论文部分内容阅读
目的探讨心理干预对食管癌术后营养不良患者心理状态及生活质量的影响。方法 70例食管癌术后营养不良患者,随机分为对照组和干预组各35例;对照组按常规进行入院宣教、疾病知识教育;干预组在对照组干预方式基础上接受3次结构性心理干预。应用SCL-90和QLQ-C30评定2组入院时和心理干预1个月后心理健康水平和生活质量。结果 1个月后,干预组SCL-90除人际关系敏感因子外其他各项评分均低于对照组(P<0.05或P<0.01);QLQ-C30躯体功能、情绪功能、社会功能、总体健康、疲乏、恶心呕吐、失眠、食欲丧失、便秘与对照组比较差异有统计学意义(P<0.05或P<0.01)。结论结构性心理干预可有效缓解食管癌术后营养不良患者心理压力,提高其生活质量。
Objective To investigate the effect of psychological intervention on the psychological status and quality of life of malnourished patients after esophageal cancer surgery. Methods Seventy patients with postoperative malnutrition of esophageal cancer were randomly divided into control group and intervention group (n = 35). The control group was admitted to hospital for education and disease knowledge education routinely. The intervention group received three times structured psychology Intervention. The SCL-90 and QLQ-C30 were used to assess the mental health and quality of life of two groups at admission and one month after psychological intervention. Results After 1 month, SCL-90 scores in intervention group were lower than those in control group (P <0.05 or P <0.01) except for interpersonal sensitivity factors. QLQ-C30 physical, emotional, social function, general health , Fatigue, nausea and vomiting, insomnia, loss of appetite, constipation and the control group, the difference was statistically significant (P <0.05 or P <0.01). Conclusions Structural psychological intervention can effectively alleviate the psychological stress in malnourished patients with esophageal cancer and improve their quality of life.