心理护理对肝癌患者癌疲乏性、负面情绪及生活质量的影响

Effect of psychological nursing on cancer fatigue,negative emotion and quality of life of patients with liver cancer

目的：探讨多样性心理护理对肝癌患者癌因性疲乏（CRF）、负面情绪及生活质量的影响效果。方法：选取2015年1月-2016年1月我院接受化疗栓塞术（TACE）治疗的肝癌患者96例作为研究对象,随机等分为对照组和观察组,对照组给予常规护理,观察组在对照组基础上给予多样性心理护理,干预前和干预15 d均发放Piper疲乏量表（PFS）评估CRF程度,发放医学应对问卷（MCMQ）了解应对疾病的方式,发放焦虑自评量表（SAS）和抑郁自评量表（SDS）评估焦虑、抑郁程度,发放生活质量问卷（EORTC-QLQ-C30）评估生活质量。结果：观察组干预后PFS评分中的行为、情绪、感觉、认知低于对照组（P〈0.05）;观察组干预后面对评分高于对照组,回避、放弃评分低于对照组（P〈0.05）;观察组干预后SAS,SDS评分低于对照组,EORTC-QLQ-C30评分高于对照组（P〈0.05）。结论：多样性心理护理可减轻TACE治疗的肝癌患者的CRF程度,改善消极情绪,以积极的心态接受临床治疗,有利于提高生活质量。

Objective： To explore the effect of multiple psychological nursing on cancer fatigue（ CRF）,negative emotion and quality of life in patients with liver cancer. Methods： Selected 96 patients with liver cancer treated in our hospital from January 2015 to January 2016 and randomly divided them into control group and observation group. The control group was given routine nursing. The observation group was treated with multiple psychological nursing on the basis of routine nursing. Before the intervention and at the 15 th day after the intervention,the piper fatigue scale（ PFS） was used to assess the degree of CRF. Medical response questionnaire（ MCMQ） was handed down to understand the way to deal with the disease. The self-rating anxiety scale（ SAS） and self-rating depression scale（ SDS） were used to evaluate anxiety and depression. The quality of life questionnaire（ EQ-QLQ-C30） was used to evaluate the quality of life. Results： The behavior,emotion,sensation and cognition of PFS score in the observation group were lower than those in the control group after the intervention（ P〈0.05）. The face-to-face score of the observation group was higher than that of the control group. The scores of avoidance and abandonment were lower than that of the control group（ P〈0.05）. After the intervention,the scores of SAS and SDS in the observation group were lower than those in the control group and the EORTC-QLQ-C30 score was higher than that of the control group（ P〈0.05）. Conclusion： The multiple psychological nursing can relieve the degree of CRF in patients with liver cancer treated by transarterial chemoembolization,improve the negative emotion of patients,making them to accept the clinical treatment with positive attitude. It also can improve the quality of life.