心理干预对介入治疗原发性肝癌患者作用研究

Application of Psychological Intervention in Patients of Primary Liver Cancer with Interventional Treatment

目的:通过对采用介入治疗的原发性肝癌病人进行心理干预,稳定病人情绪,减轻焦虑和抑郁,提高患者的生活质量。方法:将78例采用介入治疗的原发性肝癌病人随机分为2组,干预组39例、对照组39例,干预组在研究者指导下进行心理调试、对照组只接受常规指导。从患者入院即开始观察对照至出院后4周。结果:心理干预后干预组患者焦虑、抑郁情况明显低于对照组(P<0.01),健康相关生活质量干预组一般健康状况、生理功能、情感职能、精神健康、精力明显高于对照组,2组差异有统计学意义(P<0.01)。结论:通过对原发性肝癌病人介入治疗前后给予心理干预能减轻患者的焦虑和抑郁程度,提高患者的生活质量,并可能对减少术后并发症、延长生存时间起到积极地作用。

Objective：To be stable their mood,anxiety and depression,to improve their quality of life by psychological intervention for patients with interventional treatment of primary liver cancer. Methods：78 cases with interventional treatment of primary liver cancer were randomly divided into two groups,39cases in intervention group,39cases in control group,Intervention group were under the guidance of psychological adjustment by researchers,the control group only received conventional instruction.Observed the patient from admission to 4 weeks after the discharge from hospital. Results：In psychological intervention group,anxiety and depression were significantly lower than in control group（P0.01）;health-related quality of life in the intervention group：the general health status,physical function,emotional function,mental health,energy were higher,the two group difference was statistically significant（P0.01）. Conclusion：The psychological intervention to patients with primary liver cancer before and after intervention treatment can reduce anxiety and postoperative complications and promote early postoperative recovery and prolong the survival time and play a positive role.