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心理支持与干预联合阿米替林消除癌症患者负面心理影响的临床研究

Clinical research of eliminating the negative psychological impact of patients with cancer with psychological support and intervention combined amitriptyline.

作者信息

Li Weihua, Ding E, Wang Aiqin, Luan Xiaorong

机构信息

Operating Room,Qilu Hospital of Shandong University, Shandong, China.

Cancer Center,Qilu Hospital of Shandong University, Shandong, China.

出版信息

Pak J Pharm Sci. 2015 Jan;28(1 Suppl):335-40.

Abstract

Cancer patients need not only advanced therapeutic method but also spiritual counseling. Therefore clinical nurses need to analyze the negative psychological status and discuss the effect of psychological support and intervention on the improvement of patients' psychological burden, thus to establish effective intervention plans for patients. A total of 30 patients with cancer were selected for study. They were divided into blank group, intervention group and control group. Patients in three groups were orally administrated amitriptyline if necessary. Patients in blank group directlyfilled in the form of self-perceived burden and self-made questionnaire of general material of patients. Different groups were interfered with psychological support in different patterns for 3 months. The differences of SPB experience, MCMQ and QLQ-CCC in two groups werecompared respectively. It was found that SPBscore of cancer patients in blank group was in moderate level of burden, while SPB score in intervention group and control group were relatively lower, and score of MCMQ and QLO-CCC in intervention group were higher than that in control group. It was concluded that the experience of self-perceived burden existed in most cancer chemotherapy patients. Psychological support and intervention can obviously reduce the SPB experience of cancer patients and improve patients' living quality.

摘要

癌症患者不仅需要先进的治疗方法,还需要精神疏导。因此,临床护士需要分析患者的负面心理状态,探讨心理支持与干预对减轻患者心理负担的作用,从而为患者制定有效的干预方案。选取30例癌症患者进行研究,分为空白组、干预组和对照组。三组患者必要时均口服阿米替林。空白组患者直接填写自我感知负担量表及自制的患者一般资料问卷。对不同组采用不同方式进行心理支持干预3个月,分别比较两组患者的自我感知负担体验、医学应对问卷(MCMQ)及癌症患者生活质量核心问卷(QLQ-CCC)的差异。结果发现,空白组癌症患者的自我感知负担得分处于中等负担水平,干预组和对照组的自我感知负担得分相对较低,且干预组的MCMQ及QLQ-CCC得分高于对照组。结论:多数癌症化疗患者存在自我感知负担体验,心理支持与干预可明显降低癌症患者的自我感知负担体验,提高患者生活质量。

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