心理干预及健康指导对老年妇科恶性肿瘤化疗患者不良情绪的影响

摘要

目的：探讨心理干预及健康指导对老年妇科恶性肿瘤化疗患者不良情绪的影响。方法2011-07-2012-07我院化疗老年妇科恶性肿瘤患者随机分为观察组（心理健康指导）和对照组（无心理健康指导），采用SAS和SDS量表对2组患者的心理状况进行分析和比较。结果对照组和观察组在化疗前的焦虑和抑郁程度比较无显著性差异（ P＞0.05）。对照组患者化疗后的SAS和SDS评分较化疗前升高（P＜0.01），而观察组患者化疗后的SAS和 SDS 评分较化疗前有下降的趋势，差异无统计学意义（P＞0.05）。观察组患者化疗后SDS和SAS评分较对照组均明显降低（P＜0.01）。结论老年妇科恶性肿瘤患者在确诊后及治疗前，有一定程度的抑郁等负面情绪的存在，给予积极的心理干预及健康指导后，可明显降低患者的焦虑、抑郁等不良情绪的发生，改善患者的悲观消极心理。%Objective To examine the effectiveness of psychological interventions and guidance of health elderly gynecolog-ical cancer chemotherapy.Methods Patients aged 60-82 who have gynecologic cancer chemotherapy ,July 2011-July 2012 in the hospitals were randomly selected observation group (intervention and control psychological health ) and the control group (no intervention ,counseling and psychological health) ,psychological state of the patients evaluated in the SAS and SDS. Results The SDS and SAS scores of the observation group and the control group did not show statistical difference before the experi-ment (P>0.05). The scores of the patients in the control group SAS and SDS higher than previous chemotherapy (P<0.01) while the number of patients in the monitoring group has a general decreasing trend as previous chemotherapy but there was no significant difference (P>0.05). The SDS and SAS scores of the general observation is significantly lower than the control group (P<0.01). Conclusion There was a certain degree of depression and other negative emotions in elderly patients with gynecological cancer after diagnosis ,before treatment. Psychological intervention and health guidance can significantly improve the pessimistic psychology of the patient ,reduce patient anxiety ,depression ,emotional release.