CAJ | 학술논문

　　目的探讨心理干预对放射性脑病（radiation encephalopathy，REP）患者心理及生活质量的影响。方法选取鼻咽癌放射治疗后REP患者35例，按入院时间的先后顺序分为对照组17例和实验组18例。对照组患者给予常规治疗与护理，实验组在对照组基础上由专人进行个性化心理干预，疗程12周。比较两组患者治疗前后汉密顿抑郁量表（hamilton depression scale，HAMD）和生活质量量表（the short-form health survey questionnaire，SF-36）评分情况。结果干预前两组患者 HAMD及 SF-36评分比较，差异无统计学意义（均 P＞0.05）；干预后实验组患者 HAMD 及 SF-36评分明显优于对照组，两组比较，均P＜0.01，差异具有统计学意义。结论心理干预能缓解 REP 患者不良心理状况，提高患者生活质量。
　　목적탐토심리간예대방사성뇌병（radiation encephalopathy，REP）환자심리급생활질량적영향。방법선취비인암방사치료후REP환자35례，안입원시간적선후순서분위대조조17례화실험조18례。대조조환자급여상규치료여호리，실험조재대조조기출상유전인진행개성화심리간예，료정12주。비교량조환자치료전후한밀돈억욱량표（hamilton depression scale，HAMD）화생활질량량표（the short-form health survey questionnaire，SF-36）평분정황。결과간예전량조환자 HAMD급 SF-36평분비교，차이무통계학의의（균 P＞0.05）；간예후실험조환자 HAMD 급 SF-36평분명현우우대조조，량조비교，균P＜0.01，차이구유통계학의의。결론심리간예능완해 REP 환자불양심리상황，제고환자생활질량。
Objective To explore the effect of psychological intervention on the mental conditions and the quality of life of patients with radiation encephalopathy(REP).Methods thirty-five patients with REP from radiotherapy for nasopharyngeal carcinoma were divided into the control group(n=17)and the experiment group(n=18)according to their registration sequence. The control group was managed with conventional nursing,and the experiment group with individualized psychological intervention in addition to routine nursing for 12 weeks.The two groups were compared in terms of depression and quality of life by Hamilton Depression rating Scale(HAMD)and The short-form health survey questionnaire(SF-36).Results The two groups before treatment showed no statistical difference in scores by HAMD and SF-36(P>0.05).The experiment group was superior to the control group after intervention in depression and quality of life(P<0.01).Conclusion Psychological intervention may alleviate REP in the patients at poor psychological status and improve their quality of life.