【摘要】：目的探討放松訓(xùn)練聯(lián)合情志療法對肺癌患者睡眠障礙和抑郁狀態(tài)的影響。方法肺癌患者120例按隨機數(shù)字表法分為觀察組和對照組,每組60例。對照組給予傳統(tǒng)的常規(guī)情志療法,觀察組在此基礎(chǔ)上增加放松訓(xùn)練,分別采用睡眠狀況自評量表(SRSS)、抑郁自評量表(SDS)和焦慮自評量表(SAS)評價兩組入院時和治療后1、2 w睡眠障礙、抑郁和焦慮狀態(tài)的改變情況,同時采用生活質(zhì)量核心量表(EORTC QLQ-C30)評價兩組生活質(zhì)量改善情況。結(jié)果治療后,兩組睡眠障礙、抑郁、焦慮癥狀均有改善,且隨著治療時間的延長,各癥狀好轉(zhuǎn)程度增進。兩組治療前后SRSS評分均無顯著差異(P0.05);觀察組治療后2 w SDS、SAS評分變化顯著(P0.05);與對照組比較,治療后2 w觀察組SRSS總評分明顯下降,患者睡眠時間不足、睡眠質(zhì)量不高、入睡困難、睡眠不穩(wěn)、早醒以及服藥情況改善顯著(P0.05),治療后1 w組間SDS、SAS評分變化差異不顯著(P0.05),治療后2 w觀察組SDS、SAS評分改善更為顯著(P0.05);治療后1、2 w,兩組不同領(lǐng)域的生活質(zhì)量評分均較入院時不同程度的改善,治療后2 w的改善程度較治療后1 w更顯著,同時治療后1、2 w,觀察組生活質(zhì)量評分的改善程度優(yōu)于對照組(P0.05)。結(jié)論放松訓(xùn)練聯(lián)合情志療法可以顯著改善肺癌患者化療期間睡眠障礙、焦慮和抑郁狀態(tài),有利于患者的康復(fù)和提高生活質(zhì)量,此法對于提高肺癌的臨床治療效果和生活質(zhì)量具有重要意義和廣闊應(yīng)用前景,臨床應(yīng)重視對肺癌患者實施情志治療和放松訓(xùn)練。
[Abstract]:Objective to investigate the effects of relaxation training combined with emotional therapy on sleep disorder and depression in lung cancer patients. Methods 120 patients with lung cancer were randomly divided into observation group (n = 60) and control group (n = 60). The control group was given conventional emotional therapy, the observation group increased relaxation training on this basis, and the sleep status self-rating scale (SRSS),) was used respectively in the observation group. Self-rating Depression scale (SDS) and Self-Rating anxiety scale (SAS) were used to evaluate the changes of sleep disorder, depression and anxiety in both groups at admission and 1 week after treatment. At the same time, the core quality of life scale (EORTC QLQ-C30) was used to evaluate the improvement of quality of life in both groups. Results after treatment, the symptoms of sleep disorder, depression and anxiety were improved in both groups. There was no significant difference in SRSS scores between the two groups before and after treatment (P0.05), while the SDS,SAS scores in the observation group changed significantly 2 weeks after treatment (P0.05). Compared with the control group, the total SRSS score of the observation group decreased significantly 2 weeks after treatment, the patients' sleep time was insufficient, sleep quality was not high, sleep difficulty was difficult, sleep instability, early waking up and taking medicine were improved significantly (P0.05), and SDS, was improved 1 week after treatment (P0.05). The change of SAS score was not significant (P0.05), the SDS,SAS score of observation group improved more significantly 2 weeks after treatment (P0.05). The scores of quality of life in different fields in both groups were improved at 1 and 2 weeks after treatment compared with those at admission. The improvement at 2 weeks after treatment was more significant than that at 1 week after treatment, and at the same time at 1 and 2 weeks after treatment, the improvement of QOL in both groups was more significant than that at 1 week and 2 weeks after treatment. The improvement of quality of life score in the observation group was better than that in the control group (P0.05). Conclusion relaxation training combined with emotional therapy can significantly improve sleep disorder, anxiety and depression in patients with lung cancer during chemotherapy. This method is of great significance and broad application prospect for improving the clinical treatment effect and quality of life of lung cancer, so we should pay more attention to emotional therapy and relaxation training for lung cancer patients.
【作者單位】： 南方醫(yī)科大學(xué)南方醫(yī)院腫瘤科;
【分類號】：R734.2

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本文編號：2391442