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目的综合研究肺癌患者的心身状况特点及改善对策。方法通过中文全文数据库全面检索近10年国内已发表的相关文献,排除不符合选择标准的文献后,应用Meta分析方法对国内6个有关肺癌患者心身状况与常模的对照研究进行定量综合分析,病例组506人。结果对比常模,肺癌患者的症状自评量表(SCL-90)的结果显示,躯体化症状评分升高0.32(95%CI0.28～0.37)、强迫症状评分升高0.19(95%CI0.15～0.24)、人际关系评分升高0.20(95%CI0.15～0.24)、抑郁症状评分升高0.48(95%CI0.43～0.53)、焦虑症状升高0.46(95%CI0.41～0.50)、敌对评分升高0.16(95%CI0.11～0.21)、恐怖症状评分升高0.43(95%CI0.39～0.47)、偏执症状评分升高0.31(95%CI0.26～0.35)、精神病性评分升高0.43(95%CI0.39～0.48),均有显著统计学意义(P<0.00001)。结论肺癌患者存在明显的不良心身状况,有必要对肺癌患者进行心身调节及加强心理卫生的保健。
Objective To comprehensively study the characteristics of psychosomatic status of patients with lung cancer and to improve their strategies. Methods The full-text databases of China were searched for the published articles in recent 10 years. After excluding the documents that did not meet the selection criteria, Meta-analysis was applied to quantitatively analyze six Chinese controlled trials of psychosomatic status and norm of patients with lung cancer. Case group of 506 people. Results Compared with the norms and symptoms of self-rating scale of lung cancer patients (SCL-90), the scores of somatization symptom increased by 0.32 (95% CI 0.28-0.37) and obsessive-compulsive symptom score increased by 0.19 (95% CI0. (P0.05 ~ 0.24), interpersonal relationship scores increased 0.20 (95% CI0.15 ~ 0.24), depressive symptom scores increased 0.48 (95% CI0.43 ~ 0.53), anxiety symptoms increased 0.46 (95% CI 0.41 ~ 0.50 ). The score of hostility increased 0.16 (95% CI 0.11-0.21), the score of horror symptoms increased 0.43 (95% CI 0.39-0.47), the paranoid symptom score increased 0.31 (95% CI 0.26-0.35) Sex scores increased 0.43 (95% CI 0.39 ~ 0.48), both statistically significant (P <0.00001). Conclusion There is a significant adverse psychosomatic condition in patients with lung cancer. It is necessary to provide psychosomatic adjustment and psychological health care for patients with lung cancer.