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[目的]了解心理干预对癌症患者心身状况的影响,为癌症的临床心理干预提供依据。[方法]检索CNKI1999-2008年发表的相关文献,筛选出11组符合入组标准的数据进行Meta分析。[结果]和对照组相比,心理干预后研究组SCL-90九个因子的得分均显著下降,其中“躯体化”因子下降了0.40(95%CI:0.34～0.45);“强迫”因子下降了0.34(95%CI:0.29～0.39);“人际关系”因子下降了0.22(95%CI:0.17～0.27);“抑郁”因子下降了0.47(95%CI:0.42～0.52);“焦虑”因子下降了0.50(95%CI:0.44～0.55);“敌对”因子下降了0.31(95%CI:0.24～0.37);“惊恐”因子下降了0.21(95%CI:0.15～0.26);“偏执”因子下降了0.18(95%CI:0.12～0.24);“精神病性”因子下降了0.24(95%CI:0.19～0.30),合并检验的P值均<0.001,具有显著的统计学差异。[结论]实施心理干预能有效改善癌症患者的心身状况。
[Objective] To understand the influence of psychological intervention on the psychosomatic status of cancer patients and provide the basis for the clinical psychological intervention of cancer. [Methods] The CNKI published from 1999 to 2008, published literature review, selected 11 groups meet the inclusion criteria for meta-analysis of data. [Results] Compared with the control group, the scores of nine factors of SCL-90 in the study group decreased significantly after psychological intervention, in which the “somatization” factor decreased by 0.40 (95% CI: 0.34-0.45) (95% CI: 0.29-0.39), Factor 0.22 (95% CI: 0.17-0.27) and depression (0.47) decreased by 0.47 (95% CI: 0.29-0.39) 0.42-0.52); “anxiety” factor decreased by 0.50 (95% CI: 0.44-0.55); “hostility” decreased by 0.31 (95% CI: 0.24-0.37) (95% CI: 0.15-0.26); Paranoid factor decreased by 0.18 (95% CI: 0.12-0.24); Psychiatric factor decreased by 0.24 (95% CI: 0.19-0.30) , P values of the combined test were <0.001, with significant statistical differences. [Conclusion] The implementation of psychological intervention can effectively improve the psychological status of cancer patients.