Effects Of Psychological And Behavioral Intervention On The Quality Of Life, Emotion And Coping Style Of Cancer Patients Undergoing Chemotherapy

Objectives To measure the quality of life,emotion and coping style of cancer patients undergoing chemotherapy,to explore the effects of psychological and behavioral intervention on the quality of life,emotion and coping style of cancer patients undergoing chemotherapy,to prove the effectiveness of psychological and behavioral intervention through clinical practice.Methods In reviewing this study,a large number of literature based on the use of quasi-experimental research methods,87 patients diagnosed as breast cancer or lung cancer in Hunan Provincial Tumor Hospital were randomized,43 in the intervention group and 44 in the control group,by the method of quasi-experimental study based on reviewing extensive literature.The content of intervention mainly includes twice individual education intervention on patients by investigators and giving related materials,guiding them in the progressive muscle relaxation requiring twice a day and continuing one cycle of chemotherapy and giving related leaflets.It evaluated the quality of life,emotion and coping style of the two groups of patients Pre-and Pro- intervention,thus analyzed the effectiveness of psychological and behavioral interventionResults(1) By Wilcoxon Mann-Whitney U test,before the intervention,the quality of life and symptoms were not significantly different(P＞0.05) between the intervention group and control group. After the intervention,the improvement of quality of life was statistically significantly in the intervention group,while the changes were insignificant in the control group.Two groups of patients,respectively QLQ-C30 scoring margin(post-intervention-pre-intervention) for inter-group comparison,except for the physical function,dyspnea and fatigue(P＞0.05),the QLQ-C30 between two groups were significance (P＜0.05)(2) By Wilcoxon Mann-Whitney U test,before the intervention, every factor of emotion was not significantly different(P＞0.05) between the intervention group and control group.Normal emotional and single sample t test results showed that participation in this study 87 patients with cancer chemotherapy TMD significantly high than the normal(t=-13.47,p=0.000).After the intervention,intervention group changes in mood were statistically significant(P＜0.05),the control group no significant changes(P＞0.05).Two groups of patients,respectively POMR-SF score difference(post-intervention-pre-intervention) for inter-group comparison,the results showed that after the intervention compared with the control group,the intervention group has taken place in the emotional state of a significant turn for the better.(3) Bivariate correlation analysis showed that pre-intervention,the quality of life of patients and emotional status of patients in general is related to yield responses taken,and to face and to avoid almost irrelevant; by Wilcoxon Mann-Whitney U test,intervention group and control group to deal with all aspects of the way of comparison there was no significant difference(P＞0.05).After the intervention,the intervention group only changes the face of statistical significance(P＜0.05),all aspects of the control group had no statistically significant change(P＞0.05).Two groups of patients were scored MCMQ margin(post-intervention pre-intervention) for inter-group comparison,the results showed that compared with the control group,in the face of the changes were statistically significant(P＜0.05).That is,after the intervention in patients with a tendency to take the face of the coping style.(4) By Wilcoxon Mann-Whitney U test,before the intervention, initial chemotherapy in patients with chemotherapy in patients with multiple functions in the body,role function,anger-hostility,energy -the more dynamic aspects of statistical significance(P＜0.05). Intervention group after the intervention of the initial chemotherapy and chemotherapy in patients with many functions in the role,difficulty in breathing,anger-hostility and effort-there are dynamic changes in statistical significance(P＜0.05).(5) By Wilcoxon Mann-Whitney U test,before the intervention, Patients with lung cancer and breast cancer among the control group and intervention group on the scale of comparison was not significant(P＞0.05),After the intervention,the trend is basically the same.(6) Repeated measures analysis of variance results show that,in the face,emotional time for the main effects and main effects of intervention were significantly(P＜0.05);Avoided and the yield of the main effects of time and interfere with the main effect was not significant(P＞0.05);Face and emotion of the time factor and the existence of factors interfere with the interaction(P＜0.05),while avoiding the time factor and yield factors do not exist interfere with the interaction(P＞0.05).Interactive contour map shows that during the intervention,changes over time,in the face of significantly higher scores,and emotional,to avoid points and the yield was significantly lower than the control group.Conclusion(1) Cancer chemotherapy patients with a variety of functional status and symptoms after the intervention by the mental act of the general improvement in varying degrees,significant improvement in functional status is:emotional function,the overall quality of life,role function and cognitive function,significantly improving the symptoms are:nausea and vomiting,sleep disturbance,appetite loss,constipation. To improve physical function,dyspnea and fatigue no significant effect.(2) Cancer chemotherapy patients with mood disorders than normal, After the intervention,patients with tension-anxiety,depression-depression, fatigue-slow,anger-hostility,confusion-the confusion and the overall mood was clearly relieved,energy has a marked improvement.(3) After the intervention,intervention group patients to use more active coping style face and less use of avoid coping style and yield,little change in the control group.(4) Compared with many chemotherapy patients,the intervention for improving the initial chemotherapy patients' role and symptoms of breathing difficulties,reducing the anger and increasing the energy have a more significant dynamic effect.(5) Patients with lung cancer and breast cancer trends in all aspects of essentially the same,breast cancer patients in physical function, emotional function,sleep and appetite improvements more obvious than that of lung cancer patients.