摘要
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.
作者
朱敏玲
ZHU Minling(Department of Oncology,the First Affiliated Hospital of Guangzhou Medical University Haiyin Branch, Guangzhou 510000,China)
出处
《中国医药科学》
2017年第22期104-106,共3页
China Medicine And Pharmacy
关键词
鼻咽癌
同期放化疗
心理健康
护理干预
Nasopharyngeal carcinoma
Concurrent chemoradiotherapy
Psychological health
Nursing intervention