全程心理干预模式对恶性骨肿瘤患者焦虑抑郁情绪的影响

Effect of Whole Course Psychological Intervention Mode on Anxiety and Depression of Patients with Malignant Bone Tumors

目的:探讨全程心理干预模式对恶性骨肿瘤患者焦虑抑郁情绪的影响。方法:选取2019年6月-2020年1月笔者所在医院收治的恶性骨肿瘤患者48例,按照随机数字表法分为对照组和观察组,每组24例。对照组给予常规护理,观察组在此基础上实施全程心理干预。比较两组护理前后的焦虑自评量表(SAS)、抑郁自评量表(SDS)、自尊量表(SES)、症状自评量表(SCL-90)评分,并评估患者的依从性。结果:护理前,两组SAS、SDS、SCL-90、SES评分比较差异无统计学意义(P>0.05);护理后,两组SAS、SDS、SCL-90评分均较护理前显著降低(P<0.05),且护理后观察组的SAS、SDS、SCL-90评分均显著低于对照组(P<0.05);护理后,两组SES评分均较护理前显著升高(P<0.05),且护理后观察组的SES评分显著高于对照组(P<0.05);护理后,观察组的依从性显著高于对照组(P<0.05)。结论:全程心理干预可以改善恶性骨肿瘤患者的负性情绪和心理状态,提高自尊心和依从性,值得临床推广。

Objective:To explore the effect of the whole psychological intervention mode on the anxiety and depression of patients with malignant bone tumors.Method:Forty-eight patients with malignant bone tumors who treated in our hospital from June 2019 to January 2020 were randomly divided into the control group and the observation group,with 24 cases in each group.Patients in the control group were given basic routine care,and patients in the observation group were given psychological intervention on the basis of the control group.The anxiety self-assessment scale(SAS),self-depression scale(SDS),self-esteem scale(SES),and symptom self-assessment scale(SCL-90)scores between the two groups of patients before and after nursing were compared,and the patients’compliance was evaluated.Result:Before nursing,there were no significant differences in SAS,SDS,SCL-90,and SES scores between the two groups(P>0.05).After nursing,the SAS,SDS,SCL-90 scores of the two groups of patients decreased significantly(P<0.05),and the SAS,SDS,and SCL-90 scores of the observation group were significantly lower than those of the control group(P<0.05).After nursing,the SES scores of the two groups of patients increased significantly(P<0.05),and the SES score of the observation group after nursing was significantly higher than that of the control group(P<0.05).The compliance of the observation group after nursing was significantly higher than that of the control group(P<0.05).Conclusion:Whole-course psychological intervention can improve the negative emotion and psychological state of patients with malignant bone tumors,improve self-esteem and compliance,and is worthy of clinical promotion.