【摘要】 目的:建立心理干预模式,研究其对恶性肿瘤患者及其配偶生活质量的临床效果。方法:收集大港医院住院恶性肿瘤患者及配偶共120对,随机分为干预组(64对)和对照组(56对);入院1周内两组患者均填写症状自评量表(SCL-90)及简明健康状况调查表(SF-36),以评测患者及配偶心理健康水平和生活质量水平;对照组给予常规护理,干预组在常规护理的基础上给予心理干预,6周后,对患者及配偶心理健康水平及生活质量进行重新评价,确定干预对患者及配偶的影响作用。结果:1)SCL-90量表测量结果提示,患者组在总分、阳性项目数、躯体化、强迫、人际关系、抑郁、焦虑及恐惧方面因子分高于常模;配偶在总分、阳性项目数、人际关系、抑郁及焦虑方面因子分高于常模;患者在躯体化、强迫、恐惧因子分上高于配偶;配偶在焦虑、抑郁因子分上高于患者。2)与常模相比较,患者生活质量各维度得分均显著下降,配偶在活力、社会功能、情绪角色和精神健康维度得分下降。3)影响患者生活质量的因素包括患者的肿瘤分期、患者的抑郁、配偶的焦虑和抑郁、患者的SCL-90总分及家庭月收入。4)6周后,干预组患者及配偶心理健康水平及生活质量优于对照组。结论:恶性肿瘤患者和配偶均存在不同程度和不同维度的心理健康水平及生活质量水平的下降;患者及配偶的心理水平失衡是导致患者生活质量下降的重要因素;心理干预有利于改善恶性肿瘤患者及配偶的心理健康水平,并有利于提高其生活质量;恶性肿瘤的临床护理工作应重视患者及配偶的生活质量,把生活质量作为一个重要的医疗评价指标。更多还原

【Abstract】 OBJECTIVE:To evaluate the effects of psychological intervention on the quality of life of cancer patients and their spouses.METHODS:The data was collected from 120 cancer patient/spouse dyads in Dagang Hospital.The patient/spouse dyads were randomly divided into interventional group(64 dyads)and comparison group(56 dyads).The Symptom Checklist-90 scales and the SF-36 scales were used to measure the levels of psychological health and the quality of life in 116 married couples within a week.The routinely nursing was given to the comparison group,while both psychological intervention and routinely nursing were given to the interventional group.After 6 weeks the reappraisal about the psychological health and quality of life was completed.The effects of psychological interventions were assessed.RESULTS:1)Both patients and their spouses reported significantly lower scores on SCL-90 subscales.2)The low scores of patients on SF-36 indicated the decreased quality of life in patients.The spouses reported the significantly lower scores on subscales of social function,vitality,role emotional and metal health.3)The factors affecting patients’ quality of life included stage,patients’ depression,spouses’ anxiety,depression,patients’ total scores of SCL-90 and family income.CONCLUSIONS:The patients and their spouses have psychological disorders and poor quality of life,which was caused by mental aberration.The intervention should be offered to both cancer patients and their spouses to improve their quality of life.更多还原