧洲癌症研究与治疗组织(EORTC)针对胃癌特点设计的胃癌患者生活质量调查问卷(OLQ-STO22)评估,并与54例未进行宣泄和认知干预的同病化疗患者(对照组)比较。结果:两组患者化疗1周时QLQ-STO22问卷比较,各分量表评分接近;化疗结束后,干预组的吞咽困难、胃部疼痛、呃逆、饮食受限、焦虑、口干、味觉、身体外观等分量表评分明显优于化疗1周时(P<0.05或P<0.01),也优于同期对照组结果(P<0.05)。结论:宣泄和认知干预可明显改善胃癌患者化疗期间生活质量。

Objective：To evaluate the effect of abreaction and cognition on life quality improving for gastric cancer patients during chemical therapy.Methods： A total of 55 patients with gastric cancer（experimental group,group E） were given abreaction and cognition treatment,once every 5～7 days,for 6 successive weeks.A survey according to OLQ-STO22 published by European Organization for Research on Treatment of Cancer（EORTC） was carried out to them and other 54 gastric cancer patients not received abreaction or cognition treatment（control group,group C）,and the results were compared.Results： scores of the two groups were similar in the first week.After chemical therapy,scores of dysphagia,gastric pain,hiccup,drink and food limitation,anxiety,dry mouth,gustatory sensation,and body appearance in group E were superior to group C in the first week（P0.05） and in the end of chems.Conclusions： Abreaction and cognition intervention could remarkably improve life quality of gastric cancer patients during chemical therapy.