心理干预对鼻咽癌同期放化疗患者心理健康状况的影响探讨

The effect of psychological intervention on mental health status of patients with nasopharyngeal carcinoma concurrent with radiotherapy and chemotherapy

目的探讨心理干预对鼻咽癌同期放化疗患者心理健康状况的影响。方法选取我院2015年6月~2017年6月收治的鼻咽癌同期放化疗患者共41例,按照随机数字表法将患者分为A组和B组,B组实施常规护理,A组实施常规护理结合心理干预,对比分析两组患者焦虑、抑郁评分和SCL-90评分。结果 A组SAS评分和SDS评分均显著低于B组,差异有统计学意义(P<0.05),且A组患者在心理干预前强迫、偏执、敌对、恐惧、躯体化、精神性和人际关系敏感评分均显著高于心理干预后比较,差异有统计学意义(P<0.05),A组患者心理干预后SCL-90各项评分优于B组,差异有统计学意义(P<0.05)。结论心理干预能够有效提高鼻咽癌同期放化疗患者心理健康状况,临床应用价值较高。

Objective To investigate the effect of psychological intervention on the mental health status of patients with nasopharyngeal carcinoma concurrent with radiotherapy and chemotherapy. Methods A total of 41 patients with nasopharyngeal carcinoma who were given radiotherapy and chemotherapy in our hospital from June 2015 to June 2017 were selected.The patients were divided into A group and B group according to the random number table method.B group was given routine nursing,and A group was given routine nursing combined with psychological intervention.The anxiety and depression score and SCL-90 score of the two groups were compared and analyzed. Results SAS score and SDS score of A group were significantly lower than that of B group with statistically significance （P 〈 0.05）,and A group were forced,in front of the psychological intervention of fear, paranoia,hostility,somatization,interpersonal sensitivity and psychotic scores were significantly higher than that of the intervention,the difference was statistically significant （P 〈 0.05）,A group of patients after psychological intervention SCL-90 scores than group B,P was compared between the 0.05 groups.Compared with the intervention, compulsion,hostility,fear,paranoia,somatization,in terpersonal sensitivity and psychotic scores of patients in the A group were significantly increased before intervention, and the differences were statistically significant （P 〈 0.05）,The scores of SCL-90 in A group after psychological intervention were better than that in group B,and the difference between groups was statistically significant （P 〈 0.05）. Conclusion Psychological intervention can effectively improve the mental health status of nasopharyngeal carcinoma patients with concurrent chemoradiotherapy,and has higher clinical value.