癌症病人心理干预的效果及其影响因素

心理学报 ›› 2002, Vol. 34 ›› Issue (02): 91-95.

癌症病人心理干预的效果及其影响因素

王建平;林文娟;孙宏伟

北京师范大学心理学系,中国科学院心理研究所,山东潍坊医学院北京100875 ,北京100101 ,潍坊261042

出版日期:2002-04-25 发布日期:2002-04-25
通讯作者: 王建平

THE EFFECTS OF PSYCHOLOGICAL INTERVENTION AND FACTORS INFLUENCING IT ON CANCER PATIENTS

Wang Jianping 1 , Lin Wenjuan 2, Sun Hongwei 3 ( 1 Department of Psychology, Beijing Normal University, Beijing 100875; 2 Institute of Psychology, the Chinese Academy of Sciences, Beijing 100101; 3 Shandong Weifang Medical Colle

Published:2002-04-25 Online:2002-04-25

摘要/Abstract

摘要： 研究的主要目的是探讨对癌症病人实施心理干预的效果及其影响因素。运用病例对照实验设计 ,采用多因素综合分析统计方法 ,对 2 89名放化疗住院病人进行了比较研究。结果为 :干预组病人的生活质量、躯体功能状况比对照组有明显改善。肿瘤临床分期和诊断告知方式是影响干预效果的两个主要因素 ;合并症及其影响、治疗前有无心理准备、病前生活事件在化疗病人中影响明显 ;医疗费、教育水平以及治疗经历对放疗病人影响明显 ;因素间交互作用显著。由此认为 ,影响心理干预效果的因素随治疗方式不同而各有侧重 ,并以综合作用模式为主

关键词: 心理行为干预, 影响因素, 癌症病人, 生活质量

Abstract: The purpose of this study was to examine the effect of psychological intervention and the factors influencing it in a sample of cancer patients. 289 cancer patients undergoing chemotherapy or radiotherapy were randomly assigned to one of the two groups: intervention group or control group. The data was analyzed by using regression statistic method. It was found that patients who received intervention reported significantly higher quality of life and performance status than did the control group. The main two factors impairing psychological intervention were the distant metastases and the ways of telling the diagnosis. Some factors influencing psychological intervention such as the other symptoms and its effect, psychological preparation before medical treatment, life events were notable in the chemotherapy group; others like medical fee, levels of education and the experience of treatment were marked in the radiotherapy group. These data clearly suggested that the use of psychological intervention was needed in the clinical oncology, and the influential way of factors was synthetic.

Key words: psychological intervention, influential factors, cancer patients, quality of life

王建平,林文娟,孙宏伟. (2002). 癌症病人心理干预的效果及其影响因素. 心理学报, 34(02), 91-95.

Wang Jianping 1 , Lin Wenjuan 2, Sun Hongwei 3 ( 1 Department of Psychology, Beijing Normal University, Beijing 100875, 2 Institute of Psychology, the Chinese Academy of Sciences, Beijing 100101, 3 Shandong Weifang Medical Colle. (2002). THE EFFECTS OF PSYCHOLOGICAL INTERVENTION AND FACTORS INFLUENCING IT ON CANCER PATIENTS. , 34(02), 91-95.

[1]	卢家楣, 刘伟, 贺雯, 王俊山, 陈念劬, 解登峰, 雷开春. 中国当代研究生的情感素质现状及其影响因素[J]. 心理学报, 2018, 50(5): 528-538.
[2]	卢家楣;刘伟;贺雯;王俊山;陈念劬;解登峰. 中国当代大学生情感素质的现状及其影响因素[J]. 心理学报, 2017, 49(1): 1-16.
[3]	徐芃;祁禄;熊健;叶浩生. 定序变量回归模型在心理数据分析中的应用[J]. 心理学报, 2015, 47(12): 1520-1528.
[4]	李焰,张世彤,王极盛. 中学生特质焦虑与其影响因素的模型建构[J]. 心理学报, 2002, 34(03): 69-74.
[5]	刘艳,林文娟,刘新帆,张冀岗,Erika M Hardy,Meg Mountainbear. 心理行为干预对乳腺癌患者情绪反应及免疫功能的影响[J]. 心理学报, 2001, 33(5): 54-58.
[6]	凌文辁,张治灿,方俐洛. 影响组织承诺的因素探讨[J]. 心理学报, 2001, 33(3): 68-72.
[7]	王建平,陈仲庚,林文娟,崔俊南. 中国癌症病人生活质量的测定──EORTC QLQ—C30在中国的试用[J]. 心理学报, 2000, 32(4): 438-442.
[8]	王建平,林文娟,陈仲庚,崔俊南,刘杰. 简明心境量表(POMS)在中国的试用报告[J]. 心理学报, 2000, 32(1): 110-114.