摘要
目的探究个体电脑豁达治疗(ICMT)对肺癌患者脑电波及医院焦虑抑郁量表(HADS)评分的影响。方法选取2015年1月—2017年3月广东药科大学附属第一医院收治的符合研究标准的肺癌患者82例,依据匹配对照原则,将患者分为试验组和对照组,每组41例。试验组患者在临床常规抗肿瘤治疗基础上采用ICMT,对照组患者在临床常规抗肿瘤治疗基础上不进行ICMT。治疗2周后,比较两组治疗前后脑电波值(α、β、θ、SMR波)、HADS总分及其子量表得分;并分析试验组脑电波值(α、β、θ、SMR波)与HADS评分的相关性。结果试验组治疗后α波值高于对照组,β、θ、SMR波值低于对照组(P<0.05)。试验组治疗前后SMR波值组内比较,差异无统计学意义(P>0.05);试验组治疗后α波值高于治疗前,β、θ波值低于治疗前(P<0.05)。试验组治疗后HADS总分及其子量表得分均低于对照组(P<0.05)。试验组治疗后HADS总分及其子量表得分均低于治疗前(P<0.05)。试验组α、β、θ、SMR波值与HADS总分及其子量表得分间均无直线相关关系(P>0.05)。结论 ICMT能有效改善肺癌患者的脑电波及HADS评分,缓解其焦虑、抑郁情绪,从而以更平和、积极乐观的态度面对癌症。
Objective To explore the influence of Individual Computer Magnanimous Therapy(ICMT)on brain wave test results and Hospital Anxiety and Depression Scale(HADS)among lung cancer patients.Methods According to the enrollment criteria of this study,we recruited 82 cases of lung cancer who received treatment in the First Affiliated Hospital of Guangdong Pharmaceutical University from January 2015 to March 2017 and divided them into the experimental group and control group with 41 cases in each based on the matched case-control study design.Both groups received conventional antineoplaston therapy,the experimental group additionally received ICMT.Brain wave values(α,β,θand SMR wave),scores of HADS and its subscales were compared before treatment and 2 weeks after treatment between the two groups.Correlations of brain wave values of the experimental group(α,β,θand SMR wave)with HADS scores were analyzed.Results After receiving treatment,compared with the control group,the experimental group demonstrated much higherαwave value but lower value ofβ,θand SMR wave as well as lower scores of HADS and its subscales(P<0.05);for the experimental group,the SMR wave value did not change significantly(P>0.05),butαwave value increased substantially,value ofβandθwaves decreased notably,and scores of HADS and its subscales declined significantly compared to the baseline status(P<0.05).The score of HADS was not linearly correlated with the value ofα,β,θor SMR wave in the experimental group(P>0.05),as were the scores of its two subscales(P>0.05).Conclusion For lung cancer patients,ICMT could improve brain wave test results and scores of HADS and its subscales,relieve the anxiety and depression,which is contributive to coping with lung cancer peacefully,actively and optimistically.
作者
颜安妮
黄雪薇
武兰兰
YAN An-ni;HUANG Xue-wei;WU Lan-lan(Department of Psychiatry,the First Affiliated Hospital of Guangdong Pharmaceutical University,Guangzhou 510080,China;Guangzhou Huiai Hospital,Guangzhou 510170,China)
出处
《中国全科医学》
CAS
北大核心
2018年第9期1042-1046,共5页
Chinese General Practice
基金
国家自然科学基金资助项目(81378394)
关键词
肺肿瘤
个体电脑豁达治疗
情绪
脑电波
Lung neoplasms
Individual computer magnanimous therapy
Emotions
Brain wave
作者简介
通信作者:黄雪薇,教授,主任医师;E-mail:snowy_huang@163.com
