放松训练联合情志疗法对肺癌患者睡眠障碍和抑郁状态的影响

发布时间：2018-12-25 17:46

【摘要】：目的探讨放松训练联合情志疗法对肺癌患者睡眠障碍和抑郁状态的影响。方法肺癌患者120例按随机数字表法分为观察组和对照组,每组60例。对照组给予传统的常规情志疗法,观察组在此基础上增加放松训练,分别采用睡眠状况自评量表(SRSS)、抑郁自评量表(SDS)和焦虑自评量表(SAS)评价两组入院时和治疗后1、2 w睡眠障碍、抑郁和焦虑状态的改变情况,同时采用生活质量核心量表(EORTC QLQ-C30)评价两组生活质量改善情况。结果治疗后,两组睡眠障碍、抑郁、焦虑症状均有改善,且随着治疗时间的延长,各症状好转程度增进。两组治疗前后SRSS评分均无显著差异(P0.05);观察组治疗后2 w SDS、SAS评分变化显著(P0.05);与对照组比较,治疗后2 w观察组SRSS总评分明显下降,患者睡眠时间不足、睡眠质量不高、入睡困难、睡眠不稳、早醒以及服药情况改善显著(P0.05),治疗后1 w组间SDS、SAS评分变化差异不显著(P0.05),治疗后2 w观察组SDS、SAS评分改善更为显著(P0.05);治疗后1、2 w,两组不同领域的生活质量评分均较入院时不同程度的改善,治疗后2 w的改善程度较治疗后1 w更显著,同时治疗后1、2 w,观察组生活质量评分的改善程度优于对照组(P0.05)。结论放松训练联合情志疗法可以显著改善肺癌患者化疗期间睡眠障碍、焦虑和抑郁状态,有利于患者的康复和提高生活质量,此法对于提高肺癌的临床治疗效果和生活质量具有重要意义和广阔应用前景,临床应重视对肺癌患者实施情志治疗和放松训练。
[Abstract]:Objective to investigate the effects of relaxation training combined with emotional therapy on sleep disorder and depression in lung cancer patients. Methods 120 patients with lung cancer were randomly divided into observation group (n = 60) and control group (n = 60). The control group was given conventional emotional therapy, the observation group increased relaxation training on this basis, and the sleep status self-rating scale (SRSS),) was used respectively in the observation group. Self-rating Depression scale (SDS) and Self-Rating anxiety scale (SAS) were used to evaluate the changes of sleep disorder, depression and anxiety in both groups at admission and 1 week after treatment. At the same time, the core quality of life scale (EORTC QLQ-C30) was used to evaluate the improvement of quality of life in both groups. Results after treatment, the symptoms of sleep disorder, depression and anxiety were improved in both groups. There was no significant difference in SRSS scores between the two groups before and after treatment (P0.05), while the SDS,SAS scores in the observation group changed significantly 2 weeks after treatment (P0.05). Compared with the control group, the total SRSS score of the observation group decreased significantly 2 weeks after treatment, the patients' sleep time was insufficient, sleep quality was not high, sleep difficulty was difficult, sleep instability, early waking up and taking medicine were improved significantly (P0.05), and SDS, was improved 1 week after treatment (P0.05). The change of SAS score was not significant (P0.05), the SDS,SAS score of observation group improved more significantly 2 weeks after treatment (P0.05). The scores of quality of life in different fields in both groups were improved at 1 and 2 weeks after treatment compared with those at admission. The improvement at 2 weeks after treatment was more significant than that at 1 week after treatment, and at the same time at 1 and 2 weeks after treatment, the improvement of QOL in both groups was more significant than that at 1 week and 2 weeks after treatment. The improvement of quality of life score in the observation group was better than that in the control group (P0.05). Conclusion relaxation training combined with emotional therapy can significantly improve sleep disorder, anxiety and depression in patients with lung cancer during chemotherapy. This method is of great significance and broad application prospect for improving the clinical treatment effect and quality of life of lung cancer, so we should pay more attention to emotional therapy and relaxation training for lung cancer patients.
【作者单位】：南方医科大学南方医院肿瘤科;
【分类号】：R734.2

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