首页|序贯式心理干预对肺癌化疗患者负性情绪、生活质量及依从性的影响

序贯式心理干预对肺癌化疗患者负性情绪、生活质量及依从性的影响

Effect of sequential psychological intervention on negative emotions,quality of life and compliance in patients with lung cancer undergoing chemotherapy

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目的 探讨序贯式心理干预对肺癌化疗患者负性情绪、生活质量及依从性的影响.方法 根据干预方式的不同将96例肺癌化疗患者分为观察组(n=55)和对照组(n=41),对照组患者接受常规干预,观察组患者在对照组的基础上接受序贯式心理干预.比较两组患者的负性情绪[7项广泛性焦虑障碍量表(GAD-7)、9项患者健康问卷(PHQ-9)]、生活质量、依从性和不良反应发生情况.结果 干预后,两组患者GAD-7、PHQ-9评分均低于本组干预前,生活质量综合评定问卷各维度评分均高于本组干预前,观察组患者GAD-7、PHQ-9评分均低于对照组,生活质量综合评定问卷各维度评分均高于对照组,差异均有统计学意义(P<0.05).观察组患者的总依从率高于对照组,不良反应总发生率低于对照组,差异均有统计学意义(P<0.05).结论 序贯式心理干预能改善肺癌化疗患者的负性情绪和依从性,提高生活质量,降低不良反应发生率.
Objective To explore the effect of sequential psychological intervention on negative emotions,quality of life and compliance in patients with lung cancer undergoing chemotherapy.Method According to different intervention methods,96 patients with lung cancer who underwent chemotherapy were divided into observation group(n=55)and con-trol group(n=41).Patients in the control group received routine intervention,and patients in the observation group re-ceived sequential psychological intervention on the basis of the control group.The negative emotions[generalized anxi-ety disorder-7(GAD-7),patient health questionnaire-9 items(PHQ-9)],quality of life,compliance,and incidence of ad-verse reactions of the two groups were compared.Result After intervention,the scores of GAD-7 and PHQ-9 in two groups were lower than those before intervention,the dimensional scores of genetic quality of life inventory-74 quality of life were higher than those before intervention,the scores of GAD-7 and PHQ-9 in observation group were lower than those in control group,the dimensional scores of genetic quality of life inventory-74 were higher than those in control group,and the differences were statistically significant(P<0.05).The total compliance rate of observation group was high-er than that of control group,the total incidence of adverse reactions was lower than that of control group,and the differ-ences were statistically significant(P<0.05).Conclusion Sequential psychological intervention can improve the nega-tive emotions,compliance and quality of life of patients with lung cancer undergoing chemotherapy,and reduce the inci-dence of adverse reactions.

sequential psychological interventionlung cancerchemotherapynegative emotionquality of lifecom-pliance

商伟娜、张培培、段昆梅、尚茜

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河南省人民医院呼吸与危重症医学科,郑州大学人民医院,郑州 450000

序贯式心理干预 肺癌 化疗 负性情绪 生活质量 依从性

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(18)