心理干预对肿瘤放疗影响.docVIP

心理干预对肿瘤放疗影响 　　【摘要】 目的 通过心理干预增强肿瘤患者对放射反应的耐受性,使患者顺利完成治疗。方法 200例患者随机分为干预组和对照组,对照组100例,干预组100例,干预组同时给于心理干预。观察两组放疗期间对药物治疗的依赖及放疗计划完成情况。结果 干预组对药物的依赖明显低于对照组(P0.01),放疗计划完成情况明显高于对照组(P0.01)。结论 通过对放疗患者进行心理干预可以大大降低患者出现放射反应时对药物的依赖,增强放疗效果,增强治疗的依从性,顺利完成治疗计划。 　　【关键词】心理干预;肿瘤;放射治疗 　　 　　Effect of Psychological Intervention for Patients with Radiotherapy 　　YANG Zhou.Department of Radiotherapy,Fuyang City People’s Hospital,Fuyang Province 236000,Anhui China 　　【Abstract】 Objective By psychological intervention to enhance tumor patients toleration of radioreaction and to complete treatment successfully.Methods 200 cases tumer patients were randomly divided into intervention and control groups,control group 100 cases,100 cases of the intervention group,the intervention group were given the psychological intervention at the same time.The case of the two groups were observed for dependence of drug treatment and the completion of the radiotherapy plan during radiotherapy.Results The intervention group of drug dependence was significantly lower than the control group(P0.01),the completion of radiotherapy plan was significantly higher than control group(P0.01).Conclusion Through psychological interventionthe drug dependence could be significantly reduced in patients with radioreaction,to enhance the effect of radiation therapy and treatment compliance,to complete treatment plan successfully. 　　【Key words】Psychological intervention; Tumor; Radiotherapy 　　 　　作者单位:236000安徽省阜阳市人民医院放疗科 　　 　　身患癌症是严重的心理冲击,致使患者产生许多痛苦的心理问题;如焦虑、抑郁情绪,继而引起各种躯体症状。放射治疗(简称放疗)期间这种不良情绪往往加重放射反应而增加对药物治疗的依赖,或中断放疗甚至拒绝放疗。既往的研究多以观察心理干预对患者焦虑、抑郁等情绪的影响,笔者从另一个角度通过对100例肿瘤放疗患者实施心理干预以改善以上不良情况进行观察对比。 　　1 资料与方法 　　1.1 一般资料 经病理确诊的200例肿瘤患者均有放疗适应证或者拒绝手术治疗,卡氏评分≥60分,随机分为两组,干预组100例,对照组100例。食管癌50例,肺癌44例,乳腺癌36例,直肠癌35例,宫颈癌30例.其他5例,年龄29~70岁,中位年龄60 岁。两组均给予常规放疗,剂量45~65 Gy,放疗中出现放射反应时给予相应药物治疗。干预组放疗前及放疗中给予心理干预,对照组不给予心理干预。 　　1.2 干预措施 具体方法如下:①让患者熟悉放疗环境,了解放疗设备,并实地观摩放疗的全过程,使患者对放疗有个正确的认识;②放疗前向患者详细介绍放疗中可能会出现的放射反应,让患者预先有所准备并明白出现不良反应是正常的,这样可使患者在不良反应发生时