情绪疏导及心理干预对晚期肺癌患者手术后生活质量的影响观察

Observation on the effect of emotional counseling and psychological intervention on postoperative quality of life in the patients with advanced lung cancer

目的观察情绪疏导及心理干预对晚期肺癌患者手术后生活质量的影响。方法选取2014年6月~2016年8月间我院收治的晚期肺癌患者78例作为研究对象,按照随机数字表法分为对照组(39例,进行常规护理)和试验组(39例,进行情绪疏导及心理干预),观察并比较两组心理状态、生活质量改善情况及护理满意度。结果试验组SAS、SDS评分均明显低于对照组,两组比较差异有统计学意义(P<0.05);试验组术后精神健康、情感职能、社会功能、总体健康、躯体疼痛、活力、生理功能与对照组比较,差异有统计学意义(P<0.05);试验组护理满意度与对照组比较,对照组低于试验组,差异有统计学意义(P<0.05)。结论心理干预及情绪疏导有利于显著改善晚期肺癌患者的心理状态,提高生活质量和护理满意度,值得在临床中使用和积极推广。

Objective To observe the effect of emotional counseling and psychological intervention on the postoperative quality of life in the patients with advanced lung cancer. Methods 78 patients with advanced lung cancer who were admitted to our hospital from June 2014 to August 2016 were selected as the study subjects. The patients were randomly assigned to the control group（39 cases, routine nursing） and experimental group（39 cases, emotional counseling and psychological intervention）. The mental state, improvement of quality of life and nursing satisfaction were observed and compared between the two groups. Results The scores of SAS and SDS in the experimental group were significantly lower than those in the control group, and the differences between groups were statistically significant（P〈0.05）; the postoperative mental health, emotional function, social function, overall health, somatic pain, vitality and physiological function in the experimental group were significantly different from those of the control group, the differences were statistically significant（P〈0.05）. Compared with the control group, the satisfaction rate in the experimental group was lower than that in the control group, and the difference was statistically significant（P〈0.05）. Conclusion Psychological intervention and emotional counseling are helpful to significantly improve the mental state in the patients with advanced lung cancer, and improve the quality of life and nursing satisfaction, which are worthy of clinical application and active promotion.