乳腺癌治疗过程对患者进行心理干预的效果  

Analysis on the effects of psychological intervention on breast cancer patients during treatment

作　　者：史永莉 梁振宇[2] 

机构地区：[1]郑州市精神病防治医院普外科,河南郑州450005 [2]郑州大学第四附属医院普外科,河南郑州450044

出　　处：《实用医药杂志》2007年第7期852-854,共3页Practical Journal of Medicine & Pharmacy

摘　　要：目的探讨乳腺癌患者治疗过程中心理干预的临床意义。方法将69例乳腺癌患者作为试验组,对其治疗过程实行心理干预治疗,同时取资料相匹配的未采取心理干预治疗的乳腺癌患者68例与之对照。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对两组患者在围手术期、化疗期、康复期的心理状况进行调查,比较两组患者各阶段心理问题的发生率。结果乳腺癌患者在治疗过程的各个阶段均存在有不同程度的心理障碍,包括焦虑、抑郁、躯体症状、外形关注等。经过心理干预,化疗期试验组抑郁、躯体症状的发生率较对照组明显降低(P<0.05);康复期试验组焦虑、抑郁、躯体症状、外形关注的发生率也较对照组明显降低(P<0.05)。结论心理干预可以明显降低乳腺癌患者治疗过程中出现的各种心理障碍的发生率。　Objective To analyze the effects of psychological intervention on breast cancer patients during treatment and investigate their clinical significance.Methods A total of 137 breast cancer patients were divided into two groups： the trial group, 69 cases with psychological intervention and the control groups without psychological intervention. Then the survey for the psychological problems was performed with the use of self anxiety evaluating system（SAS）,self depression evaluating system（SDS） separately for the two groups at the time of the diagnosis and operation, as well the tme of the first chemotherapy and 3 months after operation, the occurring percentage of the psychological problems were compared among above-stages. Results The patients suffered from psychological problems at varying degrees during every stages at treatment. Through the psychological therapy, the occurring rates of self-depression and body symptoms distress in the trial group after the first chemotherapy were remarkable lower than those in the control group（P〈0.05）. Statistically significant differences were also observed according to anxiety, self-depression, body symptoms distress and body attention distress between the two groups at the time of 3 months after operation（P〈0.05）. Conclusion Psychological intervention can reduce the occurring rates of psychological problems of breast cancer patients in different periods of treatment.

关 键 词：乳腺癌 心理障碍 心理干预 

分 类 号：R395.1[哲学宗教—心理学]