综合心理干预对老年恶性肿瘤患者生活质量的影响

发布时间：2018-02-05 01:40

本文关键词： 心理干预恶性肿瘤生活质量　出处：《中国老年学杂志》2016年15期 　论文类型：期刊论文

【摘要】：目的分析老年恶性肿瘤患者实施综合心理干预的效果。方法采取随机抽样法从2014年1~12月符合条件的812例患者中选择406例分别列入干预组和对照组,入院后填写症状自评量表(SCL-90)及世界卫生组织生存质量测定量表(WHOQOL-BREF,2004年中文版),分别评价患者的心理健康状况和生存质量。对照组主要采取常规抗肿瘤治疗,干预组在采取常规抗肿瘤治疗的基础上增加机体功能康复、支持性心理治疗和认知行为治疗等综合心理干预。6个月治疗后,对两组患者的心理健康水平及生活质量进行二次评价。结果心理干预前两组除SCL-90躯体化因子外,其余8个因子评分均无显著差异(P0.05);实施综合心理干预后,两组各项因子评分和生存质量的4项因子均有统计学差异(均P0.01)。结论为提高老年恶性肿瘤患者的心理健康和生活质量,在常规抗肿瘤治疗的同时需引入综合心理干预措施。
[Abstract]:Objective to analyze the effect of comprehensive psychological intervention in elderly patients with malignant tumor. Control group. Symptom Checklist-90 (SCL-90) and World Health Organization quality of Life scale (WHOQOL-BREF2004). The mental health status and quality of life of the patients were evaluated respectively. The control group was mainly treated with conventional antitumor therapy, while the intervention group increased the body function rehabilitation on the basis of routine antitumor therapy. Comprehensive psychological intervention such as supportive psychotherapy and cognitive behavioral therapy. Results there was no significant difference in the scores of 8 factors except SCL-90 somatization factor between the two groups before psychological intervention (P 0.05). After comprehensive psychological intervention, there were significant differences in the scores of factors and the quality of life between the two groups (all P 0.01). Conclusion: to improve the mental health and quality of life of the elderly patients with malignant tumor. Comprehensive psychological intervention should be introduced simultaneously with routine anti-tumor therapy.
【作者单位】：湖北省肿瘤医院中西医结合科;
【基金】：国家自然科学基金项目(No.71373091) 湖北省卫生计生委科研基金(No.WJ2015Z048)
【分类号】：R473.73
【正文快照】： 心理状态已经成为影响老年患者生活质量的重要因素〔1〕。若能采取适宜的心理干预手段,将有效改善老年恶性肿瘤患者的生存质量〔2〕。本研究通过对就诊的老年恶性肿瘤患者进行心理干预,旨在分析应用基础抗肿瘤治疗、机体功能康复、支持性心理治疗和认知行为治疗等手段对老年恶

【相似文献】