摘要
目的探讨围术期心理干预对乳腺癌患者生活质量的影响,为其临床康复提供参考依据。方法选择我院乳腺癌60例按入院顺序随机分为心理干预组和对照组,每组各30例。对照组按常规进行治疗及护理;心理干预组除常规治疗和护理外,尚接受为期8周的术前、术中、术后全程全方位心理干预。两组均采用癌症康复评价简表(cancer rehabilitationevalucotion sysrem-short form,CABES-SF)和总体幸福感量表(general well-belng schedwle,GWB)评定效果。结果干预前对照组和心理干预组CABES-SF总分分别为(39.69±15.46)分、(38.26±15.32)分,GWB总分分别为(61.4±11.3)分、(60.5±11.7)分,两组比较差异无统计学意义(P>0.05)。干预后对照组和心理干预组CABES-SF总分分别为(41.23±14.14)分、(27.63±11.71)分,GWB总分干预后4周分别为(63.6±12.1)分、(79.1±16.8)分,干预后8周分别为(59.6±11.4)分、(88.9±17.7)分,两组比较差异均有统计学意义(P<0.01)。结论心理干预能提高乳腺癌患者的生活质量,对其身心康复具有积极的作用。
Objective To explore the effect of psychological intervention on life quality of patients with breast cancer during peroperative period in order to provide references in promoting clinical rehabilitation of the patients.Methods 60 patients with breast cancer were randomly divided into psychological intervention group and control group（30 in each） according to hospitalization sequence.Control group received routine treatment and nursing care but psychological intervention group received omnibearing psychological intervention before,during,and after the operation for 8 weeks,in additon to conventional drug treatment.The effect was evaluated by Cancer Rehabilitation Evaluation System Short Form（CABES-SF） and General Well-Being Schedule（GWB）.Results Before intervention,CABES-SF score was（39.69±15.46） in control group and（38.26±15.32） in psychological intervention group,GWB score was（61.4±11.3） in control group and（60.5±11.7） in psychological intervention group.There were no significant differences between the two groups（P0.05）.After intervention,CABES-SF scores in control group and psychological intervention group were（41.23±14.14） and（27.63±11.71） respectively,and GWB scores were（63.6±12.1） and（79.1±16.8） 4 weeks after intervention,but（59.6±11.4） and（88.9±11.7） 8 weeks after intervention,so the differences were significant between the two groups（P0.01）.Conclusion The psychological intervention may improve the quality of life of the patients with breast cancer,and also play a positive role in improving physical and mental health rehabilitation.
出处
《临床误诊误治》
2011年第6期93-95,共3页
Clinical Misdiagnosis & Mistherapy
关键词
乳腺肿瘤
围手术期护理
心理干预
Breast tumor
Perioperative nursing
Psychological intervention
