多学科协作的心理社会干预对胃肠道恶性肿瘤化疗患者心理痛苦、焦虑及抑郁情绪的影响

doi:10.3969/j.issn.1672-8467.2020.06.012

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复旦学报(医学版) ›› 2020, Vol. 47 ›› Issue (06) : 875-881. DOI: 10.3969/j.issn.1672-8467.2020.06.012

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多学科协作的心理社会干预对胃肠道恶性肿瘤化疗患者心理痛苦、焦虑及抑郁情绪的影响

周同¹, 胡雁¹, 彭健¹, 张晓菊^2,3, 杨瑒^2,3, 汪洋^2,3, 顾文英⁴

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Effects of multidisciplinary psychosocial intervention on psychological distress， anxiety and depression of gastrointestinal cancer patients undergoing chemotherapy

ZHOU Tong¹, HU Yan¹, PENG Jian¹, ZHANG Xiao-ju^2,3, YANG Yang^2,3, WANG Yang^2,3, GU Wen-ying⁴

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摘要

目的评价多学科协作的心理社会干预对胃肠恶性肿瘤化疗患者心理痛苦及焦虑、抑郁情绪的影响。方法将肿瘤内科收治的97例胃肠恶性肿瘤化疗患者按照中央随机方式分为干预组52例和对照组45例。对照组按常规心理社会支持进行护理干预和随访，干预组在对照组的基础上，根据肿瘤内科医师、护士、综合治疗科医师、社会工作者、心理科医师、康复患者志愿者等多学科协作的心理社会干预方案实施干预。分别于干预前、干预后、干预后一个月评估患者的心理痛苦及焦虑、抑郁水平。结果干预后，干预组的焦虑水平低于对照组，两组间差异有统计学意义（P＜0.05）；干预后和随访时，两组的心理痛苦阳性率和心理痛苦水平差异无统计学意义；两组的轻度、中重度抑郁水平差异无统计学意义。结论多学科协作的心理社会干预可以显著改善胃肠恶性肿瘤化疗患者的焦虑水平。

Abstract

Objective To evaluate the effect of multidisciplinary psychosocial intervention on psychological distress,anxiety and depression of gastrointestinal cancer patients undergoing chemotherapy. Methods Ninety-seven gastrointestinal cancer patients from medical oncology were divided into intervention group (n=52) and control group (n=45) by Central Randomization System.The control group received routine psychosocial support. Besides that,the intervention group received multidisciplinary psychosocial intervention within the collaboration of oncology physicians,nurses,comprehensive therapeutic physicians,social workers,psychologists and patient volunteers.Patients' psychological distress,anxiety and depression were evaluated before,after and one month after the intervention. Results After the intervention,the anxiety level in the intervention group was significantly lower than that in the control group (P<0.05).After the intervention and follow-up,there was no significant difference in the positive rate of psychological distress and the level of psychological distress between the two groups;there was no significant difference in the level of mild,moderate/severe depression between the two groups. Conclusion Multidisciplinary psychosocial intervention can significantly decrease the anxiety level of gastrointestinal cancer patients undergoing chemotherapy.

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周同, 胡雁, 彭健, 张晓菊, 杨瑒, 汪洋, 顾文英. 多学科协作的心理社会干预对胃肠道恶性肿瘤化疗患者心理痛苦、焦虑及抑郁情绪的影响[J]. 复旦学报(医学版), 2020, 47(06): 875-881 https://doi.org/10.3969/j.issn.1672-8467.2020.06.012

ZHOU Tong, HU Yan, PENG Jian, ZHANG Xiao-ju, YANG Yang, WANG Yang, GU Wen-ying. Effects of multidisciplinary psychosocial intervention on psychological distress， anxiety and depression of gastrointestinal cancer patients undergoing chemotherapy[J]. Fudan University Journal of Medical Sciences, 2020, 47(06): 875-881 https://doi.org/10.3969/j.issn.1672-8467.2020.06.012

中图分类号： R395

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2019-12-04	2020-11-25
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