心理干预对胃肠道恶性肿瘤化疗患者的影响

Psychological intervention in patients with gastrointestinal malignant tumor chemotherapy

目的探讨心理干预对减轻胃肠道恶性肿瘤化疗患者焦虑抑郁等负性情绪,改善心理健康状态的有效性。方法将120例胃肠道恶性肿瘤化疗患者随机分为干预组60例和对照组60例,两组均给予标准方案药物化疗,化疗前由责任护士进行一般常规护理及健康教育,观察组在常规护理的基础上进行心理干预。调查两组患者干预治疗前后的心理健康状况与症状特点及抑郁、焦虑状态的轻重程度。结果干预前两组心理健康状况和患者焦虑抑郁情绪程度比较差异无统计学意义(P>0.05);干预后,干预组患者心理健康状况和焦虑抑郁情绪程度水平明显低于对照组,差异有统计学意义(P<0.01)。结论心理干预能有效缓解胃肠道恶性肿瘤化疗患者的焦虑抑郁情绪,改善心理健康状况,对提高患者化疗耐受能力,促进身心康复有积极的意义。

Objective Exploring the psychological intervention to reduce gastrointestinal malignant tumor chemotherapy in patients with anxiety depression and other negative emotions,improve the effectiveness of the mental health status.Methods120 patients with gastrointestinal malignant tumor chemotherapy were randomly divided into intervention group 60 cases and control group 60 cases,two groups were given standard chemotherapy drugs,before chemotherapy by the nurse in conventional nursing and health education,psychological intervention were given on the basis of conventional nursing care in observation group.Investigate the mental health status of the two groups of patients before and after the intervention treatment with degree characteristics and state of depression and anxiety symptoms.Results Before the intervention,no statistical significance was found between mental health status and the degree of the patients with anxiety depression in the first two groups（P〈0.05）;after the intervention,intervention group patients psychological health status and the degree of anxiety depression level significantly lower than the control group,the difference was statistically significant（P〈0.01）.Conclusion Psychological intervention can effectively alleviate gastrointestinal malignant tumor chemotherapy in patients with anxiety depression,improve the mental health status,to improve the ability of patients with chemotherapy tolerance,promote physical and mental rehabilitation has a positive meaning.