心理干预在减轻头颈肿瘤放疗患者抑郁与焦虑中的作用

Effect of psychological intervention on reducing depression and anxiety in patients with head and neck cancer during the period of radiotheraphy

目的:探讨心理干预对头颈肿瘤放射治疗患者的影响。方法:80例接受常规放疗的头颈部肿瘤患者随机进入干预组和对照组,每组40例。干预组:放疗期间给予常规护理+心理干预;对照组放疗期间仅给予常规护理。采用Zung抑郁、焦虑测评量表(SDS、SAS)分析患者的心理状态,比较两组患者放射性口咽炎发生率。结果:干预组治疗后SDS、SAS评分分别为(41.65±5.81)和(40.12±4.62),与对照组(57.58±7.56)和(56.61±6.57)比较,明显降低,差异有统计学意义(P<0.05);两组患者急性放射性口咽炎的发生率无明显差异(P>0.05)。结论:心理干预能有效改善放射性治疗患者的情绪,提高生活质量。

Objective：To study the impact of psychological intervention on treating acute radiation-induced pharyngitis patients. Methods： 80 patients with head and neck cancer received conventional radiotherapy were randomly divided into 2 groups. The intervention group （40 cases） received psychological intervention combined with conventional care during radiotherapy, while the control group were treated with conventional care. Psychological states of patients in both groups were assessed by Zung＇s depression, anxiety assessment scale （SDS, SAS）. Moreover, the incidence of acute radiation-induced pharyngitis were compared. Results：The scores of SDS and SAS in the intervention group and the control group were （41.65±5.81）,（40.12±4.62） and （57.58±7.56）, （56.61±6.57） respectively,which were of statistical differences（P〈0. 05） ;there was no significant difference in the incidence of acute radiation-induced pharyngitis between both groups（P〉0. 05）. Conclusion： Psychological intervention for patients with acute radiation-induced pharyngitis can effectively improve the emotional states and the quality of life.