心理支持干预对改善癌症化疗患者自我感受负担的效果研究

Effect of psychological support intervention on improving self-perceived burden of cancer patients undergoing chemotherapy

目的 探讨心理支持护理对癌症化疗患者自我感受负担的改善效果。方法 选择2015年1~6月在我院行化疗治疗的癌症患者60例为研究对象,按照入院单双号分为干预组和对照组各30例。对照给予常规健康教育及护理;干预组在常规护理基础上给予心理支持干预。比较两组干预前后自我感受负担、生活质量、医学应对方式等方面的变化。结果 干预后,干预组自我感受负担评分较干预前显著下降,且显著低于对照组干预后,差异均有统计学意义（P〈0.05）。干预后,干预组在面对维度的评分显著升高,在屈服维度的评分显著下降,且与对照组比较,差异有统计学意义（P〈0.05）。干预后干预组生活质量总分显著升高,症状得分、情绪条目得分、与他人关系得分均显著高于干预前,差异有统计学意义（P〈0.05）。干预后干预组在生活质量总分、症状得分、情绪条目得分均显著优于对照组,差异有统计学意义（P〈0.05）。结论 心理支持干预能显著改善癌症化疗患者的自我感受负担,提高患者的生活质量。

Objective To discuss the effect of psychological support intervention on improving self-perceived burden of cancer patients undergoing chemotherapy. Methods 60 cases with cancer underwent chemotherapy from January to June 2015 were selected as objects. According to the odd and even numbers of hospital, all cases were divided into intervention group and control group with 30 cases in each. Control group received routine health education and nursing care; And study group received psychological support intervention based on routine nursing care. Self-perceived burden, quality of life and medical coping style of two groups were compared. Results After intervention, the scores of self-perceived burden of intervention group were significantly lower than before intervention and that of control group, and the difference was statistically significant（P〈0.05）. In the intervention group, the score of the face dimension of the intervention group was increased, and the score of the yield dimension was significantly decreased, and the difference was statistically significant compared with the control group（P〈0.05）. After the intervention, the scores of quality of life in the intervention group were significantly higher than those before intervention, and the difference was statistically significant（P〈0.05）. After the intervention, the scores of quality of life and symptom score, emotional score, and relationships with others score in the intervention group were significantly higher than those of control group group, and the difference was statistically significant（P〈0.05）. Conclusion Psychological support intervention can significantly improve the self-perceived burden and improve the quality of life of patients with cancer chemotherapy.