摘要
目的探讨健康教育及心理干预对乳腺肿瘤患者术后康复效果的影响。方法选择2003年1月—2010年3月我院收治的184例乳腺肿瘤患者为研究对象,随机分为观察组和对照组,每组各92例。对照组采用常规外科护理措施,在对照组的基础上,观察组加以心理干预及健康教育措施,7天后,分别采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价两组患者干预前后焦虑和抑郁情况,比较两组住院时间及术后并发症发生率,对所有患者随访5年,比较两组生存时间和生存率。结果两组干预后SAS、SDS评分均明显降低,差异有统计学意义(P<0.05);干预后与对照组比较,观察组SDS及SAS评分降低更加显著,差异有统计学意义(P<0.05)。观察组住院时间及并发症发生率均明显短于对照组,观察组护理满意度为96.74%,明显高于对照组的81.52%,差异均有统计学意义(P<0.05)。对所有患者随访5年后发现,观察组生存率为68.48%(63/92),平均生存时间为(3.18±0.57)年;对照组生存率为55.43%(51/92),平均生存时间为(3.02±0.49)年;观察组显著优于对照组,差异有统计学意义(P<0.05)。结论心理干预及健康教育可以明显地减轻乳腺肿瘤患者的焦虑、抑郁情绪,减少住院时间及术后并发症,提高护理满意度,提高患者的生存率和生存时间,值得推广应用。
OBJECTIVE To explore the influence of psychological care and health education on the rehabilitation effect of patients with breast cancer after.METHODS 184 patients with breast cancer in our hospital from January 2003 to March 2010 year were randomly divided into observation group and control group,92 cases in each group.The control group used conventional surgical nursing measures.On the basis of the control group,the observation group used psychological care and health Education measures.The anxiety scores（SAS）,depression（SDS） scores between two groups before and after intervention were compared.The hospitalization time and the incidence of postoperative complications were compared between the two groups.The hospitalization time and the incidence of postoperative complicationsof the observation group was decreased than that of the control group,nursing satisfaction of the observation group was 96.74%,it was significantly higher than that of the control group（81.52%）,the difference was statistically significant（P〈0.05）.All patients were followed up for 5 years,the survival time and survival rate of the two groups were compared.RESULTS SAS,SDS score of the two group after intervention were significantly decreased,the difference was statistically significant（P〈0.05）.Compared with the control group,SDS and SAS score of the observation group after the intervention decreased more significantly,the difference was statistically significant（P〈0.05）.All patients were followed up for 5 years,the survival rate of the observation group was 68.48%（63/92）,the average survival time was（3.18±0.57）years,the survival rate was 55.43%（51/92）,the average survival time was（3.02±0.49） years,the observation group was significantly better than those of the control group,the difference was statistically significant（P〈0.05）.CONCLUSION Psychological nursing and health education could significantly reduce anxiety,depression in patients with breast cancer,reduce the length of hospital stay and postoperative complications,improve survival rate and survival time.It is worthy of popularization and application.
出处
《中国初级卫生保健》
2015年第12期65-66,共2页
Chinese Primary Health Care
关键词
心理干预
健康教育
乳腺肿瘤
焦虑
抑郁
psychological nursing
health education
breast cancer
anxiety
depression
