心理干预对恶性肿瘤化疗患者的作用及效果评价

发布时间：2018-01-08 21:17

本文关键词：心理干预对恶性肿瘤化疗患者的作用及效果评价　出处：《苏州大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的：调查恶性肿瘤患者的心理健康水平和生活质量水平,探讨心理干预对恶性肿瘤患者的作用并评价心理干预的效果。方法：收集无锡市第四人民医院肿瘤科2009年1月至2011年12月住院治疗的恶性肿瘤患者共178名,并随机分为心理干预组(89例)和对照组(89例)。入院一周内两组患者均填写症状自评量表(Symptom Checklist-90, SCL-90)及简明健康状况调查表(36-item Short Form Health Survey, SF-36),以分别测评其心理健康水平和生活质量水平；对照组给予常规护理,干预组在常规护理的基础上给予支持性心理干预。治疗一个月后,对患者及配偶心理健康水平及生活质量进行重新评价,确定干预对恶性肿瘤患者的影响作用。结果：①SCL-90量表测量结果提示,心理干预前干预组和对照组患者除躯体化和恐怖因子以外,其余各项均无显著的统计学差异；心理干预后,干预组患者各项因子分均显著低于对照组；干预组在心理干预后,除恐怖因子外,其余项目得分均显著低于心理干预前：将心理干预前后对照组SCL-90评分情况进行比较,干预前后有8项具有统计学差异。②SF-36量表结果提示,心理干预前干预组和对照组SF-36评分各维度均无统计学差异；心理干预后,干预组在6个维度的得分显著高于对照组；支持性心理干预后,干预组在3个维度的得分显著高于干预前；心理干预前后对照组SF-36得分除躯体疼痛得分显著升高外,其余维度干预前后得分均无统计学差异。③SCL-90总分、阳性症状均分、躯体化、抑郁和敌对五个项目的降低值与生活质量总分增加值相关。结论：心理干预能提高恶性肿瘤患者的心理健康水平和生活质量水平；心理健康水平与生活质量水平存在相关关系。
[Abstract]:Objective: to investigate the mental health and quality of life (QOL) of patients with malignant tumor, to explore the effect of psychological intervention on patients with malignant tumor and to evaluate the effect of psychological intervention. Methods: a total of 178 malignant tumor patients hospitalized from January 2009 to December 2011 in Department of Oncology of Wuxi 4th people's Hospital were collected. They were randomly divided into two groups: the psychological intervention group (89 cases) and the control group (89 cases). Within one week of admission, the two groups of patients filled out the symptom Checklist (SCL-90) and symptom Checklist-90. SCL-90 and 36 item Short Form Health Survey (SF-36). Their mental health and quality of life were measured respectively. The control group was given routine nursing, and the intervention group was given supportive psychological intervention on the basis of routine nursing. After one month of treatment, the mental health level and quality of life of the patients and their spouses were re-evaluated. To determine the effect of intervention on patients with malignant tumor. Results the results of the SCL-90 scale showed that there was no significant difference between the intervention group and the control group except somatization and phobic factors. After psychological intervention, the factor scores of the patients in the intervention group were significantly lower than those in the control group. After psychological intervention, the scores of other items in the intervention group were significantly lower than those before psychological intervention except for phobic factors. The SCL-90 scores of the control group before and after psychological intervention were compared. Before and after intervention, there were 8 items with statistical difference. 2SF-36 scale results showed that there was no significant difference in SF-36 scores between the intervention group and the control group before psychological intervention. After psychological intervention, the scores of six dimensions in the intervention group were significantly higher than those in the control group. After supportive psychological intervention, the scores of three dimensions in intervention group were significantly higher than those before intervention. Before and after psychological intervention, the scores of SF-36 in control group were significantly higher than those in control group except for somatic pain. There was no statistical difference in the scores of other dimensions before and after intervention. 3. The total score of SCL-90, the mean score of positive symptoms and somatization. Depression and hostility were associated with the increase in total quality of life (QOL) scores. Conclusion: psychological intervention can improve the level of mental health and quality of life of patients with malignant tumor, and there is a correlation between mental health and quality of life.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R395.1

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