全程介入式心理干预对胰腺癌患者预后影响的研究

Effect of Interventional Psychological Intervention on Prognosis of Pancreatic Cancer Patients

目的探讨全程介入式心理干预对胰腺癌患者不良情绪及生活质量的影响。方法按照随机数字表法,将86例胰腺癌患者分组为对照组与观察组,各43例,其中对照组实施常规护理;观察组于对照组常规护理基础上实施全程介入式心理干预。对两组患者干预前后抑郁和焦虑及自尊心理状态情况加以评价,并进行分析。通过问卷调查方式来调查干预后生活质量、治疗依从性及护理满意度。结果经干预后,两组患者自尊心理评价积分较干预前显著提高,两组患者焦虑和抑郁积分明显低于干预前,且观察组患者焦虑和抑郁评分与对照组相比明显降低,而自尊心理积分与对照组相比明显增加,P<0.05。经干预后,与对照组相比,观察组患者治疗依从性、生活质量改善明显,且护理满意度也明显优于对照组,P<0.05。结论实施全程介入式心理干预可有利于胰腺癌患者不良情绪的改善,增强其自尊心,从而可间接性增强其治疗子自信心,最终改善其生活质量。

Objective To explore the influence of interventional psychological intervention on bad mood and quality of life in patients with pancreatic cancer. Methods According to the method of random number tahle,86 patients with pancreatic cancer were divided into the control group and the observation group （43 cases）. The routine nursing was carried oat in the control group ; the observation group on the basis of the control group received psychological intervention. The depression and anxiety and self - esteem of the 2 groups were evaluated before and after the intervention and analyzed. The quality of Ilia, treatment compliance and nursing satisfaction were investigated by questionnaire. Results After intervention, the scores of self-esteem evaluation of the 2 groups were significantly higher than those of the intervention group. The scores of anxiety and depression in the 2 groups were significantly lower than those before the intervention, and the anxiety and depression scores of the observation group were significantly lower than those of the control group, compared with the control group was significantly increased, P 〈 0.05. Compared with the control group, the treatment compliance and quality of life of the observation group improved significantly, and the nursing satisfaction was also significantly better than the control group （ P 〈 0.05 ）. Conclusion The implementation of interventional psychological intervention can help the poor mood of patients with pancreatic cancer to improve and enhance their self- esteem, which can indirectly enhance their treatment of self-confidence, and ultimately improve their quality of life.