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目的研究恶性肿瘤患者强化心理疏导的临床效果及影响因素,为临床工作提供借鉴资料。方法选择我院2011年5月~2012年4月治疗的75例恶性肿瘤患者作为研究对象,进行强化心理疏导,采用Zung焦虑量表(SAS)、抑郁量表(SDS)评分为观察指标评估患者的心理状态改善效果并分析影响因素。结果心理疏导后4周研究对象的SAS、SDS评分均显著优于心理疏导前,且差异有统计学意义(P<0.05);女性的焦虑、抑郁程度明显高于男性(P<0.05),不同文化程度的患者焦虑、抑郁程度差异有统计学意义(P<0.05),不同年龄及疾病种类的患者焦虑、抑郁程度无明显差异(P<0.05)。结论强化心理疏导对恶性肿瘤患者不良心理状态的影响较为积极,有助于改善患者的负性情绪状态,患者的性别、文化程度均为临床效果的影响因素,值得关注。
Objective To study the clinical effects and influencing factors of psychological counseling in patients with malignant tumors and provide references for clinical work. Methods Seventy-five patients with malignant tumor treated in our hospital from May 2011 to April 2012 were enrolled in this study. Their psychological counseling was conducted. The patients were evaluated by Zung anxiety scale (SAS) and depression scale (SDS) Psychological status to improve the effect and analyze the influencing factors. Results SAS and SDS scores of the 4 weeks after psychological counseling were significantly better than those before psychological counseling, and the difference was statistically significant (P <0.05). The anxiety and depression of women were significantly higher than those of men (P <0.05) The degree of anxiety and depression of patients with educational level had statistical significance (P <0.05). There was no significant difference in anxiety and depression among different age and disease types (P <0.05). CONCLUSION: Intensified psychological counseling has a more positive effect on adverse psychological state in patients with malignant tumors and helps to improve the negative emotional state of patients. The gender and educational level of patients are all the influencing factors of clinical effect, which deserves attention.