摘要
目的探讨阶梯式心理干预联合健康教育在胃癌化疗患者中的应用效果。方法依据干预方案的不同将156例胃癌化疗患者分为联合组(n=75)和对照组(n=81),对照组患者接受常规干预,联合组患者在常规干预的基础上接受阶梯式心理干预联合健康教育。比较两组患者的癌痛程度[视觉模拟评分法(VAS)]、心理弹性[Connor-Davidson心理弹性量表(CD-RISC)]、心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]、不良反应发生情况。结果干预后,两组患者VAS、SDS、SAS评分均低于本组干预前,CD-RISC、EORTC QLQ-C30各维度评分均高于本组干预前,联合组患者VAS、SDS、SAS评分均低于对照组,CD-RISC、EORTC QLQ-C30各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。联合组患者的不良反应总发生率为6.67%,低于对照组患者的17.28%,差异有统计学意义(P﹤0.05)。结论阶梯式心理干预联合健康教育能显著改善胃癌化疗患者的癌痛程度,提高心理弹性和生活质量,改善心理状态,降低不良反应发生率。
Objective To explore the application effect of stepwise psychological intervention combined with health education in patients with gastric cancer undergoing chemotherapy.Method According to different intervention methods,156 patients with gastric cancer undergoing chemotherapy were divided into combination group(n=75)and control group(n=81).Patients in the control group received routine intervention,while patients in the combination group received stepwise psychological intervention combined with health education on the basis of routine intervention.The degree of cancer pain[visual analogue scale(VAS)],psychological resilience[Connor-Davidson resilience scale(CDRISC)],psychological status[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],and incidence of adverse reactions were compared between the two groups.Result After intervention,the VAS,SDS,and SAS scores in both groups were lower than those before intervention,while the scores of dimensions of CD-RISC and EORTC QLQ-C30 were higher than those before intervention,the VAS,SDS,and SAS scores in combination group were lower than those in control group,while the scores of dimensions of CD-RISC and EORTC QLQ-C30 were higher than those in control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the combination group was 6.67%,which was lower than 17.28%in control group,and the difference was statistically significant(P<0.05).Conclusion Stepwise psychological intervention combined with health education can significantly improve the cancer pain of patients with gastric cancer undergoing chemotherapy,enhance psychological resilience and quality of life,improve psychological status,and reduce the incidence of adverse reactions.
作者
张辉
张爽
雷月丽
屈中玉
宋菲
张静雯
ZHANG Hui;ZHANG Shuang;LEI Yueli;QU Zhongyu;SONG Fei;ZHANG Jingwen(Department of Medical Oncology,Nanyang Central Hospital,Nanyang 473000,He’nan,China)
出处
《癌症进展》
2025年第13期1540-1543,1577,共5页
Oncology Progress
基金
北京科创医学发展基金(KC2023-JX-0288-FM48)。
关键词
胃癌
阶梯式心理干预
健康教育
疼痛
心理弹性
gastric cancer
stepwise psychological intervention
health education
pain
psychological resilience
