中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2014年
8期
34-36
,共3页
老年妇科恶性肿瘤%化疗%心理干预%健康指导
老年婦科噁性腫瘤%化療%心理榦預%健康指導
노년부과악성종류%화료%심리간예%건강지도
Elderly gynecological cancer%Chemotherapy%Psychological intervention%Health guidance
目的：探讨心理干预及健康指导对老年妇科恶性肿瘤化疗患者不良情绪的影响。方法2011-07-2012-07我院化疗老年妇科恶性肿瘤患者随机分为观察组（心理健康指导）和对照组（无心理健康指导），采用SAS和SDS量表对2组患者的心理状况进行分析和比较。结果对照组和观察组在化疗前的焦虑和抑郁程度比较无显著性差异（ P＞0.05）。对照组患者化疗后的SAS和SDS评分较化疗前升高（P＜0.01），而观察组患者化疗后的SAS和 SDS 评分较化疗前有下降的趋势，差异无统计学意义（P＞0.05）。观察组患者化疗后SDS和SAS评分较对照组均明显降低（P＜0.01）。结论老年妇科恶性肿瘤患者在确诊后及治疗前，有一定程度的抑郁等负面情绪的存在，给予积极的心理干预及健康指导后，可明显降低患者的焦虑、抑郁等不良情绪的发生，改善患者的悲观消极心理。
目的：探討心理榦預及健康指導對老年婦科噁性腫瘤化療患者不良情緒的影響。方法2011-07-2012-07我院化療老年婦科噁性腫瘤患者隨機分為觀察組（心理健康指導）和對照組（無心理健康指導），採用SAS和SDS量錶對2組患者的心理狀況進行分析和比較。結果對照組和觀察組在化療前的焦慮和抑鬱程度比較無顯著性差異（ P＞0.05）。對照組患者化療後的SAS和SDS評分較化療前升高（P＜0.01），而觀察組患者化療後的SAS和 SDS 評分較化療前有下降的趨勢，差異無統計學意義（P＞0.05）。觀察組患者化療後SDS和SAS評分較對照組均明顯降低（P＜0.01）。結論老年婦科噁性腫瘤患者在確診後及治療前，有一定程度的抑鬱等負麵情緒的存在，給予積極的心理榦預及健康指導後，可明顯降低患者的焦慮、抑鬱等不良情緒的髮生，改善患者的悲觀消極心理。
목적：탐토심리간예급건강지도대노년부과악성종류화료환자불량정서적영향。방법2011-07-2012-07아원화료노년부과악성종류환자수궤분위관찰조（심리건강지도）화대조조（무심리건강지도），채용SAS화SDS량표대2조환자적심리상황진행분석화비교。결과대조조화관찰조재화료전적초필화억욱정도비교무현저성차이（ P＞0.05）。대조조환자화료후적SAS화SDS평분교화료전승고（P＜0.01），이관찰조환자화료후적SAS화 SDS 평분교화료전유하강적추세，차이무통계학의의（P＞0.05）。관찰조환자화료후SDS화SAS평분교대조조균명현강저（P＜0.01）。결론노년부과악성종류환자재학진후급치료전，유일정정도적억욱등부면정서적존재，급여적겁적심리간예급건강지도후，가명현강저환자적초필、억욱등불량정서적발생，개선환자적비관소겁심리。
Objective To examine the effectiveness of psychological interventions and guidance of health elderly gynecolog-ical cancer chemotherapy.Methods Patients aged 60-82 who have gynecologic cancer chemotherapy ,July 2011-July 2012 in the hospitals were randomly selected observation group (intervention and control psychological health ) and the control group (no intervention ,counseling and psychological health) ,psychological state of the patients evaluated in the SAS and SDS. Results The SDS and SAS scores of the observation group and the control group did not show statistical difference before the experi-ment (P>0.05). The scores of the patients in the control group SAS and SDS higher than previous chemotherapy (P<0.01) while the number of patients in the monitoring group has a general decreasing trend as previous chemotherapy but there was no significant difference (P>0.05). The SDS and SAS scores of the general observation is significantly lower than the control group (P<0.01). Conclusion There was a certain degree of depression and other negative emotions in elderly patients with gynecological cancer after diagnosis ,before treatment. Psychological intervention and health guidance can significantly improve the pessimistic psychology of the patient ,reduce patient anxiety ,depression ,emotional release.
