目的:探讨心理干预对早期恶性肿瘤患者术后心理行为及生活质量的影响.方法:将96例早期恶性肿瘤患者随机分为对照组和观察组,对照组采用常规护理,观察组在此基础上进行心理干预,比较实施前后2组患者的心理行为和生活质量.结果:早期恶性肿瘤患者术后心理行为调查问卷结果显示,实施心理干预后,患者术后绝望、依赖、恐惧、抑郁和焦虑心理发生率均低于对照组(P<0.05~P<0.01);欧洲癌症研究和治疗协作生活质量核心问卷(QLQ-C30)调查表明,观察组患者术后功能领域各项评分均显著高于对照组(P<0.01),疲乏、疼痛、睡眠障碍、食欲减弱、便秘和腹泻评分均低于对照组(P<0.05~P<0.01),而观察组患者术后整体生活质量评分显著高于对照组(P<0.01).结论:早期恶性肿瘤患者术后普遍存在负性心理行为,积极的心理干预能有效促进肿瘤患者的心理健康,改善生活质量.%Objective:To investigate the effects of psychological intervention on psychogenic behavior and life quality in early malignancy patients. Methods:Ninety-six early malignancy patients were randomly divided into the control group and experimental group. The control group were nursed with conventional measure, the experimental group were nursed with psychological intervention based on the conventional measures. The psychogenic behavior and life quality between two groups were compared before and after treatment. Results:The psychological and behavioral survey showed that the incidences of the despair,dependency,fear,depression and anxiety in experimental group were less than those in control group after treatment(P<0. 05 to P<0. 01). The QLQ-C30 showed that the postoperative functional scores in experimental group were significantly higher than those in control group(P<0. 01),the scores of the fatigue,pain,sleep disorders,reduced appetite,constipation and diarrhea in experimental group were lower than those in control group (P<0. 05 to P<0. 01). The total score of quality of life in experimental group was significantly higher than that in control group (P<0. 01). Conclusions:The negative psychological behavior is found in many early malignancy patients. The positive psychological intervention can effectively improve the psychological condition and quality of life.
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