心理干预对颅内肿瘤伽玛刀治疗患者焦虑和抑郁情绪的影响

Effect of psychological intervention on anxiety and depression in intracranial neoplasms patients after gamma knife radiosurgery

目的：探讨心理干预对颅内肿瘤伽玛刀（γ-刀）治疗患者焦虑、抑郁情绪的影响。方法将160例颅内肿瘤γ-刀治疗患者采用随机数字表法分为观察组和对照组各80例，对照组治疗期间采用γ-刀常规护理，观察组在此基础上给予心理干预。分别于γ-刀治疗后前和结束后采用焦虑自评量表（SAS）和抑郁自评量表（ SDS）对患者进行测试，比较两组干预效果。结果干预前两组中、重度抑郁患者均为19例，干预后对照组17例，观察组10例，两组干预后比较差异有统计学意义（ Z＝3．422， P＜0．01）。干预前两组中、重度焦虑患者均为32例，干预后对照组31例，观察组4例，两组干预后比较差异有统计学意义（Z＝3．702，P＜0．01）。结论系统心理干预有助于缓解颅内肿瘤γ-刀治疗患者焦虑、抑郁心理，增强了患者治疗的信心和勇气，保证了γ-刀治疗的顺利完成。

Objective To explore the effect of psychological intervention on anxiety and depression in intracranial neoplasms patients after gamma knife （γ-knife ） radiosurgery .Methods One hundred and sixty intracranial neoplasms patients after γ-knife radiosurgery were chosen and randomly divided into the control group and the observation group , each with 80 cases.The control group received the routine nursing , and the observation group received the psychological intervention on the basis of the routine nursing .The patients were surveyed by the self-rating anxiety scale （ SAS） , self-rating depression scale （ SDS） before and after the γ-knife radiosurgery , and the effect was compared between two groups .Results The cases of patients with moderate and severe depression before the intervention were all 19 cases in two groups , and the cases after the intervention were 17 cases in the control group , and were 10 cases in the observation group , and the difference was statistically significant （Z=3.422,P〈0.01）.The cases of patients with moderate and severe anxiety before the intervention were all 32 cases in two groups , and the cases after the intervention were 31 cases in the control group, and were 4 cases in the observation group , and the difference was statistically significant （ Z=3.702, P〈0.01）.Conclusions Systematic psychological intervention is helpful to relieve the anxiety and depression in the intracranial neoplasms patients after γ-knife radiosurgery , and enhance the confidence and courage of treatment in patients so as to ensure the smooth completion of γ-knife radiosurgery .