CAJ | 학술논문

目的：了解康复期癌症患者的心理健康现状及对心理干预的需求，为癌症患者心理干预方案设计提供依据。方法：对门诊复查的102例康复期癌症患者，通过1对1访谈及问卷的方式进行调查。完成自编问卷、生活质量问卷、心理痛苦温度计、综合医院焦虑抑郁量表的测评工作。结果：共有102例癌症患者完成本研究，其中10例（9．8％）痛苦分数高于临界值，5例（占4．9％）焦虑抑郁分数高于临界值。不同性别、有无转移癌症患者生活质量评定，QLQ 总分、功能分量表、症状分量表均未见显著性差异。有转移癌症患者的 HADS 总分高于无转移癌症患者（t＝2．144，P＜0.05）。中晚期癌症患者更需要心理干预（χ2＝6．495，P ＜0．05），更倾向团体心理干预（χ2＝13．009，P ＜0．01）。结论：应加强对康复期癌症患者心理健康知识宣传工作，并开展多种形式的心理干预，全面提高康复期癌症患者心理健康水平。
목적：료해강복기암증환자적심리건강현상급대심리간예적수구，위암증환자심리간예방안설계제공의거。방법：대문진복사적102례강복기암증환자，통과1대1방담급문권적방식진행조사。완성자편문권、생활질량문권、심리통고온도계、종합의원초필억욱량표적측평공작。결과：공유102례암증환자완성본연구，기중10례（9．8％）통고분수고우림계치，5례（점4．9％）초필억욱분수고우림계치。불동성별、유무전이암증환자생활질량평정，QLQ 총분、공능분량표、증상분량표균미견현저성차이。유전이암증환자적 HADS 총분고우무전이암증환자（t＝2．144，P＜0.05）。중만기암증환자경수요심리간예（χ2＝6．495，P ＜0．05），경경향단체심리간예（χ2＝13．009，P ＜0．01）。결론：응가강대강복기암증환자심리건강지식선전공작，병개전다충형식적심리간예，전면제고강복기암증환자심리건강수평。
Objective :To learn the psychological status and psychological intervention demands of cancer patients in re‐covery period ,then supply basis for psychological intervention of cancer patients .Methods :By face to face interview and questionnaire survey in outpatient department ,reexamined cancer patients in recovery period finished self‐compiled questionnaire ,Quality of Life Core Questionaire ,Distress Thermometer ,Hospital Anxiety and Depression Scale .Re‐sults :There are 102 cancer patients finished the study in total .Among them ,10 (9 .8% ) person got distress scores higher than threshold .5(4 .9% ) person got higher anxiety and depression scores .There are no difference between dif‐ferent gender and transfer status of life quality total score ,functional subscale and symptom subscale .The patients has cancer metastasis got higher HADS score than patients without cancer metastasis (t= 2 .144 ,P< 0 .05) .Advanced pa‐tients need psychological intervention urgently (χ2 = 6 .495 ,P< 0 .05) ,and tend to group psychological intervention (χ2= 13 .009 ,P < 0 .01) .Conclusion :Psychological knowledge education and expansion should be enhanced in cancer pa‐tients in recovery period .And many kinds of psychological interventions administrated together can improve cancer pa‐tients psychological level and life quality .