心理援助缓解癌症患者心理压力效果评价

摘要

Objective:To evaluate the effect of psychological support by establishing pychological assistance sys-tem on reducing the stress levels of cancer patients.Methods:All 43 hospitalized cancer patients who underwent chemotherapy and received the psychological assistance voluntarily were enrolled.Psychological support intervention was provided.Psychological pressure scores were analysed before and after each intervention.Results:The psychologi-cal pressure score(31.442 ±9.898)after the first intervention of the first 43 patients significantly decreased com-pare with the score (44.512 ±3.708)before the intervention(P <0.001).The psychological stress score (26.162 ±4.266)in the 37 patients actively accepting the second psychological intervention notebaly decreased compare with the score(42.270 ±11.690)before the first intervention and the score(30.189 ±7.453)after the first intervention (P <0.001).The psychological stress score(26.364 ±5.178)in the 22 patients taking the initiative to accept the third psychological intervention decreased significantly compare with the score before(41.636 ±10.158)and after (32.091 ±8.479)the first intervention(P <0.001).The psychological stress score(24.444 ±4.613)in the 9 pa-tients taking the initiative to accept the fourth psychological intervention decreased significantly compare with the score before (46.000 ±12.083)and after (34.222 ±7.259)the first intervention(P <0.001).The psychological pressure score(24.444 ±4.613)in the patients who accept four times psychological intervention decreased significantly compare with the score before(46.000 ±12.083)the first intervention,which indicates that continued psychological intervention can effectively reduce psychological stress of cancer patients and improve the quality of life.Conclusion:Psychological aid intervention can make patients get rid of fear to improve compliance.%目的：研究建立癌症患者心理援助系统进行心理支持干预对降低癌症患者心理压力水平的效果。方法：随机抽取43例住院化疗并自愿接受心理援助的癌症患者，由专业人员进行心理支持干预，分析比较患者每次干预前和干预后的心理压力评分。结果：43例患者的心理压力评分首次干预后（31．442±9．898）较首次干预前（44．512±13．708）明显下降（P ＜0．001）；主动接受第2次心理干预后的37例患者的心理压力评分（26．162±4．266）较首次干预前（42．270±11．690）和首次干预后（30．189±7．453）明显降低（P ＜0．001）；主动接受第3次心理干预后的22例患者的心理压力评分（26．364±5．178）较首次干预后（32．091±8．479）和首次干预前（41．636±10．158）压力评分明显下降（P ＜0．001）。通过4次干预后的心理压力评分（24．444± 4．613）较首次干预前的评分（46．000±12．083）显著下降，说明坚持进行心理干预能有效降低肿瘤患者的心理压力，提高患者战胜疾病的信心，改善生活质量。结论：心理援助干预能有效降低癌症患者的心理压力水平，使患者摆脱恐惧心理的折磨，提高治疗依从性。