肝癌介入治疗患者的心理学特征及护理干预的疗效

Psychological characteristics and curative effect of interventional treatment and nursing intervention in liver cancer patients

目的分析肝癌介入治疗患者的心理学特征,探讨护理干预的疗效。方法选取2012年7月至2014年7月间收治的146例中晚期原发性肝癌行介入治疗患者,按随机数字表法分为观察组和对照组,每组73例。对照组患者给予常规护理,观察组患者在常规护理基础上加用护理干预。采用症状自评量表(SCL90)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评定患者治疗前后的状况,对两组患者治疗后生活质量进行调查。结果两组患者治疗前后的心理状况均有明显改善,且观察组患者治疗后的抑郁、焦虑、敌对、恐怖、偏执评分明显低于对照组,差异有统计学意义(P<0.05)。观察组患者治疗后的身体功能、角色功能、情绪功能、认知功能、社会功能、总体生活质量方面的评分均显著高于对照组,差异有统计学意义(P<0.05)。观察组患者治疗后的SAS和SDS评分明显降于对照组,差异均有统计学意义(P<0.05)。结论护理干预可有效改善肝癌介入治疗患者的心理状态,提高患者的生活质量,值得临床推广应用。

Objective To explore the psychological characteristics and curative effect of interven- tional treatment and nursing intervention in liver cancer patients. Methods From July 2012 to July 2014, 146 cases patients with locally advanced primary liver cancer requires intervention treatment were chosen and randomly divided into observation group and control group, 73 cases in each group. The control group was given routine nursing care, and the observation group was given conventional nursing care plus nursing intervention. Using symptom checklist 90 （SCL90） , self-rating anxiety scale （SAS） , self-rating depression scale （SDS）, the status of the two groups were assessed, to determine the quality of life scale survey. Re- suits The psychological status before and after treatment of the two groups were obviously improved, and the observation group after treatment of depression, anxiety, hostility, terror, paranoia score were signifi- cantly lower than those of the control group （ P 〈 0. 05 ） ; After treatment, physical function, role function, emotional function, cognitive function, social function, the overall quality of life score of the observation group were significantly higher than that those of the control group （ P 〈0. 05 ） ; After treatment, SAS and SDS score of the observation group were significantly reduced, and compared with the control group, the differences were statistically significant （P 〈 0.05 ）. Conclusion Nursing intervention can effectively im- prove the psychological status of patients and their quality of life and it is worthy of clinical popularization and application.