梅俊辉

[摘要] 目的：探讨综合心理干预对白血病患者情绪状况及生活质量的影响。方法：78例白血病患者随机分为观察组和对照组，每组各39例，对照组实施常规护理，观察组在此基础上实施综合心理干预。比较两组患者情绪状况及生活质量。结果：干预4周后，观察组患者SAS评分及SDS评分较对照组显著降低，差异有统计学意义（P<0.01）；两组患者生活质量量表（CARES-SF）心理维度、医患关系维度差异显著（P<0.01），生理维度、婚姻关系以及性功能三个维度差异显著（P<0.05）。结论：综合心理干预能有效缓解白血病患者焦虑、抑郁状况，提高患者生活质量。

[关键词] 综合心理干预；白血病；情绪状况；生活质量

[中图分类号] R733.7[文献标识码]A [文章编号]1673-7210（2011）11（c）-130-02

Effect of general psychological intervention on the emotional state and life quality of patients with leukemia

MEI Junhui

Department of First Hematology Specialty, Genera Hospital of People's Liberation Army, Beijing 100853, China

[Abstract] Objective: To investigate the effect of general psychological intervention on the emotional state and life quality of patients with leukemia. Methods: 78 patients with leukemia were randomly divided into observation group and the control group, each group had 39 cases. Control group patients were given routine care, observation group were carried out general psychological intervention on the basis of control group. Then two groups′emotional state and life quality were compared. Results: After 4 weeks of intervention, the observation group′s SAS score and SDS score were significantly lower than that of the control group, the differences were statistically significant (P<0.01); two group patients′ CARES-SF psychological dimensions, doctor-patient relationship dimensions were significant differences (P<0.01); physical dimension, marriage and sexual function dimensions were significantly different (P<0.05). Conclusion: General psychological intervention can effectively relieve the patients with leukemia anxiety and depression, and improve patient′s quality life.

[Key words] General psychological intervention; Leukemia; Emotional state; Life quality

白血病是属于造血系统的一类恶性疾病，发病率约占恶性肿瘤发病总数的5%[1]。有研究指出，相对于其他癌症患者而言，白血病患者的心理障碍较为严重[2]。因此，我们要特别关注白血病患者的心理状态，努力消除不良反应，为患者提供一个良好的心理环境，提高其适应能力，增强战胜疾病的自信心。本文对78例白血病患者采取综合心理干预手段，取得了良好的效果，现报道如下:

1 资料与方法

1.1 一般资料

选择2008年9月～2010年12月在我院住院治疗的78例白血病患者，其中，男32例，女46例；年龄18～72岁，平均（37.28±8.46）岁；急粒白血病36例，急淋白血病23例，慢粒白血病11例，慢淋白血病8例；文化程度：本科及以上12例，大专15例，高中或中专21例，高中以下30例。所有患者均经过骨髓穿刺细胞学确诊，生存期预计>1年。将患者随机分成观察组和对照组，每组39例，两组患者年龄、性别、文化程度、病情等一般资料比较，差异无统计学意义（P>0.05），具有可比性。

1.2 方法

对照组实施常规护理，主要内容有健康教育、饮食指导和服药指导等。……