中国临床心理学杂志

白血病患者临床心理干预的对照研究

作者：李强¹ 郑谊晶² 乐国安¹ 杨莉²

单位：1 南开大学心理学研究中心天津 300071
2 天津市第一中心医院血液科天津 300192

分类号：R395.5

出版年,卷(期):页码：2005,13(1):105-108

摘要：

目的:了解白血病治疗过程中临床心理干预方法及疗效。方法:按照相等对匹配原则,将64名白血病患者分入干预组和对照组。对于干预组进行了为期15天的临床心理干预,对照组仅接受相应的医学治疗和护理。以90项症状检核表(SCL-90)、欧洲癌症研究与治疗组织(EORTC)编制的肿瘤患者生存质量量表(QLQ-C30)和白血病医学疗效评估标准等为指标,观察临床心理干预对白血病患者心理适应、生存质量和躯体症状的影响。结果:与对照组相比,①干预组患者心理不适明显减少;②生存质量显著改善;③躯体症状也有一定程度的缓解。结论:临床心理干预能起到减轻白血病患者心理不适、提高生存质量及可能具有改善躯体症状的短期效应。

Objective:To study the methods and curative effect of clinically psychological intervention in leukemia treatment.Methods: According to the matching principle, the researchers divided 64 leukemia patients into intervention group and control group. The former has undergone psychological intervention for 15 days, while the latter has only received the corresponding medical treatment and nursing. The research studied the influence of psychological intervention in psychological adaptation, quality of life and physical symptoms of leukemia patients by using SCL-90, EORTC QLQ-C30 and evaluation criterion of leukemia curative effect.Results: Compared with the patients of control group, the intervention group: ① psychological inadaptability has been obviously decreased; ② living quality has been improved remarkably.Conclusion: Clinically psychological intervention has a short-term effect on decreasing psychological inadaptability, improving living quality, as well as their physical symptoms.

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