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目的探讨支持性心理治疗对鼻咽癌患者的抑郁情绪的干预效果及其对生活质量和对同步放化疗依从性的影响。方法将96例鼻咽癌患者随机分为支持性心理治疗组和对照组,评定并比较两组SDS,SF-36生活质量得分,完成同步放化疗的比率。结果支持性心理治疗组SDS评分显著低于对照组(P<0.01)。生活质量除生理机能外,其他指标支持性心理治疗组均优于对照组(P<0.05或P<0.01)。支持性心理治疗组显示良好的对同步放化疗治疗的依从性。结论支持性心理治疗能显著降低鼻咽癌患者抑郁情绪的严重程度,并可提高其生活质量,帮助患者完成同步放化疗治疗。
Objective To investigate the effect of supportive psychotherapy on the depression of patients with nasopharyngeal carcinoma and its influence on the quality of life and the compliance with concurrent chemoradiation. Methods Ninety-six patients with nasopharyngeal carcinoma were randomly divided into supportive psychotherapy group and control group. The SDS and SF-36 quality of life scores of two groups were compared and compared to achieve the rate of concurrent chemoradiotherapy. Results SDS scores in supportive psychotherapy group were significantly lower than those in control group (P <0.01). In addition to the physiological quality of life, other indicators of supportive psychological treatment group were better than the control group (P <0.05 or P <0.01). Supportive psychotherapy group showed good compliance with concurrent chemoradiation therapy. Conclusion Supportive psychological therapy can significantly reduce the severity of depression in patients with nasopharyngeal carcinoma, and can improve their quality of life, to help patients complete concurrent chemoradiation therapy.