影响化疗患者心理健康相关因素调查与护理干预

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1、影响化疗患者心理健康相关因素调查与护理干预【摘要】目的探讨化疗患者的心理健康状况及其相关影响因素，为实施护理干预提供依据。方法采用症状自评量表及自拟调查问卷，对在我院接受化疗的30例恶性肿瘤患者（化疗组）和30例其他疾病住院患者（对照组）的心理健康状况进行测评分析。结果症状自评量表评分，两组总分及各因子分比较均无显著性差异（P＞0.05）；化疗组心理健康水平较差者占16.67%，症状自评量表评分前三位排序为躯体不适、强迫和抑郁；化疗组在接受化疗过程中出现的副作用与总分、总症状指数、阳性项目数、人际关系、抑郁、焦虑、偏执、

2、精神病性得分均呈显著正相关（P＜0.01～0.05）；探视次数与总分、总症状指数、阳性项目数、躯体化、强迫症状得分呈显著负相关（P＜0.05）；病程长短及患病时的自理状况与躯体化因子分呈显著正相关（P＜0.05）。整体化护理及健康教育干预，能显著提高化疗患者的心理健康水平。结论恶性肿瘤患者在化疗过程中的副作用、探视次数、病程长短及自理状况对其心理健康状况均有不同程度的影响。深入开展整体化护理，有针对性的进行护理干预和健康教育，有利于提高患者的心理健康水平和生活质量。【关键词】化疗恶性肿瘤心理健康整体化护理　　【Abstr

3、act】ObjectiveToexplorethementalhealth10statusandcorrelatedinfluencingfactorsinordertoprovidebasesforpracticingnursinginterventionsinpatientsonchemotherapy.MethodsMentalhealthstatuswasassessedwiththeSymptomChecklist90(SCL90)andtheSelfmadeQuestionnaire(SMQ)in30p

4、atientswithmalignanttumorreceivingI.V.chemotherapy(chemotherapygroup)and30oneswithotherdiseasesdoingnonchemotherapytranfusion(controlgroup)inourhospital.ResultsTherewerenosignificantdifferencesintotalandeachfactorscoresoftheSCL90betweenthe2groups(P>0.05);pat

5、ientswithworsementalhealthlevelmadeup16.67%,thefirst3placesoftheSCL90scoreswereinturnsomatodiscomfort,compulsionanddepressioninthechemotherapygroup;sideeffectsoccurredintheprocessofchemotherapyweresignificantlypositivelyrelatedtototalscoreandsuchfactorscoreasto

6、talsymptomindex,numbersofpositiveitems,interpersonalrelation,depression,anxiety,paranoiaandpsychoticinthechemotherapygroup(P<0.01～0.05).Somatizationfactorwassignificantlypositivelyrelatedtodutationofillnessandselfcarestatusbeingill(P<0.05).Holisticnursinga

7、ndhealthyeducationcouldsignificantlyimprovemealthealthlevelsofpatientsonchemotherapy.ConclusionSuchfactorsassideeffects,visiting10frequency,durationofillnessandselfcareinfluencementalhealthstatusofpatientswithmalignanttumorinvaryingdegreeintheprocessofchemothera

8、py.Itisinfavourofimprovingpatients’mentalhealthlevelsandqualityoflifetodevelopholisticnursingthoroughlyandundertakeclinicalnursinginterventionandhealtheducatio