摘要
目的:探讨心理干预对结直肠癌患者生活质量的影响.方法:本研究采用病例随访研究,将已确诊为结直肠癌且已完成临床治疗的90例患者,随机分为对照组45例,干预组45例.对干预组患者进行5次心理干预,对照组患者不进行任何干预,两组都采用生活质量核心问卷、焦虑自评问卷、抑郁自评问卷对患者进行2次测查,分别为初测(干预前)、后测(5次心理治疗结束当周).结果:与初测相比,干预组被试干预后的抑郁自评量表(self-rating depression scale,SDS)和焦虑自评量表(self-rating anxiety scale,SAS)评分明显低于对照组,且其社会、心理维度评分明显高于对照组,差异有统计学意义(P<0.01),躯体和功能与症状维度评分两组间差异无统计学意义(P>0.05).而对照组在生活质量各方面及焦虑抑郁情绪无明显改变.结论:心理干预能够改善结直肠癌患者的生活质量及焦虑抑郁情绪,促进康复.
AIM： To investigate the effect of psychological intervention on quality of life in colorectal can- cer patients. METHODS： Ninety patients who were diag- nosed with colorectal cancer and had completed clinical treatment were randomly divided into either a control group （n = 45） or an intervention group （n = 45）. The intervention group was giv- en psychological intervention five times, while the control group did not receive any interven- tion. The core quality of life questionnaire, self- rating anxiety scale （SDS） questionnaire and self- rating depression scale （SAS） questionnaire were administered to patients of both groups before and after intervention. RESULTS： After intervention, the SDS and SAS scores in the intervention group were signifi-cantly lower than those in the control group, although the social and psychological dimension scores were significantly higher in the interven- tion group （P 〈 0.01）. The physical, function and symptom dimension score between the two groups was not statistically significant （P 〉 0.05）. The control group had no significant changes in all aspects of quality of life, anxiety or depres- sion. CONCLUSION： Psychological intervention can improve quality of life, anxiety and depression and thereby promote recovery in colorectal can- cer patients.
出处
《世界华人消化杂志》
CAS
北大核心
2014年第6期885-889,共5页
World Chinese Journal of Digestology
关键词
结直肠癌
心理干预
生活质量
对照研究
Colorectal carcinoma
Psychological in-tervention
Quality of life
Controlled study
作者简介
杜童．硕士，主管护师，国家二级心理咨询师，主要从事临床肿瘤心理学的研究．
通讯作者：牛洪欣，副主任医师，250031，济南市天桥区无影山路38号，山东省医学科学院附属医院微创外科sdblache@126．com
