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目的研究白血病患者的心理状况及医学应对方式,以指导心理干预从而提高白血病患者的生存质量和治疗效果。方法将86名白血病患者作为病例组,68名营养性贫血患者作为对照组,两组均用症状自评量表(SCL-90)和医学应对方式问卷(MCMQ)进行调查。结果白血病患者的SCL-90得分与对照组比较有显著差异,MCMQ量表中,面对应对得分低于对照组,回避和屈服应对得分高于对照组。结论白血病患者的心理状况及其医学应对方式对疾病的发展及预后有很大影响,医护人员应通过心理干预改变白血病患者的不良应对方式,改善他们的心理状况,以提高其生存质量和治疗效果。
Objective To study the psychological status of patients with leukemia and medical coping styles to guide the psychological intervention to improve the quality of life of patients with leukemia and treatment. Methods Eighty-six patients with leukemia were enrolled in this study. Sixty-eight patients with nutritional anemia were used as control group. Both groups were investigated by using SCL-90 and MCMQ. Results The score of SCL-90 in leukemia patients was significantly different from that of the control group. In the MCMQ scale, the coping scores were lower than those in the control group, and the avoidance and yield coping scores were higher than those in the control group. Conclusion Psychological status of patients with leukemia and their medical coping styles have a great impact on the development and prognosis of the disease. The medical staff should change their coping style to improve the quality of life and treatment effect of leukemia patients through psychological intervention .