心理干预对中老年女性颅脑肿瘤预后的影响

心理干预对中老年女性颅脑肿瘤预后的影响
段丽娜;齐建林;陈薇
【期刊名称】《中华现代护理杂志》
【年(卷),期】2011(017)027
【摘要】目的应用症状自评量表( SCL-90)调查中老年女性颅脑肿瘤患者术后心理干预对其心理健康的影响，为提高患者术后生活质量提供理论依据。

方法采用病
例对照研究设计，将80例女性颅脑肿瘤患者随机分为实验组和对照组，在入院至术前2d、术后3d至术后5d分别给予心理干预（知识宣教和呼吸放松训练）。

术后3个月，比较两组症状自评量表得分，进而分析心理干预对心理健康状况的影响。

结果两组间性别、文化程度以及肿瘤恶性程度均无统计学意义(P＞0.05)。

术后3个月，SCL-90测试实验组总分为（165±51）分，对照组为( 185±48)分，
组间比较差异具有统计学意义(F=12.97，P＜0.05)，观察组阳性项目数为(39±14)，对照组为(46±19)，组间比较差异具有统计学意义(F=12.97，P＜0.05)。

除人际关系、偏执和精神病性因子外实验组其他症状因子均较对照组显著降低，且以焦虑、恐怖、躯体化、强迫、敌对等因子下降幅度尤为显著。

结论心理干预可以明显改
善中老年女性颅脑肿瘤患者手术治疗后的心理健康状况。

因此开展术后心理治疗对于其提高术后生活质量非常必要。

%Objective To explore effects of mental intervention on the mental health of the middle-aged female patients with brain tumors after operation with the symptom chechlist-90 (SCL-90), and then provide the theoretical instruction for improving their life quality after operation. Methods The 80 meddle-aged female patients with brain tumors were randomly assigned to two groups including experimented
group and controlled group.Subjects in experimented group must received mental intervention during the time of 2 days before operation, and 3 -5 days after operation. Both were evaluated with SCL-90 3 months after operation. Results There were no differences in age, education background and malignance of the tumors. The total scores of meddle-aged female patients with brain tumors 3 months in experimented group after operation were lower than controlled groups [(165 ±51 ) vs (185 ±48), F =12. 97, P ＜ 0. 05], the positive items number of them was less than that in control group[(39 ± 14) vs (46 ± 19), F =12. 97, P ＞0. 05]. Besides, the factors of SCL-90 except paranoid ideation, sensitive relationship with people and psychotic, were significantly less than those in the controlled group. Those factors were the most significantly lower than controlled group such as anxiety, paranoiac,somatization, and hostility so on. Conclusions Mental intervention can improve the mental states of the meddleaged female patients with brain tumors after operation. Thus it is necessary to implement mental therapy after operation to improve the life quality of patients.
【总页数】3页(P3247-3249)
【作者】段丽娜;齐建林;陈薇
【作者单位】100142 北京，空军总医院神经外科;100142 北京，空军总医院临床心理科;100142 北京，空军总医院神经外科
【正文语种】中文
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