心理干预对乳腺切除患者围手术期的应用  

Application of mental intervention on patients with mammectomy before and after operation

作　　者：刘桂英[1] 刘世梅[1] 马晓秋[1] 刘淑杰[2] 

机构地区：[1]吉林大学第一医院胸外科,长春130021 [2]吉林省肿瘤医院乳腺外科

出　　处：《现代护理》2006年第3期201-203,共3页Modern Nursing

摘　　要：目的探讨乳腺切除围手术期患者进行综合性心理干预的必要性和有效性,为围手术期心理护理提供理论依据。方法采用症状自评量表(SCL-90)对患者手术前后、干预前后焦虑、抑郁和躯体化进行评估;采用马[3]威胁、控制调查表对患者手术前后进行评估。结果试验组手术后患者抑郁和焦虑得分明显低于手术前。威胁明显下降(t=3.062 7,P<0.004 7)。控制明显增高(t=2.047 1,P<0.049 8)。手术后试验组抑郁和焦虑低于对照组。干预后患者抑郁、焦虑和躯体化低于干预前。结论综合性心理干预可以提高患者的认知能力和改善心境。Objective To probe the necessity and effectiveness of comprehensive mental intervention on patients with mammectomy, to provide theoretical bases for mental nursing before and after operation. Methods With ACL--90, anxiety and depression and somatozation of patients were evaluated be fore and after operation, also before and after intervention. Patients were evaluated with threatening and controlling questionnaire of Malizhuang. Results The scales of depression and anxiety of patients in experimental group were lower, threatening decreased （t = 3. 0627, P 〈0. 0047） , controlling increased （t = 2.0471, P 〈 0.0498）. After intervention, depression, anxiety and somatozation decreased. Conclusions Comprehensive mental intervention can increase patients cognitive ability and improve metal state.

关 键 词：乳腺切除术 心理疗法 护理 

分 类 号：R473.73[医药卫生—护理学]