心理治疗在食管癌患者护理中的应用

Application effects of psychotherapy in esophagus cancer patient care

目的探讨心理治疗在食管癌患者护理中的应用效果。方法选择2013年9月至2014年8月在我院胸心外科接受治疗的原发性食管癌患者106例,依照随机数字表法分为心理治疗组与对照组各53例。两组均给予康复咨询、复查、锻炼、药物康复等常规康复方法治疗,心理治疗组在此基础上给予团体心理治疗,观察两组治疗前后焦虑、抑郁自评得分、生活质量得分及CD3^+、CD4^+、CD8^+等指标。结果治疗后心理治疗组焦虑、抑郁自评得分均低于对照组(P<0.05),生活质量各指标得分均高于对照组(P<0.05),两组CD3^+、CD4^+、CD8^+水平差异有统计学意义(P<0.05)。结论心理治疗应用于食管癌患者护理中,可显著改善患者焦虑、抑郁、生活质量及免疫因子水平,提高患者生命质量。

Objective To explore the application effects of psychotherapy in patients with esophagus cancer. Methods We select 106 patients with primary esophageal cancer who were treated in our department from September 2013 to August 2014. These patients were divided into psychotherapy group （ n = 53 ） or control group （ n = 53 ） according to the random number table method. The both groups were treated with conventional rehabilitation therapy methods such as rehabilitation counseling, reexamination, exercise and drug rehabilitation while the psychotherapy group was further treated with group psychotherapy. Anxiety, depression serf-evaluation score, living quality score, CD3 ＋, CD4＋, CD8 ＋, and other indicators were observed before and after treatment in the two groups. Results After treatment, the average scores of anxiety and depression self-evaluation score were lower while living quality score was higher in the psychotherapy group than those in the control group （P 〈 0. 05 ）. The differences in levels of CD3＋, CD4＋ and CD8＋ were statistically significant between the two groups （P 〈 0.05 ）. Conclusion The application of psychotherapy in esophagus cancer patient care can significantly improve the anxiety, depression, living quality and immune factors of patients and enhance the life quality.