积极综合训练对妇科肿瘤患者心理干预效果.docVIP

积极综合训练对妇科肿瘤患者心理干预效果【摘 要】目的:应用积极综合训练方法,对妇科肿瘤住院患者进行心理干预,并与一般心理支持治疗进行比较,为妇科肿瘤患者的临床心理治疗提供一种新方法。方法:选取北京大学肿瘤医院妇科接受手术治疗及化疗的患者80名,将病情及基本情况匹配的患者进行配对,分为对照组(40名,进行健康教育和支持性治疗)和干预组(40名,进行积极综合训练)。治疗结束后,用症状自评量表(Symptom Checklist 90,SCL-90)和生活质量问卷(Quality of Life Questionnaire- Core 30,QLQ-C30)进行评定。 结果:干预后,干预组的SCL-90量表评分(除恐怖、人际关系敏感因子外)均低于对照组[如,总分(1.43±0.34)vs.(1.87±0.43),P0.001]。干预组化疗患者在QLQ-C30的躯体功能、角色功能、情绪功能、认知功能、总体健康评分均高于对照组[如,总体健康(62.50±10.29)vs.(52.50±15.78),P=0.024],而疲倦、恶心呕吐、疼痛、失眠、食欲丧失、便秘、腹泻等因子分低于对照组[如,疲倦(52.77±16.07)vs.(65.55±20.36),P=0.034]。结论:积极综合干预能更好地帮助患者减轻身心症状,改善生活质量。 【关键词】积极综合干预;妇科肿瘤;心理干预;生活质量;配对设计 中图分类号:T737.3,R749.055 文献标识码:A 文章编号:1000-6729(2009)011-0780-04 doi:10.3969/j.issn.1000-6729.2009.11.006 Effect of Positive Composite Training on Mental health of Gynecologic Tumor Patients YAO Yun-Yun,HU Pei-Cheng?@ Medical Psychology Center in Faculty of Foundational Education Peking University Health Science Center,Beijing 100191,China @ Corresponding author,Email:pchu@hsc.pku.省略 【Abstract】Objective:To apply positive composite training on gynecologic tumor patients for psychological intervention,comparing with the general intervention,and to provide a new way to alleviate physical and psychological symptoms of patients and improve their quality of life.Methods:In Beijing Cancer Hospital,80 surgery and chemotherapy patients with gynecologic tumor were chosen and divided into control group (40 cases,to receive health education and supportive treatment) and intervention group (40 cases,to receive comprehensive training),whose condition and basic situation were matching.After intervention,the scores of Symptom Checklist 90 (SCL-90) and Quality of Life Questionnaire- Core 30 (QLQ-C30) were compared between the two groups.Results:After intervention,the SCL-90 scores in intervention group (outside terrorist and interpersonal sensitivity factor) were lower than that in control group[such as total score,(1.43±0.34) vs.(1.87±0.43),P0.001].The scores of physi