摘要
目的探讨局限期小细胞肺癌合并胸腔积液患者的心理状况及干预效果。方法选取86例局限期小细胞肺癌患者,比较合并胸腔积液(n=38)与未合并胸腔积液(n=48)患者的心身状态、心理控制源及心理痛苦情况。将合并胸腔积液患者按照随机数字表法分为对照组和观察组,每组19例。对照组采用一般化疗知识宣教进行干预,观察组采用个体化措施进行干预。采用症状自评量表(SCL-90)评价两组患者的干预效果。结果合并胸腔积液患者的社会维度、心理维度、躯体维度评分及总分均明显高于未合并胸腔积液患者,差异均有统计学意义(P﹤0.01)。合并胸腔积液患者的心理痛苦评分及心理痛苦源中呼吸困难比例均高于未合并胸腔积液患者,差异均有统计学意义(P﹤0.05)。合并胸腔积液患者的他人控制量表(PHLC)评分高于未合并胸腔积液患者,内控性量表(IHLC)、机遇量表(CHLC)评分均低于未合并胸腔积液患者,差异均有统计学意义(P﹤0.05)。干预前,两组患者SCL-90各维度评分比较,差异均无统计学意义(P﹥0.05)。干预后,观察组患者SCL-90中躯体化、强迫症状、人际敏感、抑郁、焦虑、敌对、恐怖、偏执维度评分及总均分均低于对照组,差异均有统计学意义(P﹤0.05)。结论局限期小细胞肺癌合并胸腔积液患者的心理状况较差,进行干预后可有效改善患者的心理状况,值得临床广泛应用。
Objective To investigate the psychological status of patients with limited-stage small cell lung cancer(SCLC)complicated with pleural effusion and the effect of intervention.Method A total of 86 patients with limitedstage SCLC were included in the study.Among them,38 patients were with pleural effusion and 48 patients were not.The psychological status,source of psychological control and psychological distress of these patients were assessed.Additionally,patients with pleural effusion were subdivided into two groups as control group and study group,with 19 cases in each,respectively.Interventions for control group and study group included general education regarding knowledge of chemotherapy and individualized interventions.The impact of interventions on the psychological status of the patients was analyzed using the symptom check list 90(SCL-90).Result The social,psychological and physical dimensions as well as total score of patients with pleural effusion were higher compared to those without pleural effusion,and there were significant differences(P<0.01).The psychological pain score and the proportion of dyspnea among the source of psychological control in patients with pleural effusion were higher than those in patients without pleural effusion,and the difference was statistically significant(P<0.05).The powerful others health locus of control(PHLC)score of patients with pleural effusion was higher,while the internality health locus of control(IHLC)and chance health locus of control(CHLC)scores were lower as compared with patients without pleural effusion,with statistically significant differences noted(P<0.05).The score for each dimension under SCL-90 in both groups were similar before intervention(P>0.05),while after intervention,the study group indicated significantly lower scores with regard to somatization,obsessive-compulsive symptoms,interpersonal sensitivity,depression,anxiety,hostility,phobic anxiety,paranoid ideation dimensions and overall score than those of control group(P<0.05).Conclusion Patients with limited-stage SCLC complicated with pleural effusion have poor psychological status,however,psychological interventions would favorably and effectively improve the psychological health of patients.
作者
周霞
郁颜旭
李想
张蕾
付小伟
ZHOU Xia;YU Yanxu;LI Xiang;ZHANG Lei;FU Xiaowei(Department of Oncology,the First People’s Hospital of Lianyungang,Lianyungang 222000,Jiangsu,China;Department of Hematology,the First People’s Hospital of Lianyungang,Lianyungang 222000,Jiangsu,China)
出处
《癌症进展》
2019年第20期2463-2466,共4页
Oncology Progress
关键词
小细胞肺癌
胸腔积液
心理状态
small cell lung cancer
pleural effusion
psychological status
作者简介
通信作者:付小伟,邮箱:bbs996331@163.com。
