Research On Mental States Of Lung Cancer Patients Receiving Chemotherapy

Objective To investigate the mental states and coping styles, social supports side effectsof lung cancer patients receiving chemotherapy, and to study the effects of psychologicalintervention on lung cancer patients with chemotherapy.Methods Applying symptom checklist 90(SCL-90), medical coping modesquestionnaire (MCMQ), social support questionnaire (SSRS), weakness visual analoguescale, WHO classificatory criteria of ADR of antineoplastic drugs to 62 lung cancerpatients with chemotherapy for assessment and analyzing their relationships. Randomlychoosing 20 patients of NP chemotherapy program from the objects of the investigationas control group. Then randomly choosing 20 qualified patients as study group. Patientsin study group were treated with cognitive therapy, progressive muscle relaxation trainingand guided imagery.Results There are serious psychologic problems in lung cancer patients receivingchemotherapy. And they are more serious before chemotherapy than after that. Anassociation of obvious negative correlation is observed between the scores of mental stateand the coping style of confronce(r=-0.409, P＜0.01). There are obvious positivecorrelations between the scores of mental state and the coping style of avoidance,resignation(r=0.399, P＜0.01; r=0.426, P＜0.01). Associations of obvious negativecorrelations are observed between the scores of mental state and subjective support, theutilization of social supports(r=-0.399, P＜0.01; r=-0.313, P＜0.05). The fatigue degreelinked with chemotherapy had obviously positive correlation with the scores of mentalstate(r=0.494, P＜0.01). The degree of nausea and vomitting linked with chemotherapypositively correlated with the scores of mental state(r=0.310, P＜0.05). The coping modes,the utilization of social supports, mental states, the degree of fatigue, the degree of neaseaand vomitting of patients in study group are better than those of patients in control groupafter 2 months' psychological intervention.Conclusion There are obvious mental problems in lung cancer patients receivingchemotherapy. There are relationships between mental states of them and their copingstyles, social supports. Side effects of chemotherapy of them are correlated with theirmental states. Psychological intervention could efficiently improve the mental states oflung cancer patients receiving chemotherapy and decrease the side effects of chemotherapy.