心理干预改善恶性肿瘤患者情绪障碍的临床观察

Clinical observasion of mental intervention for anxiety-depression in patients with cancer

目的:观察心理干预对恶性肿瘤患者焦虑抑郁情绪障碍的治疗作用。方法:将住院恶性肿瘤患者随机分为观察组和对照组,在进行相应的化疗、放疗、最佳支持治疗同时,观察组给予适当的心理干预,每周1-2次。入院后1-2日内及4周后分别对所有患者进行SCL-90、焦虑/抑郁量表、生活质量评分检测。结果:观察组SCL-90检测提示心理干预后患者焦虑、抑郁、敌对三因子评分低于对照组;抑郁/焦虑量表SAS及SDS得分较对照组明显降低;QOL量表显示患者角色功能、认知功能、社会功能增强;睡眠障碍明显改善。结论:恰当的心理干预能明显改善癌症患者焦虑抑郁情绪及生活质量。

Objective ：To investigate the efficacy of mental intervention for emotional disorder of anxiety - depression in patients with cancer. Methods： Patients were randomized to two groups. Patients of study group received mental intervention plus antitumor treatment BST, those of control group received antitumor treatment only. All patients were deteceted with scales of SCL - 90, SDS, SAS and QOL at baseline and 4 weeks later after the treatment. Results：Compared with the control, factor scores of anxiety, depression and rivalry were significally lower in study group,and also the scores of SDS/SAS. The quality of life and somnipathy were improved. Conclusion：Apprepriate mental intervention can help relieve emotional disorder of anxiety - depression in patients with cancer and improve the life quality.