多学科协作的心理社会干预对胃癌术后化疗患者心理健康及日常生活的影响

Effects of multidisciplinary collaborative psychosocial intervention on mental health and daily life of patients with postoperative chemotherapy for gastric cancer

目的:探究多学科协作的心理社会干预对胃癌术后化疗患者心理健康及日常生活的影响。方法:选取2018年1月-2021年1月某院收治的106例胃癌术后化疗患者为研究对象,随机分为对照组(n=53)和观察组(n=53),对照组给予常规干预,观察组在常规基础上给予多学科协作的心理社会干预。比较两组心理健康[焦虑自评表(SAS)、抑郁自评表(SDS)]、癌因性疲乏[Piper疲乏修订自评量表(RPFS)]、疾病不确定感[疾病不确定感量表(MUIS)]、日常生活[M.D安德森症状评估量表中文版(MDASI-C)]及生活质量[癌症患者生活质量测定量表(EORTC QLQ-C30)]。结果:治疗后,观察组SAS评分和SDS评分明显低于对照组(t=-4.571,-5.344;P<0.001),RPFS各维度评分明显低于对照组(t=-8.122,-4.126,-5.354,-5.300;P<0.001),MUIS各维度评分明显低于对照组(t=-4.550,-5.188,-5.911,-3.642;P<0.001),MDASI-C各维度评分明显低于对照组(t=-3.869,-4.427,-5.476,-4.460;P<0.001),EORTC QLQ-C30各维度评分明显高于对照组(t=6.478,8.567,4.402,6.702,3.707;P<0.001)。结论:给予胃癌术后化疗患者多学科协作的心理社会干预,可改善心理健康,减轻癌因性疲乏,降低疾病不确定感,缓解症状对日常生活的影响,提升生活质量。

Objective:To explore the effects of multidisciplinary collaborative psychosocial intervention on mental health and daily life of patients with gastric cancer after chemotherapy.Methods:A total of 106 patients with gastric cancer undergoing postoperative chemotherapy from January 2018 to January 2021 in our hospital were selected as the research objects and randomly divided into control group(n=53)and observation group(n=53).The control group was given routine intervention, and the observation group was given multidisciplinary collaborative psychosocial intervention.The two groups were compared in terms of mental health[SELF-rating Anxiety Scale(SAS),self-rating depression Scale(SDS)],cancer-related fatigue[Piper Self-Rating Fatigue Scale(RPFS)],disease uncertainty[MUIS],daily life[M.D.Anderson Symptom Assessment Scale Chinese version(MDASI-C)]and quality of life[Quality of Life Scale of Cancer Patient(EORTC QLQ-C30)].Results:After treatment, SAS score and SDS score of observation group were significantly lower than that of control group(t=-4.571,-5.344;P<0.001),RPFS score of all dimensions were significantly lower than that of control group(t=-8.122,-4.126,-5.354,-5.300;P<0.001).The score of MUIS was significantly lower than that of the control group(t=-4.550,-5.188,-5.911,-3.642;P<0.001),and the score of MDASI-C was significantly lower than that of the control group(t=-3.869,-4.427,-5.476,-4.460;P<0.001).EORTC QLQ-C30 score was significantly higher than that of the control group(t=6.478,8.567,4.402,6.702,3.707;P<0.001).Conclusion:Multidisciplinary collaborative psychosocial intervention for patients with gastric cancer after chemotherapy can improve their mental health, relieve cancer-induced fatigue, reduce the uncertainty of disease, alleviate the impact of symptoms on daily life, and improve the quality of life.