Title: The study of the nursing methods of the psychological on malignant tumor patients
ABSTRACT
Objectives:(1)To study psychological condition，coping style，personality feature and immune function of the tumor patients treated by radiotherapy；(2)To explore the relationships between psychological status and immune function；(3)To assess the effect of psychological intervention on the patients’psychological condition，coping style and immune function．The aim is accomplish the nursing measures for the tumor patients during radiotherapy and provide theoretical information for the psychologicalintervention．
Methods:A total of 77 patients with cancer before radiotherapy and 42 healthy controls were administered with psychological rating scales(SCL-90，SAS，SDS，TCSQ，EPQ)，and test the immune function(CD3+，CD4+，CDS+cells percentage，CD4+／CD8+ratio and NK cell)．Then the 77 tumor patients were randomly divided into intervention group(n=38)and non-intervention group(n=39)，the former rcccived psychological intervention during radiotherapy,while the latter only received standard nursing．They were tested the psychological rating scales and the immune function after radiotherapy,as well.
Results:1．The tumor patients group had significantly higher level than the healthy controls on SCI-90 total scores，total equipartition,positive items，positive item equipartition and all factors scores(P<0．05 or P<0．01)，distincfly in somatization,depression，anxiety and psycho-disposition．2．The patient showed apparently higher scores than controls in SAS，SDS and abnormal feeling ratio(P<0．05 or P<O．01)；the SAS scores of patient were positively related with the SCL-90 total scores，total equipartition，positive items，positive item equipartition and all factors scores(P<o．05 or P<0．01)，while the SDS SCOres were obviously positively with those of SCL-90(P<0.05 orP<0.01)．3．There was no significant difference between tumor patients and healthy groups in positive coping style scores(P<0.05)，while the tumor patients group had obviously higher negative coping style scores than controls(P<0.005)．There were negative correlations between positive coping style and psychological status(P<0.05 or P<0.01)。but positive correlations between negative coping style and psychological status(P<0．05 or P<0．01)in patients．4．The cancer patients group had significantly higher scors than control group in EPQ Neuroticism(N)and Lie(L)(P<0.05)，while no significant difference in Extraversion(E)and Psychotieism(P)(P<0.05)．5．The intervention group after radiotherapy had significantly decreased scores in SCL-90 total scores，total equipartition，positive items，positive item equipartition，all factors scores and SAS，SDS compared to that before radiotherapy and the non-intervention group(P<O.05 orP<0.01)，while the non-intervention group after radio therapy had obviously high SCOres in those of SCL-90 and SAS，SDS compared to that before radiotherapy(P<O．05 or P<0．01)．In further study we found that the intervention group patients after radiotberapy had a obviously lower level in depression，anxiety and attack rate than that before radiotherapy and non-intervention group(P<O．05，respectively)．6．The intervention group after radiotherapy had obviously lower score in negative coping style than that of non-intervention group and before radiotherapy respectively(P<0.05 or P<O.001)，while scores of positive coping style were higher than those(P<0.001)．
Conclusions:The malignant tumor patients eated by radiotherapy have the personality feature of psychoticism，emotional instability,low cell immune function and serious somatic symptom．They also have anxious and depressed emotion,and most of them are negative coping style，which aggravate after radiotherapy．Related analysis showed that there is dependability among emotion，somatic symptom，coping style and immune function．The psychological intervention has positive effect on emotional disorder and immune function in tumor patients treated with radiotherapy．
Keywords tumor；radiotherapy；psychological health；emotion；coping style；personality；immune function；psychological intervention；nursing
Type of thesis：Application research
