护士主导的心理干预在食管癌患者中的应用研究

Application of psychological intervention in the nursing of patients with esophageal cancer at high risk of depression and radiotherapy

目的:评估护士主导的心理干预方案对食管癌患者心理和生活质量的影响。方法:选择2017年3月—2020年3月门诊食管癌患者60例,随机分为观察组和对照组,每组30例。对照组给予常规护理,观察组在对照组基础上给予心理干预。观察组护士主导的心理干预方案主要包括面对面交流和电话咨询两种方式,干预时间为8周。观察该方案对食管癌患者心理(情绪障碍、焦虑和抑郁)和生活质量的影响。结果:与对照组比较,观察组患者的情绪障碍、焦虑和抑郁症状明显减轻,健康状况、身体功能和生活质量等明显改善。结论:护士主导的心理干预方案可显著改善食管癌患者的心理障碍,并且能使患者积极主动参与治疗。

Objective:To evaluate the effect of nurse-led psychological intervention on the psychological and life quality of patients with esophageal cancer at high risk of depression and chemoradio therapy.Methods:From March 2017 to March 2020,60 participants were recruited from our outpatient department and randomly assigned to the intervention group and the control group with 30 participants in each group.The nurse-led psychological intervention program mainly included face-to-face communication and telephone consultation,and the intervention lasted for 8 weeks.To observe the effect of psychological intervention on the psychology(psychological disorder,anxiety and depression) and quality of life of patients with esophageal cancer.Results:The symptoms of mood disorder,anxiety and depression were significantly reduced in the intervention group,and the improvement of health condition,physical function and mood was significantly better than that in the control group.Conclusion:The psychological intervention program can significantly reduce the psychological pain of patients with esophageal cancer and encourage them to participate actively.