长程心理干预对食管癌患者预后的影响研究

Effect of Long-term Psychological Intervention on the Prognosis of Patients with Esophageal Cancer

目的探讨长程心理干预对食管癌患者预后的影响。方法随机选取2019年10月至2020年10月进行治疗的65例食管癌患者,根据患者合并焦虑抑郁症状以及干预方式将其分成观察组17例、对照组15例及随机组33例,所有患者均接受常规治疗。对照组患者接受常规护理干预,随机组患者接受短期心理护理,观察组患者接受长程心理护理,对比3组干预前后SAS评分、SDS评分、睡眠质量、生活质量以及临床症状得分。结果干预后观察组SAS评分及SDS评分均低于干预前,差异有统计学意义(P<0.05)。干预后对照组及随机组患者SAS评分及SDS评分均高于干预前,组内差异均有统计学意义(P<0.05)。干预后观察组睡眠质量及生活质量均获得改善,干预前后得分差异有统计学意义(P<0.05)。对照组及随机组患者干预后睡眠质量评分高于干预前,差异均有统计学意义(P<0.05),干预前后对照组及随机组患者生活质量评分差异均无统计学意义(P>0.05)。干预后观察组各项临床症状得分均低于干预前,差异有统计学意义(P<0.05)。干预前后对照组临床症状得分组内差异无统计学意义(P>0.05)。干预后随机组患者呼吸困难及疲乏得分低于干预前,差异有统计学意义(P<0.05),干预前后患者恶心、呕吐、疼痛得分组内差异无统计学意义(P>0.05)。结论食管癌患者应用长程心理干预可有效改善其负性情绪,促进睡眠质量、生活质量改善和临床症状缓解。

Objective To study the effect of long-term psychological intervention on the prognosis of patients with esophageal cancer.Methods 65 patients with esophageal cancer were randomly selected from October 2019 to October 2020.According to the symptoms of anxiety,depression and intervention methods,the patients were divided into observation group(n=17),control group(n=15)and random group(n=33).All patients received conventional anti-cancer treatment;at the same time,the observation group received long-term psychological care.SAS score,SDS score,sleep quality,quality of life and clinical symptom scores were compared among the different groups before and after intervention.Results After intervention,SAS and SDS score in observation group were lower than those before intervention,the difference was significant(P<0.05);SAS and SDS scores of patients in control group and random group were higher than those before intervention(P<0.05).After intervention the sleep quality and life quality of 3 groups were all improved(P<0.05).After intervention,the scores of all clinical symptoms in the observation group were lower than those before intervention(P<0.05).In the control group,there was no statistically difference in the clinical symptoms before and after intervention.After intervention,the scores of dyspnea and fatigue in patients in the random group were lower than those before intervention(P<0.05).There was no significant difference in the scores of nausea,vomiting and pain among 3 groups before and after intervention.(P<0.05)Conclusion Long-term psychological intervention in patients with esophageal cancer can effectively improve the negative emotions,sleep quality,life quality and alleviate clinical symptoms.