Barre Vijay Prasad, Padmaja Gadiraju, Saxena Ravi Kumar, Rana Suvashisa
Department of Clinical Psychology, Dharwad Institute of Mental Health and Neurosciences, Dharwad, Karnataka, India.
Centre for Health Psychology, University of Hyderabad, Central University, Gachibowli, Hyderabad, India.
Indian J Palliat Care. 2015 May-Aug;21(2):203-8. doi: 10.4103/0973-1075.156503.
Many studies have explored stress and quality of life in (QOL) patients with cancer, under several phases of disease and treatment. However, the impact of medical intervention on psychological parameters, such as stress and quality of life focusing on psychological intervention has been sparsely studied.
The main aim of the study was to examine the impact of medical intervention on the level of stress and quality of life of patients with lung, breast, and head and neck cancers.
The study was carried out in hospital settings by following a one-group pre-test-post-test pre-experimental design.
The quantitative data were analysed by means of descriptive statistics, paired t-tests, Cohen's d, and bar graphs accordingly.
The effect of medical intervention was medium in case of reduction of overall stress in participants. So far as the components are concerned, the effect was high in case of psychosomatic complaints, medium in case of fear and information deficit, and low in case of everyday life restrictions. The effect of medical intervention in respect of the quality of life was found to be high in case of symptom scale (pain) and additional symptoms (constipation); medium in case of functional scale (emotional functioning, cognitive functioning) and symptoms scale (nausea, vomiting). In additional symptoms scale the effect of medical intervention was found to be medium in dyspnoea and appetite loss.
The findings revealed that though the medical intervention reduced stress and improved the quality of life, it was not instrumental in bringing down the stress to minimal level and enhancing the quality of life to optimum level. Therefore, the findings point to the need of inclusion of psychological intervention along with the medical intervention for minimizing stress and optimizing the quality of life of patients with cancer.
许多研究探讨了癌症患者在疾病和治疗的几个阶段中的压力与生活质量(QOL)。然而,针对心理干预的医学干预对心理参数(如压力和生活质量)的影响研究较少。
本研究的主要目的是检验医学干预对肺癌、乳腺癌及头颈癌患者的压力水平和生活质量的影响。
本研究在医院环境中采用单组前后测预实验设计进行。
定量数据相应地通过描述性统计、配对t检验、科恩d值和柱状图进行分析。
就降低参与者的总体压力而言,医学干预的效果中等。就各组成部分而言,身心症状方面效果显著,恐惧和信息缺乏方面效果中等,日常生活限制方面效果较低。在生活质量方面,医学干预在症状量表(疼痛)和其他症状(便秘)方面效果显著;在功能量表(情绪功能、认知功能)和症状量表(恶心、呕吐)方面效果中等。在其他症状量表中,医学干预在呼吸困难和食欲减退方面效果中等。
研究结果显示,尽管医学干预减轻了压力并改善了生活质量,但它无法将压力降至最低水平,也无法将生活质量提升至最佳水平。因此,研究结果表明需要在医学干预的同时纳入心理干预,以尽量减少癌症患者的压力并优化其生活质量。