摘要
目的探讨化疗患者的心理健康状况及其相关影响因素，为实施护理干预提供依据。方法采用症状自评量表及自拟调查问卷，对在我院接受化疗的30例恶性肿瘤患者（化疗组）和30例其他疾病住院患者（对照组）的心理健康状况进行测评分析。结果症状自评量表评分，两组总分及各因子分比较均无显著性差异（P〉0．05）；化疗组心理健康水平较差者占16．67％，症状自评量表评分前三位排序为躯体不适、强迫和抑郁；化疗组在接受化疗过程中出现的副作用与总分、总症状指数、阳性项目数、人际关系、抑郁、焦虑、偏执、精神病性得分均呈显著正相关（P〈0．01～0．05）；探视次数与总分、总症状指数、阳性项目数、躯体化、强迫症状得分呈显著负相关（P〈0．05）；病程长短及患病时的自理状况与躯体化因子分呈显著正相关（P〈0．05）。整体化护理及健康教育干预，能显著提高化疗患者的心理健康水平。结论恶性肿瘤患者在化疗过程中的副作用、探视次数、病程长短及自理状况对其心理健康状况均有不同程度的影响。深入开展整体化护理，有针对性的进行护理干预和健康教育，有利于提高患者的心理健康水平和生活质量。
Objective To explore the mental health status and correlated influencing factors in order .to provide bases for practicing nursing interventions in patients on chemotherapy. Methods Mental health status was assessed with the Symptom Checklist-90（SCL-90） and the Self-made Questionnaire（SMQ） in 80 patients with malignant tumor receiving I. V. chemotherapy （chemotherapy group） and 30 ones with other diseases doing non-chemotherapy tranfusion（control group） in our hospital. Results There were no significant differences in total and each factor scores of the SCL-90 between the 2 groups（P〈0.05） ; patients with worse mental health level made up 16.67%, the first 3 places of the SCL-90 scores were in turn somato-discomfort, compulsion and depression in the chemotherapy group; side effects occurred in the process of chemotherapy were significantly positively related to total score and such factor score as total symptom index, numhers of positive items, interpersonal relation, depression, anxiety, paranoia and psychotic in the chemotherapy group（P〈0.01 -0.05）. Somatization factor was significantly positively related to dutation of illness and self-care status being ill（P〈0.05）. Holistie nursing and healthy education could significantly improve mealt health levels of patients on chemotherapy. Conclusion Such factors as side effects, visiting frequency, duration of illness and self-care influence mental health status of patients with malignant tumor in varying degree in the process of chemotherapy. It is in favour of improving patients＇ mental health levels and quality of life to develop holistic nursing thoroughly and undertake clinical nursing intervention and health education purposefully.
出处
《临床心身疾病杂志》
CAS
2008年第5期472-474,共3页
Journal of Clinical Psychosomatic Diseases
关键词
化疗
恶性肿瘤
心理健康
整体化护理
Chemotherapy
malignant tumor
mental health
holistic nursing
