心理干预对食管癌术后恢复影响的研究.docVIP

精品论文 参考文献 心理干预对食管癌术后恢复影响的研究 青州市人民医院 山东 青州262500 【摘 要】 目的: 探讨心理干预对食管癌术后患者恢复的影响。方法: 选取2013年1月—2015年12月64例择期开胸食管癌手术患者，随机分成观察组和对照组，每组32例。对照组仅行一般术前健康教育，观察组进行心理干预，两组患者分别进行焦虑自评量表（SAS）和抑郁自评量表（SDS）测评，比较两组患者手术并发症发生，住院时间，住院费用，患者遵医行为的差别并进行统计学分析。结果: 经心理干预的观察组SAS 、SDS评分与对照组比较差异有统计学意义（P＜0.05），观察组和治疗组患者在手术并发症发生方面差异无统计学意义（P ＞ 0.05），两组患者在住院费用，住院时间及患者遵医行为方面差异有统计学意义（P＜0.05）。结论: 心理干预可以改善食管癌根治术后化疗患者的焦虑、抑郁状态及免疫功能，是一种有效的辅助治疗手段。 【关键词】心理干预；食管癌；肿瘤化学疗法 【中图分类号】R335【文献标识码】A【文章编号】1001-5213(2016)09-0143-02 Abstract: Objective: To evaluate the analysis of psychological intervention on the postoperative recovery of patients with esophageal cancer. Methods: We selected in January 2013 to December 2015 in our hospital treated 64 cases of esophageal cancer patients, randomly divided into two groups, 32 cases in control group were treated by traditional nursing method, on the basis of the observation group in the control group given psychological intervention, Self rating Anxiety Scale (SAS) and self rating Depression Scale (SDS) were evaluated in two groups respectively. Compared the two groups of patients with surgical complications, length of stay, hospital costs, patients compliance behavior differences and to statistical analysis .Results: Compared with the control group, the SAS and SDS scores of the observation group were statistically significant (P lt; 0.05). There was no significant difference in the incidence of complications between the observation group and the treatment group (P gt; 0.05).Two groups of patients in hospital costs, length of stay and patient compliance behavior of the differences were statistically significant. Conclusion: Psychological intervention is an effective auxiliary therapy, which can improve the anxiety, depression and immune function in patients with esophageal cancer after radical operation. Key words: Psychological intervention; Esophageal cancer; Tumor chemotherapy 近年来食管癌的发病率有逐渐上升趋势，并且具有较高的致死率。目前外科手术仍然是临床治疗的首选手段，然而在疾病治疗过程中患者经常因为恐惧、担忧会出现较大的心理反应及