影响化疗患者心理健康相关因素调查及护理干预.docVIP

影响化疗患者心理健康相关因素调查及护理干预 　【摘要】 目的 探讨化疗患者的心理健康状况及其相关影响因素，为实施护理干预提供依据。 方法 采用症状自评量表及自拟调查问卷，对在我院接受化疗的30例恶性肿瘤患者（化疗组）和30例其他疾病住院患者（对照组）的心理健康状况进行测评分析。 结果 症状自评量表评分，两组总分及各因子分比较均无显著性差异（P＞0.05）；化疗组心理健康水平较差者占16.67%，症状自评量表评分前三位排序为躯体不适、强迫和抑郁；化疗组在接受化疗过程中出现的副作用与总分、总症状指数、阳性项目数、人际关系、抑郁、焦虑、偏执、精神病性得分均呈显著正相关（P＜0.01～0.05）；探视次数与总分、总症状指数、阳性项目数、躯体化、强迫症状得分呈显著负相关（P＜0.05）；病程长短及患病时的自理状况与躯体化因子分呈显著正相关（P＜0.05）。整体化护理及健康教育干预，能显著提高化疗患者的心理健康水平。 结论 恶性肿瘤患者在化疗过程中的副作用、探视次数、病程长短及自理状况对其心理健康状况均有不同程度的影响。深入开展整体化护理，有针对性的进行护理干预和健康教育，有利于提高患者的心理健康水平和生活质量。 【关键词】 化疗 恶性肿瘤 心理健康 整体化护理 　　【Abstract】 Objective To explore the mental health status and correlated influencing factors in order to provide bases for practicing nursing interventions in patients on chemotherapy. Methods Mental health status was assessed with the Symptom Checklist90(SCL90) and the Selfmade Questionnaire(SMQ) in 30 patients with malignant tumor receiving I.V. chemotherapy (chemotherapy group) and 30 ones with other diseases doing nonchemotherapy tranfusion(control group) in our hospital.Results There were no significant differences in total and each factor scores of the SCL90 between the 2 groups(Pgt;0.05); patients with worse mental health level made up 16.67%, the first 3 places of the SCL90 scores were in turn somatodiscomfort, compulsion and depression in the chemotherapy group; side effects occurred in the process of chemotherapy were significantly positively related to total score and such factor score as total symptom index, numbers of positive items, interpersonal relation, depression, anxiety, paranoia and psychotic in the chemotherapy group(Plt;0.01～0.05). Somatization factor was significantly positively related to dutation of illness and selfcare status being ill(Plt;0.05). Holistic nursing and healthy education could significantly improve mealt health levels of patients on chemotherapy. Conclusion Such factors as side effects, visiting frequency, duration of illness and selfcare influence mental health status of patients with malig