摘要
目的探讨心理干预对鼻咽癌患者心理健康状况及生活质量的影响。方法将78例鼻咽癌患者随机分为研究组和对照组各39例。两组均予以肿瘤内科常规治疗,研究组在此基础上联合心理干预。观察6周。于心理干预前及干预2、4和6周末采用症状自评量表评定心理健康状况,焦虑自评量表、抑郁自评量表评定焦虑、抑郁情绪;于心理干预前后采用生活质量综合评定问卷评定生活质量。结果心理干预6周末,研究组症状自评量表、焦虑自评量表、抑郁自评量表评分均较干预前有显著下降(P<0.05或P<0.01),并显著低于对照组(P<0.05或0.01),对照组干预前后则均无显著变化(P>0.05)。干预6周末,研究组GQOLI-74总分、躯体健康、心理健康、社会功能维度分较治疗前有显著提高(P<0.01),并显著高于对照组(P<0.01),对照组干预前后则无显著变化(P>0.05)。结论心理干预能有效缓解鼻咽癌患者的焦虑、抑郁情绪,对提高患者的生活质量具有重要意义。
[ Objective] To discuss the effect of psychological intervention on mental health status and quality of life of patients with nasopharyngeal carcinoma （NPC）. [ Methods] A total of 78 NPC patients were randomly divided into thestudy group （39 cases} and the control group （39 cases）. Both 2 groups received tumor medical conventional treatment, the study group added psychologi- cal intervention. Observation lasted 6 weeks. SCL-90, SAS and SDS were applied to evaluate their mental health, anxiety and de- pression status before psychological intervention and 2 weeks and 4 weeks, 6 weeks after intervention. GQOLI-74 was used to assess their quality of life before and after psychological intervention. [ Results ] After 6 weeks of intervention, the scores of SCL-90, SAS and SDS were significantly decreased （ P 〈 0.05 or P 〈 0.01 } , and were significantly lower than control group （P〈 0. 05 or P 〈 0. 01）; and it was not significantly changed before and after intervention in control group（P 〉 0.05）. The total score of GQOLI-74, scores of physical health , mental health and social functioning were significantly increased after 6 weeks intervention（ P 〈0. 01）, and were significantly lower than control group （ P 〈 0.01 } ; and it was not significantly changed before and after intervention in control group（ P 〉 0.05 }. [ Conclusion ] Psychological intervention can effectively relieve nasopharyngeal carcinoma patients with anxiety and depression, and has important significance in improving the patient＇s quality of life.
出处
《职业与健康》
CAS
2013年第16期2035-2037,共3页
Occupation and Health
作者简介
作者简介：翟和平，男，主治医师，主要从事耳鼻喉临床工作。
通讯作者：程哲，Email：546736025@qq．com.
