社区综合管理对肺癌患者PSSS、SDS、SAS评分影响研究

The influence of community integrated management on PSSS,SDS,SAS scores in patients with lung cancer

目的:探讨社区综合管理对肺癌患者社会适应性、抑郁和焦虑情绪的影响。方法:将120例肺癌患者随机分为管理组与对照组,各60例。同时将给予"生物-心理-社会"干预因素及中医药治疗者归于管理组,不做专门干预者归于对照组。观察比较两组肺癌患者在干预前、干预6个月、干预12个月后PSSS、SDS和SAS评分。结果:管理组患者的社会适应性、抑郁和焦虑情绪在干预12个月后得到显著改善,差异有显著性(Z=-5.732,-4.113,-6.211;P<0.01),与对照组相比有显著性差异(Z=-2.827,-2.839,-2.729;P<0.01)。结论:社区综合管理能够明显改善肺癌患者社会适应性、抑郁和焦虑情绪,且改善程度与时间成正比,干预时间以12个月以上为佳。

Objective:To study the influence of community integrated management on social adaptation,depression and anxiety of patients with lung cancer.Methods:120patients were randomly divided into the management group and the control group,60cases in each.The management group was given“bio-psycho-social”interventions plus TCM medicine;the control group was not given specifically intervention.Results:The social adaptation,depression and anxiety in patients were significantly improved in12months(Z=-5.732,-4.113,-6.211;P<0.01);the differences of those between groups were statistically significant(Z=-2.827,-2.839,-2.729;P<0.01).Conclusion:The community integrated management can significantly improve social adaptability,depression and anxiety of lung cancers;and the longer of the intervention(more than12months is better),the more obvious the degree of improvement.