心理干预对贲门癌术后营养不良患者的影响

doi:10.3969/j.issn.1674-490X.2015.03.016

医学研究与教育 ›› 2015, Vol. 32 ›› Issue (3): 69-74.DOI: 10.3969/j.issn.1674-490X.2015.03.016

心理干预对贲门癌术后营养不良患者的影响

李佳林¹，李鹤飞²

1. 河北大学临床医学院，河北保定 071000；2. 河北大学附属医院，河北保定 071000

出版日期:2015-06-25 发布日期:2015-06-25
作者简介:李佳林（1993—），男，河北安国人。E-mail: 1255536431@qq.com

Effects of structural psychological intervention on the patients with malnutrition after cardiac cancer operation

LI Jialin¹, LI Hefei²

1. College of Clinic Medicine of Hebei University, Baoding 071000, China; 2. Affiliated Hospital of Hebei University, Baoding 071000, China

Online:2015-06-25 Published:2015-06-25

摘要/Abstract

摘要： 目的探讨心理干预措施对于贲门癌术后营养不良患者心理状态的积极作用以及对生活质量的有利影响。方法将 56 例贲门癌术后营养不良患者随机分为对照组和干预组，每组 28 例。对照组按常规进行入院宣教、疾病知识教育和健康教育，干预组在此基础上接受 3 次结构性心理干预。用 SCL-90 和 QLQ-C30 评定两组患者在入院时和心理干预 1 个月后心理健康水平和生活质量。结果 56 例营养不良患者入院时 SCL-90 各因子得分均显著高于全国常模 (P<0.01)；1 个月后干预组 SCL-90 除敌对因子外，其他各因子评分均低于对照组（P<0.01）；1 个月后干预组 QLQ-C30 躯体功能、情绪功能、社会功能、总体健康、疲乏、恶心呕吐、失眠、食欲丧失、便秘和对照组比较，差异具有统计学意义（P<0.01）。结论结构性心理干预措施对于减轻贲门癌术后营养不良患者的心理压力以及提高其生活质量具有重要影响。

关键词: 贲门癌, 营养不良, 结构性心理干预, 心理状况, 生活质量

Abstract: Objective To evaluate the effects of structural psychological intervention on the mentality and quality of life in patients with malnutrition after the cardiac cancer operation. Methods Fifty-six patients with malnutrition after the operation of cardiac cancer were randomly divided into intervention group and control group. The 28 patients in the control group received routine admission education and health education. The others in the intervention group received 3 structural psychological intervention in addition to routine admission education and health education. The mentality and quality of life with two group patients were investigated by using SCL-90 and QLQ-C30 questionare at the time of admission and 1 month later. Results There was significant difference in mental health status for patients with malnutrition compared with the norm assessed by SCL-90 (P<0.01). After intervention, the SCL-90 scores in intervention group (except hostility) were lower than that in the control group(P<0.01). The comparison between the two groups after 1 month showed there was statistically significant differences in physical function, emotional function, sociology function, general health status ,fatigue, nausea and vomiting, insomnia, appetite loss, constipation (P<0.01). Conclusion The structural psychological intervention is able to alleviate the mental symptoms and improve their quality of life in the patients with malnutrition after the cardiac operation.

Key words: cardiac cancer, malnutrition, structural psychological intervention, mental health status;quality of life

中图分类号:

R735.1

李佳林，李鹤飞. 心理干预对贲门癌术后营养不良患者的影响[J]. 医学研究与教育, 2015, 32(3): 69-74.

LI Jialin,LI Hefei. Effects of structural psychological intervention on the patients with malnutrition after cardiac cancer operation[J]. Medical Reserch and Education, 2015, 32(3): 69-74.

参考文献

[1] 张效公. 食管贲门外科学[M]. 北京: 中国协和医科大学出版社, 2005: 546.
[2] BAUER J, CAPRA S, FERGUSON M. Use of the scored Patient-Generated Subjective Global Assessment(PG-SGA) as a nutrition assessment tool in patients with cancer[J]. Eur J Clin Nutr, 2002, 56(8): 779-785.
[3] 陈昌惠. 症状自评量表(Symptom Checklist 90, SCL-90) [J]. 中国心理卫生杂志, 1999, 1999(增刊): 31-35.
[4] YENNURAJALINGAM S, PALMER J L, ZHANG T, et al. Association between fatigue and other cancer-related symptoms in patients with advanced cancer [J]. Support Care Cancer, 2008, 16(10): 1125-1130.
[5] 金华, 吴文源, 张明园. 中国正常人SCL-90评定结果的初步分析[J]. 中国神经精神疾病杂志, 1986, 12(5): 260-263.
[6] BERGQUIST H, RUTH M, HAMMERLID E. Psychiatric morbidity among patients with cancer of the esophagus or the gastro cardiac junction: a prospective, longitudinal evaluation [J]. Dis Esophagus, 2007, 20(6): 523-529.
[7] 罗健, 孙燕. 癌症患者生活质量研究[J]. 中国肿瘤, 2001, 10(2): 76-78.
[8] BLAZEBY J M, BROOKES S T, ALDERSON D. The prognostic value of quality of life scores during treatment for cardiac cancer [J]. Gut, 2001, 49(2): 227-230.
[9] 王建平. 结构性心理教育干预在癌症患者中的应用[J]. 国外医学肿瘤学分册, 2000, 27(3): 156-159.
[10] FAWZY F I, CANADA A L, FAWZY N W. Malignant melanoma: effects of a brief, structured psychiatric intervention on survival and recurrence at 10-year follow-up [J]. Arch Gen Psychiatry, 2003, 60(1): 100-103.
[11] SPIEGEL D, BUTLER L D, GIESE-DAVIS J, et al. Effects of supportive-expressive group therapy on survival of patients with metastatic breast cancer: a randomized prospective trial [J]. Cancer, 2007, 110(5): 1130-1138.
[12] GOODWIN P J, LESZCZ M, ENNIS M, et al. The effect of group psychosocial support on survival in metastatic breast cancer [J]. N Engl J Med, 2001, 345(24): 1719-1726.
[13] LOVEJOY N C, TABOR D, MATTEIS M, et al. Cancer-related depression: Part I--Neurologic alterations and cognitive behavioural therapy[J]. Oncology Nurs Forum, 2000, 27(4): 667-678.

心理干预对贲门癌术后营养不良患者的影响

Effects of structural psychological intervention on the patients with malnutrition after cardiac cancer operation

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 6

编辑推荐

Metrics

本文评价

[1]	路潜,张力川,王玉洁,庄冰,孙艳. 头颈部恶性肿瘤患者放疗前营养风险与营养不良状况分析[J]. 医学研究与教育, 2019, 36(6): 54-62.
[2]	王一鑫,张云淑,栗克清. 精神分裂症患者生活质量的影响因素研究进展[J]. 医学研究与教育, 2018, 35(5): 49-54.
[3]	吕丽. 实施延伸护理对肝硬化患者生活质量的影响[J]. 医学研究与教育, 2016, 33(5): 21-24.
[4]	李晶,张瑞丽,闫红丽,李姣,郝欣悦. 延续护理服务对前列腺电切术后患者生活质量影响的研究进展[J]. 医学研究与教育, 2013, 30(2): 71-75.
[5]	王会敏,王超. 护理干预对高血压脑出血患者预后的影响[J]. 医学研究与教育, 2013, 30(2): 67-70.
[6]	刘彦雪. 心理干预对乳腺癌围手术期患者生活质量的影响[J]. 医学研究与教育, 2010, 27(6): 53-55.