Psychological problems and nursing intervention affecting the quality of life of cancer patients
影响癌症患者生存质量的心理问题与护理干预探讨

摘要

目的 探究影响癌症患者生存质量的心理问题及护理干预。方法 60例癌症患者为本次研究对象， 均在2022年1月-2023年1月期间收治。对上述患者均进行本院自制心理问题问卷表了解患者的心理问题情况。以随机数字表法分为实验组及参考组，将常规护理应用在参考组中，实验组采取心理护理干预。每组30例。以焦虑、抑郁评分、治疗依从性、生存质量及护理满意度评价两组护理效果。结果 本次对两组患者的心理问题进行问卷调查，其中存在焦虑占比为58.33%，抑郁占比为51.67%，恐惧占比为41.67%，焦躁不安占比为43.33%，易怒占比为30.00%。两组护理前焦虑、抑郁评分比较差异较小（P＞0.05），经护理后实验组较低（P＜0.05）。实验组治疗依从性相比较参考组较高（P＜0.05）。实验组生存质量较高（P＜0.05）。实验组护理满意度相比较参考组较高（P＜0.05）。结论 癌症患者多存在焦虑、抑郁、恐惧、易怒等负面心理问题，主要因治疗产生的不良反应、及缺乏有效的支撑所致。通过采取心理护理干预，可缓解患者的负面情绪，提升其治疗依从性，有助于改善其生存质量，从而患者较为满意。

Abstract

Objective To explore the psychological problems affecting the quality of life of cancer patients and nursing intervention.
Methods 60 cancer patients were included in this study, all of whom were admitted from January 2022 to January 2023. The above patients were all self-made psychological problems questionnaire to understand the patients' psychological problems. Random number table method is divided into experimental group and reference group, the routine nursing application in the reference group, the experimental group to take psychological nursing intervention. There were 30 patients in each group. The nursing effects of the two groups were evaluated by anxiety and depression scores, treatment compliance, quality of life and nursing satisfaction.
Results The psychological problems of the two groups of patients were investigated by questionnaire, in which the proportion of anxiety was 58.33%, depression 51.67%, fear 41.67%, agitation 43.33%, irritability 30.00%. The difference of anxiety and depression scores between the two groups was small before nursing (P > 0.05), and the experimental group was lower after nursing (P < 0.05). The treatment compliance of the experimental group was higher than that of the reference group (P < 0.05). The survival quality of the experimental group was higher (P < 0.05). The nursing satisfaction of the experimental group was higher than that of the reference group (P < 0.05).
Conclusion   There are many negative psychological problems such as anxiety, depression, fear and irritability in cancer patients, which are mainly caused by adverse reactions of treatment and lack of effective support. By taking psychological nursing intervention, patients can alleviate negative emotions, improve their treatment compliance, help to improve their quality of life, so that patients are more satisfied.