心理干预提高恶性肿瘤患者生活质量的临床疗效观察

Clinical Observation on Effect of Mental Intervention on Increasing Quality of Life in Patients with Malignant Tumor

关键词:  心理干预  恶性肿瘤  生活质量

Key words:  mental intervention  malignant tumor  quality of life

摘要:

[目的]观察心理干预对中药配合化疗的中晚期恶性肿瘤患者生活质量的影响。[方法]将30例入组患者随机为分两组,心理干预组和对照组,对照组除不接受心理治疗外,其余治疗与干预组均相同,所有患者于疗前、疗中、疗后进行3次汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、简明心境量表(POMS)及生活质量表(QLQ-C30)的检测。[结果]治疗后干预组的HAMA、HAMD、POMS、QLQ-C30变化情况均显著优于对照组(P<0.01)。[结论]心理干预可以改善中晚期恶性肿瘤患者的情绪状态,提高患者的生活质量。

Abstract:

[Objective] To observe the effect of mental intervention on the quality of life in patients with malignant tumor in middle and advanced stage treated with TCM and chemotherapy.[Methods] Thirty patients were randomly divided into two groups:mental intervention group and control group.Except mental intervention the patients received the same treatment as those in intervention group.Hamilton anxiety scale(HAMA),Hamilton’s depression scale(HAMD),psychiatric outpatients mood scale(POMS)and quality of life scale(QLQ-C30)were carried out in all the patients before,in and after treatment.[Results] The improvement of HAMA,HAMD,POMS and QLQ-C30 in treatment group was obviously superior to that in control group(P<0.01).[Conclusions] The mental intervention may improve emotional state and quality of life in patients with malignant tumor in middle and advanced stage.