心理行为干预对于恶性肿瘤化疗患者生活质量的影响

The effect of psychological and behavioral intervention on life quality of patients with malignant tumor undergoing chemotherapy

目的探讨心理行为干预对恶性肿瘤化疗患者生活质量的影响。方法以我院2013年4月至2014年1月收治的182例恶性肿瘤化疗患者为研究对象,分为干预组和对照组。干预组在化疗的基础上给予心理行为干预,对照组仅仅给予常规化疗。在干预前和干预后,两组患者分别都填写生活质量表(QLQ-C30),观察记录两组患者在干预前后各指标的变化。结果干预组患者的功能量表中躯体功能、角色功能和认知功能与对照组相比存在统计学差异(P<0.05),情绪功能存在显著性差异(P<0.01);症状量表中恶心、睡眠障碍和疲乏项目与对照组相比存在统计学差异(P<0.05)。结论心理行为干预能提高恶性肿瘤化疗患者的某些功能指标,减少化疗副反应症状,改善患者的生活质量。

Objective To study the effect of psychological and behavioral intervention on the life quality of patients with malignant tumor undergoing chemotherapy .Methods 182 cases of patients with malignant tumor treated in our hospital from April 2013 to January 2014 were admitted for the study and divided into intervention group and control group .The intervention group were given psychological intervention with chemotherapy , while the control group only received routine chemotherapy .In the pre-intervention and post-intervention, the two groups had to fill the table （QLQ-C30） respectively, and the changes of the index in the two groups of patients were observed and recorded.Results There existed a statistical difference （P〈0.05） between the functional scale index of intervention group and control group patients in physical function , role function f and cognitive function, and there was a statistically significant difference （P 〈0.01） in emotional function, the difference between the two groups in the symptoms of nausea , sleep disorders and fatigue was statistically significant （ P〈0.05）.Conclusions Psychological and behavioral intervention would improve certain functional parameters of patients with malignant tumor undergoing chemotherapy , reduce the symptoms of chemotherapy side effects and improve the quality of life of patients .