心理干预对肿瘤病人心理影响的评价分析

论文编号:HL251 论文字数:21495,页数:39

论文题目：心理干预对肿瘤病人心理影响的评价分析
摘 要
 
 目的：探讨对恶性肿瘤患者实施心理干预的有效性，提高恶性肿瘤患者的生存质量。    
 方法：随机选取晚期癌患者60名分为干预组（实施心理干预）和对照组（给于空白干预），在镇痛治疗的基础上,运用心理学技术，实施心理干预，并通过疼痛、焦虑、抑郁三种调查量表对心理干预效果进行评定。干预前后用生活满意度评定量表（LSR）和生活满意度指数量表（LSB）及改进的生命质量评定量表评价生存患者的生命质量。而对照组则处于自行康复状态。统计分析比较两组的生存质量改变量的差异 。   
 结果：两组评分比较中，在控制了年龄等不均衡因素后，干预后，干预组疼痛程度比对照组显著减轻（p<0.05）；干预组疼痛程度比干预前显著减轻（p<0.05）。干预后干预组与对照组及干预组自身前后对比焦虑程度、抑郁程度差异无显著性（p>0.05）。干预组在各维度评分都高于对照组P<0.05或P<0.01。，干预组在生存质量总分、心理状态、家庭社会功能及自我评价等方面提高的程度仍高于对照组P<0.05或P<0.01。心理健康状况均有不同程度的改善(p<0.01)，焦虑水平也明显降低(p<0.01) 。  
 结论：心理干预可以减轻晚期癌患者疼痛，提高镇痛效果，对恶性肿瘤患者实施心理干预在改善心理健康及焦虑情绪可起到明显作用。多学科联合的综合康复干预方法有助于恶性肿瘤患者生存质量的提高。
 
 关 键 词：恶性肿瘤；生存质量；心理干预措施
 
 论文类型：类实验性研究
  
Title: Psychological intervention on the psychological impact of cancer patients evaluation and analysis

Abstract
 
 
 Objective:
 To explore the implementation of psychological intervention in patients with malignant tumors of the effectiveness and improving the quality of life in patients with malignant tumors.
 Methods:
 The randomly selected 60 patients with advanced cancer were divided into intervention group (the implementation of psychological intervention) and control group (to intervene in the blank), in pain treatment based on the use of psychological techniques, the implementation of psychological intervention, and through pain, anxiety , three kinds of depression questionnaire to assess effects of psychological intervention. Before and after intervention with the life satisfaction rating scale (LSR) and life satisfaction index scale (LSB) and the improved quality of life rating scale evaluation of the survival of patients quality of life. While the control group was in a state of their own recovery. Statistical analysis and comparison of the two groups to change the amount of difference in the quality of life.
 Results:
 The two groups score comparison, after controlling for age, non-equilibrium factors, intervention, the intervention group compared with the control group pain significantly reduced (p <0.05); intervention group the pain is greater than before the intervention significantly reduced (p <0.05) . The intervention group after the intervention and control group and intervention group were compared before and after their own anxiety and depression were no significant differences in the degree (p> 0.05). The intervention group had higher ratings in all dimensions of P <0.05 or P <0.01. The intervention group in the quality of life total score, psychological state, family and social function and self-evaluation to improve the extent of such areas is still higher than P <0.05 or P <0.01. Mental health have different degrees of improvement (p <0.01), anxiety levels decreased significantly (p <0.01).
 Conclusion:
  Psychological interventions can reduce pain in patients with advanced cancer and improve the analgesic effect of psychological intervention for patients with malignant tumors in improving mental health and anxiety can play a significant role. Joint multi-disciplinary comprehensive rehabilitation interventions will help improve the quality of life of patients with malignant tumors.
 
 Key words: malignant tumor; quality of life; psychological interventions
 Paper types: quasi-experimental study

 
 
目  录

1 绪论 1
 １.1、本研究的背景和意义 1
 1.2、本研究的目的和目标 1
 1.3关键词定义 2
 1.4文献回顾 2
2 研究设计 9
 2.1 研究对象 9
 2.2 研究方法 10
 2.3 研究步骤及技术路线图 11
 2.4研究工具 12
 2.5资料分析 12
3 研究结果 15
4 讨论 21
5 推论及建议 23
 5.1推论 23
 5.2建议 23
致    谢 24
参考文献 25
附    录 27