共情式心理关怀对头颈部肿瘤患者放疗后情绪、癌因性疲乏程度及生活质量的影响

Effect of empathic care on emotion, cancer related fatigue and quality of life in patients after head and neck tumor radiotherapy

目的探讨共情式心理关怀对头颈部肿瘤患者放疗后情绪、癌因性疲乏(CRF)程度及生活质量的影响。方法随机数字表法将87例行放疗的头颈部肿瘤患者随机分为观察组(n=43)和对照组(n=44)。对照组给予常规干预管理,观察组在对照组基础上给予共情式心理关怀,比较干预前后两组患者的焦虑和抑郁程度,以及CRF程度,比较干预后两组患者的生活质量评分。结果干预后,观察组患者的焦虑和抑郁评分均低于对照组,CRF程度的改善情况优于对照组,差异均有统计学意义(P﹤0.05)。生活质量评分中,观察组患者在题组中的角色功能、情绪和记忆功能、放疗相关并发症评分均高于对照组,单独题中口干、颈部皮肤损伤和体重下降程度评分均低于对照组,差异均有统计学意义(P﹤0.05)。结论在放疗期间对头颈部肿瘤患者给予共情式心理关怀,可以降低患者的CRF程度,缓解其负性情绪,提高生活质量。

Objective To explore the effect of empathic care on emotion,cancer related fatigue(CRF)and quality of life in patients after head and neck tumor radiotherapy.Method Eighty-seven patients with head and neck tumors received radiotherapy were selected and randomly divided into the observation group(n=43)and control group(n=44)according to random digital table.The patients in the control group were given routine intervention,and the patients in the observation group were given empathic care on the basis of treatment in the control group.Anxiety and depression,severity of CRF before and after intervention,quality of life after intervention were compared between the two groups.Result After intervention,the anxiety and depression scores were lower than those in control group,and imporvment of CRF better than that in control group,all with significant differences(P>0.05).In the quality of life scoring,social role function,emotion and memory function,as well as radiotherapy related complications were higher than those in control group;severity of dry mouth,neck skin injury and weight loss lower than that in control group,all with significant differences(P<0.05).Conclusion Emphatic care during radiotherapy of head and neck tumor can reduce the severity of CRF,relieve negative emotion and improve quality of life.