团体心身干预对食管癌同步放化疗患者情绪及生活质量的效果研究

发布时间：2018-05-03 06:32

本文选题：食管肿瘤 + 团体心身干预　；参考：《中国全科医学》2017年08期

【摘要】：目的探讨团体心身干预对食管癌同步放化疗患者焦虑、抑郁情绪及生活质量的效果。方法选取2013年12月—2015年12月于河南省肿瘤医院接受同步放化疗的食管癌患者150例为研究对象。采用随机数字表法,将其随机分为对照组和干预组,各75例。对照组于同步放化疗期间进行常规护理,干预组在常规护理基础上参加为期7周的团体心身干预,活动内容包括冥想放松训练、认知行为疗法、心理教育、歌唱疗法、运动疗法、家庭作业疗法。分别于干预前后采用焦虑自评量表(SAS)和抑郁自评量表(SDS)、生活质量核心量表(QLQ-C30)评价患者心理状态、生活质量。结果干预结束后,对照组、干预组分别脱落4、3例。两组患者干预前SAS、SDS评分比较,差异无统计学意义(P0.05);干预后,干预组SAS、SDS评分低于对照组(P0.05)。干预前,两组患者健康状况总分及各症状领域、单一领域、功能领域评分比较,差异均无统计学意义(P0.05)。干预后,干预组健康状况总分、角色功能、认知功能、情绪功能评分高于对照组,疲乏、恶心呕吐、失眠评分低于对照组(P0.05)。结论通过对食管癌同步放化疗患者进行团体心身干预,可以改善焦虑、抑郁情绪及睡眠质量,缓解疲乏、恶心呕吐症状,提高患者整体生活质量。
[Abstract]:Objective to investigate the effect of group psychosomatic intervention on anxiety, depression and quality of life in patients with esophageal cancer. Methods from December 2013 to December 2015, 150 patients with esophageal cancer received concurrent radiotherapy and chemotherapy in Henan Cancer Hospital. The patients were randomly divided into control group (75 cases) and intervention group (75 cases). The control group received routine nursing care during concurrent chemotherapy and radiotherapy. The intervention group participated in group psychosomatic intervention for 7 weeks on the basis of routine nursing. The activities included meditation relaxation training, cognitive behavior therapy, psychological education, singing therapy. Exercise therapy, homework therapy. Before and after intervention, self rating anxiety scale (SAS) and self rating Depression scale (SDS) and Core quality of Life scale (QLQ-C30) were used to evaluate the psychological status and quality of life of the patients. Results after the intervention, the control group and the intervention group lost 4 cases respectively. There was no significant difference in SDS scores between the two groups before and after intervention, but after intervention, the SDS scores in the intervention group were lower than those in the control group (P 0.05). Before intervention, there was no significant difference between the two groups in the total score of health status and the scores of each symptom field, single field and functional field. There was no significant difference between the two groups (P 0.05). After intervention, the scores of total health status, role function, cognitive function and emotional function in the intervention group were higher than those in the control group, and the scores of fatigue, nausea and vomiting were lower than those of the control group (P 0.05). Conclusion Group psychosomatic intervention can improve anxiety, depression and sleep quality, relieve fatigue, nausea and vomiting symptoms, and improve the overall quality of life of patients with esophageal cancer.
【作者单位】：郑州大学附属肿瘤医院河南省肿瘤医院消化放疗科;郑州大学附属肿瘤医院河南省肿瘤医院护理部;郑州大学附属肿瘤医院河南省肿瘤医院妇瘤科;
【基金】：基金项目:河南省科技厅社会公益预研专项
【分类号】：R735.1

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