心理干预对甲状腺癌术后患者辅助治疗作用的对照研究

The comparative research on the clinical psychological intervention to postoperative thyroid cancer patients

目的探讨临床心理干预对甲状腺癌术后患者心理问题的辅助治疗效果。方法将60例甲状腺癌术后患者按照等对匹配原则随机分为干预组和对照组各30例；干预组在接受常规医疗和护理的同时给予心理干预，对照组仅接受常规医疗和护理，两组疗程均为2周。采用症状自评量表、患者生存质量量表和甲状腺癌疗效评估标准评价两组心理适应、生存质量和躯体症状。结果干预组经心理干预后，症状自评量表除恐怖因子分外，总均分及其它各因子分均显著低于对照组，差异有有统计学意义（P〈0．05）。生存质量量表干预组整体健康水平及生存质量均较对照组显著提高，躯体症状均较对照组明显减轻，差异有统计学意义（P〈0．05）。结论临床心理干预能减轻甲状腺癌术后患者的心理不适，提高患者的生存质量，短期内能改善患者的部分躯体症状。

Objective To study the treatment effect of clinical psychological intervention on postoperative thyroid cancer pa- tients. Methods According to the matching principle, 60 postoperative thyroid cancer patients were divided into intervention group and con- trol group with 30 cases in each group. The former had undergone psychological intervention for 15 days, while the latter had only received the corresponding medical treatment and nursing. The research studied the influence of psychological intervention in psychological adapta- tion, quality of life and physical symptoms of postoperative thyroid cancer patients were assessed by SCL - 90, EORTC QLQ - c30. Results Compared with the patients of control group, psychological inadaptability has been obviously decreased and living quality has been im- proved remarkably in the intervention group, there was significant difference statistically. Conclusions Clinical psychological intervention has a short - term effect on decreasing psychological inadaptability, improving living quality, as well as their physical symptoms.