心理行为干预对反流性食管炎疑癌患者心理和治疗效果的影响

Effect of psychological behavior intervention on the psychological andcurative effect of suspected cancer patients with reflux esophagitis

目的探讨心理行为干预对反流性食管炎疑癌患者心理状态和疗效的影响。方法对符合诊断标准的69例患者随机分两组,干预组在常规药物治疗的基础上给予心理行为干预,每周2次,8周为1疗程;对照组进行常规药物治疗。治疗前和治疗8周末采用SCL-90量表进行心理状态评定及临床疗效评定。结果干预组患者的SCL-90显示,除精神病性及敌对因子外,躯体化、抑郁、焦虑、恐怖、饮食睡眠因子分数显著高于国内常模(P<0.05);干预组治疗总有效率94.64%,对照组为67.65%;干预前后两组心理状态及临床疗效,差异均有统计学意义(P<0.05)。结论反流性食管炎疑癌患者的心理健康水平明显低于正常人群,心理行为干预能显著改善其心理应激,减轻临床症状,提高患者生存质量及疗效。

Objective To investigate the effect of psychological behavior intervention on the psychological and curative effect of suspected cancer patients with reflux esophagitis.Methods 69 patients consistent with diagnostic criteria were randomly divided into study group and control group.The two groups had the same clinical routine treatments for 8 weeks,and psychological behavior intervention was added to the intervention group twice a week.Take 8 weeks as a courese of treatment.Before treatment and at the end of 8 weeks,SCL-90 scale was adopted to carry on a mental status and clinical curative effect assessment.Results SCL-90 of the sufferers in the intervention team showed that the factor grades of somzatization,depression,anxiety,terror,diet and sleep are obviously higher than normal（P0.05）.The total effective rate of the intervention guoup was 94.64%,the control group was 67.65%.This difference had statistical significanc（P0.05）.Conclusions Mental healthy of Reflux esophagitis suspected cancer patients was obviously lower than the normal.Psychological behavior intervention can improve their mental state,relieve their clinical symptom,raise their life quality and advance the curative effect.