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目的对接受放射性核素(131I)治疗的甲状腺癌患者,实施结构式团体心理治疗并评价对其生活质量和情绪的影响。方法将120例甲状腺131I治疗患者随机分成干预组(61例)和对照组(59例)。干预组利用住院期间实施4次结构式团体心理干预,对照组仅实施常规护理。全部患者在入院时和出院后进行情绪和生活质量测试:焦虑自评量表(SAS)、抑郁自评量表(SDS)及癌症病人生命质量测定量表(QLQ-C30)。结果干预组在干预前后的SAS、SDS均有显著性差异(P<0.05、0.01),对照组无显著性差异。干预组在角色功能、情绪功能、认知功能、社会功能、疲倦、恶心呕吐、失眠、食欲、便秘、总体健康方面,干预前后的差异有显著性;而治疗组有显著性差异的方面较少:认知功能、气促、食欲和便秘。结论结构式心理干预在甲状腺癌患者131I治疗住院期间可以有效实施,经过心理干预的患者,其情绪和生命质量多方面均有改善。
Objective To evaluate the impact of structural group psychotherapy on the quality of life and mood of patients with thyroid cancer treated with radionuclide (131I). Methods 120 patients with thyroid 131I treatment were randomly divided into intervention group (61 cases) and control group (59 cases). The intervention group used structured psychotherapy 4 times during hospitalization, while the control group only performed routine nursing. All patients were tested for mood and quality of life on admission and after discharge from hospital: SAS, SDS and QLQ-C30. Results The intervention group had significant differences in SAS and SDS before and after intervention (P <0.05, 0.01), but there was no significant difference in the control group. The intervention group had significant differences in the role of function, emotional function, cognitive function, social function, fatigue, nausea and vomiting, insomnia, appetite, constipation, general health before and after intervention; while the treatment group had less significant differences : Cognitive function, shortness of breath, appetite and constipation. Conclusion Structural psychological intervention can be effectively implemented during the hospitalization of thyroid cancer patients treated with 131I. After psychological intervention, patients’ mood and quality of life improved in many aspects.