CAJ | 학술논문

目的探讨心理干预对鼻咽癌放射治疗患者情绪及远期疗效的影响.方法将100例鼻咽癌患者随机分为心理干预组(心护组)和对照组各50例.心护组患者除接受与对照组相同的放射治疗和疾病护理外,还接受心理干预.比较2组患者治疗前后焦虑和抑郁情况及2组患者的生存率.结果治疗前2组患者焦虑和抑郁的分值比较无显著差异,而治疗后心护组焦虑和抑郁的分值均显著低于对照组.心护组1,3,5年生存率分别为100.0%、94.0%和85.9%,对照组分别为96.0%、85.6%和70.7%,心护组生存率高于对照组.心护组从放射治疗结束到发生复发或远处转移的间隔时间为(32.22±16.82)个月,对照组为(20.73±13.06)个月,2组比较无显著差异.结论心理干预能改善鼻咽癌放射治疗患者焦虑、抑郁的情绪,并具有延长复发和转移发生的时间和提高生存率的趋势,值得进一步研究.
목적 탐토심리간예대비인암방사치료환자정서급원기료효적영향.방법 장100례비인암환자수궤분위심리간예조(심호조)화대조조각50례.심호조환자제접수여대조조상동적방사치료화질병호리외,환접수심리간예.비교2조환자치료전후초필화억욱정황급2조환자적생존솔.결과 치료전2조환자초필화억욱적분치비교무현저차이,이치료후심호조초필화억욱적분치균현저저우대조조.심호조1,3,5년생존솔분별위100.0%、94.0%화85.9%,대조조분별위96.0%、85.6%화70.7%,심호조생존솔고우대조조.심호조종방사치료결속도발생복발혹원처전이적간격시간위(32.22±16.82)개월,대조조위(20.73±13.06)개월,2조비교무현저차이.결론 심리간예능개선비인암방사치료환자초필、억욱적정서,병구유연장복발화전이발생적시간화제고생존솔적추세,치득진일보연구.
Objective The study was to investigate the effect of psychological intervention on emotion and long-term effect of patients with nasopharyngeal cancer treated with radiotherapy. Methods A total of 100 patients with nasopharyngeal cancer were divided into the psychological intervention group and the control group with 50 cases in each. The patients in the psychological intervention group were given psychological intervention besides receiving radiotherapy and routine nursing which were similar to the control group. Anxiety score and depression score as well as survival rates before and after radiotherapy between two groups were compared. Results There was no difference in anxiety score and depression score between two groups before radiotherapy, but after radiotherapy, the anxiety score and depression score were more remarkably reduced in the psychological intervention group than in the control group. The 1, 3, 5-year overall survival rates were 100.0%, 94.0%, 85.9% respectively in the psychological intervention group, and were 96.0%, 85.6%, 70.7% respectively in the control group. Duration from the end of radiotherapy to relapse were (32.22±16.82) months in th psychological intervention group and (20.73±13.06) months in the control group. Conclusions Psychological intervention can improve anxiety and depression and shows a tendency to defer the occurrence of relapse and to improve the survival rate in patients with nasopharyngeal cancer treated with radiotherapy. The further research need to be done.