健康教育对肝癌患者负性情绪的效果评价及其影响因素

Effect evaluation and associated factors of health education on psychological state of Hepatocellular carcinoma patients

目的通过随机对照研究,明确心理健康教育干预在改善相关负性情绪中的作用及影响因素,评价对患者进行心理干预的作用。方法 100例肝癌患者随机分为心理干预组和常规干预组,分别测定干预前后焦虑、抑郁、失眠的发生情况,进一步明确心理干预对肝癌负性情绪的改善作用。结果心理干预组和对照组两组患者基线资料具有可比性。两组患者入院时均存在不同程度的焦虑、抑郁、失眠状态,两组之间无显著性差异(P>0.05);心理干预组患者出院时焦虑、抑郁、失眠状况与入院时相比明显改善(P<0.05);而对照组焦虑、抑郁、失眠状况则无明显差异(P>0.05)。结论心理干预后可明显改善肝癌患者焦虑、抑郁、失眠等负性情绪,心理干预具有明显的优势。

Objective To evaluate the effect and affected factors of psychological intervention on liver cancer patients, and then confirm the advantage of psychological therapy. Methods 100 liver cancer patients were randomly allotted into psychological therapy group and control group, the incidence of anxiety, depression and insomnia were tested at the before and after intervention to assess the effect and related factors modified the effect of psychological therapy on liver cancer patients. Results The baseline characteristics were balanced between psychological therapy group and control group; All patients showed varying degrees of anxiety, depression and insomnia status, there were no significant differences between two groups （ P 〉 0. 05 ） ; after intervention, the negative emotions were significant relieved in psychological therapy group （ P 〈 0. 05 ） ; However, there were nonsignificant difference in control group （ P 〉 0. 05 ）. Conclusions Psychological therapy can improve the liver cancer patients＇ negative emotions including anxiety, depression and insomnia. The psychological intervention showed the significant advantages for hepatic carcinoma patient compared with the routine nursing measures.