心理干预对恶性肿瘤围手术期患者的影响

Effects of psychological interventions in cancer patients during perioperative period

目的探讨心理干预对恶性肿瘤围手术期患者的影响。方法采用方便抽样方法选取62例肿瘤住院患者,入院第2天和手术后第10天,进行心理干预并通过症状自评量表和生活质量核心量表对患者进行测试与评定。结果心理干预前后,症状自评量表评分中除精神病性因子外,在总分、总均分、阳性项目数、阳性症状均分及其他因子得分差异均有统计学意义(P<0.001);生活质量核心量表评分在心理干预后,患者躯体功能、角色功能、情绪功能、认知功能明显增强;单项症状量表提示患者疲乏感、恶心呕吐、呼吸困难、睡眠障碍、食欲减退症状得到明显改善。结论实施心理干预能有效减轻围手术期肿瘤患者的心理应激状态,改善肿瘤患者的不良情绪,提高其生活质量。

Objective To evaluate the effects of psychological interventions in cancer patients during perioperative period. Methods Psychological interventions were provided for 62 cancer patients during perioperative period. The patients were assessed with Symptom Checklist-90（SCL-90） and Chinese version of the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire 30（EORTC QLQ-C30） at the second day after admission and the tenth day after operation. Results After psychological intervention,the total score,the number of positive items and factor scores of SCL-90 were significantly reduced（P〈0.O01） except the factor of psychotic. Moreover,the factor scores of physical function,role function, vomiting,dyspnea,sleep disturbance and loss of appetite were relieved obviously. Conclusion Psychological interventions can effectively reduce perioperative psychological stress of,cancer patients,relieve their negative emotions and improve the quality of life.