摘要
目的探讨综合性干预对接受伽玛刀治疗的恶性肿瘤患者生活质量和情绪状态的影响。方法采用健康教育、心理支持、集体心理教育和行为训练等综合干预措施,对260例接受伽玛刀治疗的肿瘤患者进行心理、行为的干预;采用生活质量综合评定问卷(QOL)、精神症状自评量表(SCL-90)、焦虑自评量表(SDS)、抑郁自评量表(SAS)对患者进行干预前后的测评并对照比较。结果干预前患者普遍存在生活质量低,焦虑、抑郁症状明显的状况,生活质量综合评定问卷(QOL)、精神症状自评量表(SCL-90)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分分别为(23.12±4.68)、(68.12±33.26)、(40.12±10.28)和(42.48±12.16);干预3个月后,患者的生活质量明显提高,躯体症状、焦虑、抑郁症状均明显改善,QOL、SCL-90、SDS、SAS评分分别为(46.26±3.28)、(36.12±26.23)、(28.16±5.23)和(26.12±10.66),前后比较差异有显著性(P<0.01)。结论对接受伽玛刀治疗的恶性肿瘤患者采取综合性的心理、行为干预,可提高肿瘤患者术后的生活质量,减轻躯体不适症状,对患者的焦虑、抑郁情绪具有明显的缓解作用。
Objective To investigate the influence of all-round intervention on the quality of life and the emotion of cancer patients who have accepted the gamma knife therapy. Method Using health education, psychotherapy and the behavior treatment for 260 patients with malignant tumor who had accepted the gamma knife therapy. Evaluated the quality of life and the emotion of these patients before and after the intervention respectively by using questionnaire of QOL, SCL-90, SDS and SAS. Results The values of indicated the QOL, SCL-90, SDS and SAS before the all-round intervention were 23.12 ± 4.68, 68.12 ± 33.26, 40.12 ± 10.28 and 42.48 ± 12.16 respectively. The values which had obtained after the all-round intervention were 46.26 ± 3.28, 36.12 ± 26.23, 28.16 ± 5.23 and 26.12±10.66 respectively, there were significant differences between them, P 〈 0.01. Conclusion Using all-round intervention therapy in the patients with malignant tumor who have accepted the gamma knife can effective improve their quality of life and their emotion.
关键词
综合性干预
伽玛刀
恶性肿瘤
生活质量
情绪
All-round intervention
Gamma knife
Malignant tumor
Quality of life
E-motion
