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目的探讨心理干预对早期胃癌患者术后焦虑抑郁与生活质量改善的作用。方法将68例早期胃癌患者术后患者随机分为干预组和对照组各34例。两组患者在接受手术后均继续维持胃癌专科治疗。对照组不进行心理干预。于术后1、2、4、8、16周末分别采用抑郁自评量表(SDS)、焦虑自评量表(SAS)和生活质量问卷(GQOL-74)评定患者的抑郁焦虑发生率和患者的生活质量。结果干预组在术后4、8、16周末的抑郁自评量表(SDS)、焦虑自评量表(SAS)分值明显低于对照组,差异具有统计学意义(P<0.05或P<0.01)。GQOL-74评定结果显示,术后4、8、16周末,干预组躯体健康维度各因子、心理维度的精神紧张度和正负性情感因子以及社会功能维度的社交与社会支持和娱乐与学习因子得分均优于对照组,差异均具有统计学意义(P<0.05)。结论心理干预能减轻早期胃癌患者的抑郁、焦虑症状,有效提高患者术后的生活质量。
Objective To explore the effect of psychological intervention on postoperative anxiety, depression and quality of life in patients with early gastric cancer. Methods 68 cases of early gastric cancer patients were randomly divided into intervention group and control group of 34 cases. Two groups of patients continued to maintain the treatment of gastric cancer after surgery. The control group did not make psychological intervention. At the end of the 1st, 2nd, 4th, 8th and 16th week after operation, the incidence of depression and anxiety were evaluated by SDS, SAS and GQOL-74 respectively. The quality of life Results The self-rating depression scale (SDS) and anxiety self-rating scale (SAS) scores of the intervention group at 4, 8 and 16 weeks after operation were significantly lower than those of the control group, with statistical significance (P <0.05 or P < 0.01). The results of GQOL-74 assessment showed that at 4, 8 and 16 weeks after operation, factors of physical health dimension, mental stress degree, positive and negative emotional factors, social and social support and entertainment and learning factors in social function dimension Scores were better than the control group, the differences were statistically significant (P <0.05). Conclusion Psychological intervention can alleviate the symptoms of depression and anxiety in patients with early gastric cancer and effectively improve the quality of life after the operation.