摘要
目的探讨心理及认知干预对肺癌术后患者负性情绪及生活质量的影响.方法采用随机数字表法将100例肺癌患者分为对照组和观察组,每组50例,对照组患者接受常规护理,观察组患者在此基础上接受心理及认知干预.干预前后,比较两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)和生活质量量表(QOL)评分情况,以及干预后的临床总有效率.结果干预前,两组患者SAS、SDS评分,以及QOL量表各维度评分及总分比较,差异均无统计学意义(P﹥0.05).干预后,观察组患者SAS、SDS评分均明显低于对照组患者和本组干预前,身体功能、心理功能、社会角色和QOL量表总分均明显高于对照组患者和本组干预前,差异均有统计学意义(P﹤0.01).干预后,观察组患者临床总有效率为62.0%,与对照组患者的56.0%比较,差异无统计学意义(P﹥0.05).结论心理及认知干预对肺癌术后患者的病情控制有较好的辅助作用,有助于改善患者的负性情绪,提高整体干预效果.
Objective To explore the effect of psychological and cognitive intervention on the negative emotions and quality of life (QOL) of lung cancer patients after surgery. Method A total of 100 lung cancer patients were included and randomly allocated as control group and study group according to a random number table, with 50 cases in each. The control group was treated with routine nursing care, while the study group was administered with psychological and cognitive intervention additionally. The change of psychological anxiety and depression, which were assessed by self-rating anxiety scale (SAS) and self-rating depression scale (SDS), as well as the QOL of patients before and after intervention were analyzed, and the overall response rate after intervention was evaluated. Result The SAS and SDS scores, and each subscale of QOL were similar between the two groups before intervention, with no statistically significant differences noted (P>0.05). After intervention, the SAS and SDS scores were lower in study group than those in the control group and before the intervention, while higher overall scores regarding physical function, psychological function, social role and overall QOL score were observed in study group compared to control group and before the intervention, and the differences were of statistical significance (P<0.01). The overall response rate after intervention in study group was 62.0%, which was significantly lower compared to the 56.0% in control group, and there were no significantly difference noted (P>0.05). Conclusion Psychological and cognitive intervention are proved to be fairly good adjuvant care that might help reduce the negative emotions for lung cancer patients after surgery, with strengthened comprehensive effect.
作者
王文娟
崔秀杰
史建华
王丹
WANG Wenjuan;CUI Xiujie;SHI Jianhua;WANG Dan(Department of Internal Medicine, Chaoyang Central Hospital, Chaoyang 122000, Liaoning, China)
出处
《癌症进展》
2019年第14期1729-1732,共4页
Oncology Progress
关键词
心理干预
认知干预
肺癌
生活质量
psychological intervention
cognitive intervention
lung cancer
quality of life
