全程介入式心理干预对结肠癌患者预后影响的研究-国际精神病学杂志-CSCIED科技核心评价数据库-手机版

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全程介入式心理干预对结肠癌患者预后影响的研究

Study the effect of the whole interventional psychological intervention on patients with colon cancer

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刊名	国际精神病学杂志 Journal of International Psychiatry
年，卷(期)	2018, 45(3)
作者	年红,郑春娟,刑丽娜,王悦娜*,
作者单位	哈尔滨市医科大学附属第二医院 ; 哈尔滨市第五医院 ; 哈尔滨市医科大学附属第二医院 ;
摘要	王悦娜1【摘要】目的：研究全程介入式心理干预对结肠癌患者情绪、生活质量及生存期的影响。方法：将结肠癌患者随机分为两组，全程介入式心理干预组（干预组）和常规治疗组（对照组）。采用汉密顿焦虑量表（Hamilton Anxiety Scale,HAMA）、汉密顿抑郁量表（Hamilton Depression Scale ,HAMD）、生活质量评分（Quality of Life Scale,QOL）对两组治疗前及治疗后6个月进行评分。比较干预组治疗前及治疗后6个月时HAMA、HAMD、QOL评分差异。比较两组患者治疗6个月时HAMA、HAMD、QOL评分差异及两组患者1年、3年、5年生存人数差异。结果：干预组患者治疗6个月后HAMA、HAMD评分较治疗前下降，且差异有统计学意义（p<0.05），QOL评分与治疗前比较差异无统计学意义（p>0.05）。治疗6个月时干预组患者HAMA、HAMD评分低于对照组，且差异有统计学意义（p<0.05），治疗后干预组QOL评分高于对照组，且差异有统计学意义（p<0.05）。两组患者1年、3年存活率比较差异无统计学意义(p>0.05)。干预组5年存活率较对照组高，差异有统计学意义（p<0.05）。结论：全程介入式心理干预可以改善结肠癌患者情绪，提高患者生活质量及远期存活率。
Abstract	【Abstract】 Objective: To study the effect of psychological intervention on emotion, quality of life and lifetime with colon cancer. Methods: Patients with colon cancer were randomly divided into two groups, the psychological intervention group and the control group that received conventional therapy. We score all patients by Hamilton Anxiety and Depression Scale(HAMA,HAMD) and Quality of Life Scale(QOL) before and 6 months after treatment. The scores of two groups were compared at 6 months after treatment. We compared HAMA, HAMD, QOL score in the intervention group before and after 6 months of treatment. We recorded and compared the number of survival at 1,3,5 years of two groups. Results: The HAMA, HAMD score in the intervention group at 6 months after treatment is significantly lower than the score before treatment(p<0.05),and QOL score has no significant difference (p>0.05).After treatment of 6 months the HAMA and HAMD score of the psychological intervention group was significantly lower than the control group(p<0.05),and QOL score significantly higher(p<0.05). Compared with the control group the psychological intervention group significantly increased the 5-year survival rate(p<0.05). There was no significant difference in survival rate between the two groups in 1 years and 3 years(p>0.05). Conclusion: psychological intervention can reduce negative emotion and increase the quality of life and long-term survival of patients with colon cancer.
关键词	【关键词】结肠癌；心理干预；情绪；生活质量；生存期
KeyWord	【Key words】 Colon cancer; Psychological intervention; Emotion; Quality of life; Survival
基金项目
页码	556-558

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年红,郑春娟,刑丽娜,王悦娜*. 全程介入式心理干预对结肠癌患者预后影响的研究 [J]. 国际精神病学杂志. 2018; 45; (3). 556 - 558.

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