心理干預對腫瘤病人心理影響的評價分析

論文編號:HL251 論文字數:21495,頁數:39

論文題目：心理干預對腫瘤病人心理影響的評價分析
摘 要
 
 目的：探討對惡性腫瘤患者實施心理干預的有效性，提高惡性腫瘤患者的生存質量。    
 方法：隨機選取晚期癌患者60名分為干預組（實施心理干預）和對照組（給于空白干預），在鎮痛治療的基礎上,運用心理學技術，實施心理干預，并通過疼痛、焦慮、抑郁三種調查量表對心理干預效果進行評定。干預前后用生活滿意度評定量表（LSR）和生活滿意度指數量表（LSB）及改進的生命質量評定量表評價生存患者的生命質量。而對照組則處于自行康復狀態。統計分析比較兩組的生存質量改變量的差異 。   
 結果：兩組評分比較中，在控制了年齡等不均衡因素后，干預后，干預組疼痛程度比對照組顯著減輕（p<0.05）；干預組疼痛程度比干預前顯著減輕（p<0.05）。干預后干預組與對照組及干預組自身前后對比焦慮程度、抑郁程度差異無顯著性（p>0.05）。干預組在各維度評分都高于對照組P<0.05或P<0.01。，干預組在生存質量總分、心理狀態、家庭社會功能及自我評價等方面提高的程度仍高于對照組P<0.05或P<0.01。心理健康狀況均有不同程度的改善(p<0.01)，焦慮水平也明顯降低(p<0.01) 。  
 結論：心理干預可以減輕晚期癌患者疼痛，提高鎮痛效果，對惡性腫瘤患者實施心理干預在改善心理健康及焦慮情緒可起到明顯作用。多學科聯合的綜合康復干預方法有助于惡性腫瘤患者生存質量的提高。
 
 關 鍵 詞：惡性腫瘤；生存質量；心理干預措施
 
 論文類型：類實驗性研究
  
Title: Psychological intervention on the psychological impact of cancer patients evaluation and analysis

Abstract
 
 
 Objective:
 To explore the implementation of psychological intervention in patients with malignant tumors of the effectiveness and improving the quality of life in patients with malignant tumors.
 Methods:
 The randomly selected 60 patients with advanced cancer were divided into intervention group (the implementation of psychological intervention) and control group (to intervene in the blank), in pain treatment based on the use of psychological techniques, the implementation of psychological intervention, and through pain, anxiety , three kinds of depression questionnaire to assess effects of psychological intervention. Before and after intervention with the life satisfaction rating scale (LSR) and life satisfaction index scale (LSB) and the improved quality of life rating scale evaluation of the survival of patients quality of life. While the control group was in a state of their own recovery. Statistical analysis and comparison of the two groups to change the amount of difference in the quality of life.
 Results:
 The two groups score comparison, after controlling for age, non-equilibrium factors, intervention, the intervention group compared with the control group pain significantly reduced (p <0.05); intervention group the pain is greater than before the intervention significantly reduced (p <0.05) . The intervention group after the intervention and control group and intervention group were compared before and after their own anxiety and depression were no significant differences in the degree (p> 0.05). The intervention group had higher ratings in all dimensions of P <0.05 or P <0.01. The intervention group in the quality of life total score, psychological state, family and social function and self-evaluation to improve the extent of such areas is still higher than P <0.05 or P <0.01. Mental health have different degrees of improvement (p <0.01), anxiety levels decreased significantly (p <0.01).
 Conclusion:
  Psychological interventions can reduce pain in patients with advanced cancer and improve the analgesic effect of psychological intervention for patients with malignant tumors in improving mental health and anxiety can play a significant role. Joint multi-disciplinary comprehensive rehabilitation interventions will help improve the quality of life of patients with malignant tumors.
 
 Key words: malignant tumor; quality of life; psychological interventions
 Paper types: quasi-experimental study

 
 
目  錄

1 緒論 1
 １.1、本研究的背景和意義 1
 1.2、本研究的目的和目標 1
 1.3關鍵詞定義 2
 1.4文獻回顧 2
2 研究設計 9
 2.1 研究對象 9
 2.2 研究方法 10
 2.3 研究步驟及技術路線圖 11
 2.4研究工具 12
 2.5資料分析 12
3 研究結果 15
4 討論 21
5 推論及建議 23
 5.1推論 23
 5.2建議 23
致    謝 24
參考文獻 25
附    錄 27