冯惠春　黄静

[摘要] 目的 探讨心理护理干预措施对恶性肿瘤放疗患者的心理状况影响。方法 选取我院2012年1月～2013年12月间的120例恶性肿瘤放疗患者为研究对象，将其按照随机数字法分为常规组和干预组，常规组给予常规的护理，干预组给予心理护理干预，观察两组患者的心理状况。结果 护理前两组的SAS评分和SDS评分比较，差异无统计学意义（P>0.05）；护理后两组的SAS评分和SDS评分较护理前有明显改善，差异有统计学意义（P<0.05）。干预组的临床护理满意度为93.3%，常规组的临床护理满意度为72.7%，干预组的临床护理满意度高于常规组，差异有统计学意义（P<0.05）。干预组患者生活质量评分为（86.3±3.2）分，常规组患者生活质量评分为（73.4±2.5）分，干预组患者生活质量评分高于常规组，差异有统计学有意义（P<0.05）。 结论 在恶性肿瘤放疗患者护理的过程中加强针对性的心理护理干预是可行的，且有效改善患者不良情绪。同时，对提高患者的临床护理满意度也具有明显的优势，提高患者放疗后的生活质量，值得临床应用与推广。

[关键词] 恶性肿瘤；心理护理；心理状况；应用效果

[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2014）23-0078-03

[Abstract] Objective To investigate the psychological care interventions for cancer radiotherapy psychological status of patients. Methods A total of 120 cases of cancer in our hospital from January 2012 to December 2013 treated with radiotherapy were selected for the study， which was in accordance with randomly divided into routine group and intervention group and the conventional group received routine care， the intervention group received psychological nursing intervention， the two groups were observed psychological conditions. Results The intervention group and conventional care group SAS scores and SDS scores showed no significant difference（P>0.05）； After nursing， intervention group and the conventional group of former SAS score and SDS score significantly were higher than before nursing differences were statistically significant（P<0.05）. Satisfaction with clinical care of patients in the intervention group was 93.3%， satisfaction with routine clinical care of patients was 72.7%， satisfaction with clinical care of patients in the intervention group was higher than the conventional group of patients in clinical nursing satisfaction（P<0.05）. Quality of life scores of patients in the intervention group were（86.3±3.2） points， routine quality of life scores for the group of patients （73.4±2.5）points. Quality of life scores of patients in the intervention group were higher than the conventional group（P<0.05）. Conclusion The clinical course of cancer patients treated with radiotherapy for the treatment of psychological care to strengthen targeted interventions feasible and effective in improving patients' emotion. Meanwhile， to improve clinical care and patient satisfaction also has obvious advantages， improving the quality of life of patients after radiotherapy ， worthy of clinical application and promotion.

[Key words] Cancer； Psychological care； Psychological condition； Application resultsendprint

恶性肿瘤是临床常见的疾病之一，具有较高的发病率，严重影响患者的身体健康和生活质量[1]。由于该病多数属于不可治愈疾病，从而给患者的心理带来严重影响，甚至影响整个临床治疗[2]。因此，在患者临床治疗的过程中，加强针对性的心理干预是很有必要的，本研究重点分析恶性肿瘤放疗过程中加强心理护理干预的效果，现报道如下。

1资料与方法

1.1临床资料

选取我院2012年1月～2013年12月间的120例恶性肿瘤放疗患者为研究对象，将其按照随机数字法分为常规组和干预组。干预组60例，男30例，女30例，年龄22～77岁，平均（63.1±4.1）岁。病理类型：头部肿瘤20例，胃癌16例，宫颈癌14例，乳腺癌10例。文化程度：高中及以下文化20例，高中以上文化40例。常规组60例，男28例，女32例，年龄21～76岁，平均（62.8±4.5）岁。病理类型：头部肿瘤20例，胃癌15例，宫颈癌15例，乳腺癌10例。文化程度：高中及以下文化24例，高中以上文化36例。两组基本资料比较，差异无统计学意义（P>0.05），具有可比性。