CAJ | 학술논문

目的：通过分析外科恶性肿瘤患者术后化疗期间的心理障碍发生频率及其影响因素，探讨心理护理干预对其情绪的影响作用，以提高患者的生命质量。方法选取某医院76例外科恶性肿瘤化疗患者，按照随机原则分为护理干预组和对照组，其中护理干预组除常规治疗外辅以心理干预，对照组只给以常规治疗。干预后，对两组患者分别进行焦虑自评量表(SAS)和抑郁自评量表(SDS)的测评，比较统计结果。结果外科恶性肿瘤术后化疗患者出现严重心理障碍的占54％；其中患者年龄、谈癌色变、化疗不良反应大、缺乏社会支持系统、病情反复、治疗周期长、费用高、医患矛盾多、自尊心受到伤害等是产生心理障碍的主要影响因素。结论护理心理干预可以显著改善外科恶性肿瘤术后化疗患者的抑郁、焦虑和恐惧心理，是治疗外科恶性肿瘤化疗患者心理障碍的简单、有效方法，临床上值得推广。
목적：통과분석외과악성종류환자술후화료기간적심리장애발생빈솔급기영향인소，탐토심리호리간예대기정서적영향작용，이제고환자적생명질량。방법선취모의원76예외과악성종류화료환자，안조수궤원칙분위호리간예조화대조조，기중호리간예조제상규치료외보이심리간예，대조조지급이상규치료。간예후，대량조환자분별진행초필자평량표(SAS)화억욱자평량표(SDS)적측평，비교통계결과。결과외과악성종류술후화료환자출현엄중심리장애적점54％；기중환자년령、담암색변、화료불량반응대、결핍사회지지계통、병정반복、치료주기장、비용고、의환모순다、자존심수도상해등시산생심리장애적주요영향인소。결론호리심리간예가이현저개선외과악성종류술후화료환자적억욱、초필화공구심리，시치료외과악성종류화료환자심리장애적간단、유효방법，림상상치득추엄。
Objectives Through analysis of the incidence and influencing factors of mental disorders for malignant tumor surgery patients receiving chemotherapy,the role of psychological nursing intervention on their moods was discussed to improve patients'life quality.Methods 76 malignant tumor surgery patients receiving chemotherapy were chosen.They were divided into nursing intervention group and control group randomly.The control group re-ceived regular therapy only while the intervention group received psychological intervention besides regular therapy. After intervention,both groups were assessed by self-evaluation of anxiety scale (SAS)and self rating depression scale (SDS)and the results were analyzed.Results 54% patients had serious mental disorders.The age,fear of cancer,side effect of chemotherapy,lacking of social support,recurrence of the diseases,long period of treatment, high cost,conflicts between the doctors and the patients and self-esteem hurt were the main reasons for mental dis-orders.Conclusions Nursing intervention could improve patients'anxiety,depression and fear.It is a easy way for patients'mental disorders and worthy of spreading clinically.