中国伤残医学
中國傷殘醫學
중국상잔의학
Chinese Journal of Trauma and Disability Medicine
2015年
20期
40-43
,共4页
结直肠癌%化疗%焦虑%抑郁%生活质量%心理护理
結直腸癌%化療%焦慮%抑鬱%生活質量%心理護理
결직장암%화료%초필%억욱%생활질량%심리호리
Mental nursing%Colorectal cancer ( CRC)%Patient%Quality of life%Anxiety%Depression
目的：对比化疗前后结直肠癌患者生活质量、焦虑抑郁情绪的改变，探讨心理干预护理对减轻患者焦虑、抑郁情绪，促进化疗后生活质量提高的疗效。方法：选择结直肠癌患者80例，随机分为干预组40例和对照组40例，对照组采用常规护理方式，干预组在常规护理的基础上在放疗前、中、后期给予心理干预。并观察2组焦虑（SAS）、抑郁（SDS）和生活质量（QLQ－C30）等量表评分变化。结果：首次化疗前所有患者焦虑评分均较入院时提高，差异具有显著性（P＜0．05）；干预治疗4周和12周后，干预组和对照组患者的焦虑抑郁及生活质量评分较入院时明显改善，差异有显著性（P＜0．05或0．001）；干预组改善更为明显，组间差异具有显著性（P＜0．05或0．001）；与4周相比，干预治疗12周后焦虑抑郁和生活质量评分改善更显著，差异具有显著性（ P＜0．001）。结论：化疗本身是一种应激因素，会加重癌症患者的心理负担，而通过心理干预能有效改善化疗前患者的焦虑状态，并进一步缓解患者化疗中后期患者焦虑抑郁情绪，有助于促进患者生活质量的提高。
目的：對比化療前後結直腸癌患者生活質量、焦慮抑鬱情緒的改變，探討心理榦預護理對減輕患者焦慮、抑鬱情緒，促進化療後生活質量提高的療效。方法：選擇結直腸癌患者80例，隨機分為榦預組40例和對照組40例，對照組採用常規護理方式，榦預組在常規護理的基礎上在放療前、中、後期給予心理榦預。併觀察2組焦慮（SAS）、抑鬱（SDS）和生活質量（QLQ－C30）等量錶評分變化。結果：首次化療前所有患者焦慮評分均較入院時提高，差異具有顯著性（P＜0．05）；榦預治療4週和12週後，榦預組和對照組患者的焦慮抑鬱及生活質量評分較入院時明顯改善，差異有顯著性（P＜0．05或0．001）；榦預組改善更為明顯，組間差異具有顯著性（P＜0．05或0．001）；與4週相比，榦預治療12週後焦慮抑鬱和生活質量評分改善更顯著，差異具有顯著性（ P＜0．001）。結論：化療本身是一種應激因素，會加重癌癥患者的心理負擔，而通過心理榦預能有效改善化療前患者的焦慮狀態，併進一步緩解患者化療中後期患者焦慮抑鬱情緒，有助于促進患者生活質量的提高。
목적：대비화료전후결직장암환자생활질량、초필억욱정서적개변，탐토심리간예호리대감경환자초필、억욱정서，촉진화료후생활질량제고적료효。방법：선택결직장암환자80례，수궤분위간예조40례화대조조40례，대조조채용상규호리방식，간예조재상규호리적기출상재방료전、중、후기급여심리간예。병관찰2조초필（SAS）、억욱（SDS）화생활질량（QLQ－C30）등량표평분변화。결과：수차화료전소유환자초필평분균교입원시제고，차이구유현저성（P＜0．05）；간예치료4주화12주후，간예조화대조조환자적초필억욱급생활질량평분교입원시명현개선，차이유현저성（P＜0．05혹0．001）；간예조개선경위명현，조간차이구유현저성（P＜0．05혹0．001）；여4주상비，간예치료12주후초필억욱화생활질량평분개선경현저，차이구유현저성（ P＜0．001）。결론：화료본신시일충응격인소，회가중암증환자적심리부담，이통과심리간예능유효개선화료전환자적초필상태，병진일보완해환자화료중후기환자초필억욱정서，유조우촉진환자생활질량적제고。
Objective:In the present study, we aimed to evaluate quality of life, level of anxiety and depression before and after a 12-week follow-up period in chemotherapy receiving patients with colorectal cancer and the effects of menatl nursing on it.Methods:The study was conducted in 80 patients with colon or rectal cancer ( CRC) .They were randomly divided into two groups, intervention group (40 cases) and control group (40 cases) .Before and after receiving chemotherapy period, usual care was carried out on control group, and additional mental nursing was done on the intervention group.After that, the score of self-relating anxiety scale ( SAS) ,self-rela-ting depression scale (SDS) and EORTC QLQ-C30 Scale (QLQ-C30) were evaluated, compared and analyzed.Results:The scores of anxiety with all CRC patients were significantly high than admission when assessed the week before chemotherapy; And after mental nursing, the scores of SAS, SDS and QLO-30 were obviously improved than usual group.(P<0.05 or 0.001).Moreover, all scores of nursing group measured in the 12-week after chemotherapy were statistically significantly higher than the initial ( contain 4-week after chemotherapy) .Conclusions:These data, shows that Chemotherapy is a kind of stress factors which could add the psychological burden of cancer patients, and with usual care +mental nursing, quality of life score, and the anxiety and depression levels improve during the course of nursing.
