术前焦虑因素对乳腺肿瘤患者的影响分析  

Analysis of preoperational anxiety among patients with breast tumors

作　　者：杨红叶[1] 刘玲玲[1] 

机构地区：[1]广西壮族自治区人民医院,南宁530021

出　　处：《齐齐哈尔医学院学报》2008年第18期2189-2191,共3页Journal of Qiqihar Medical University

摘　　要：目的掌握乳腺肿瘤患者术前焦虑的发生状况并探讨其影响因素,以提供有效的心理护理。方法选取2007年1～8月在广西区人民医院住院手术的93例乳腺肿瘤患者,在入院后第2天到手术前1天,通过发放问卷调查表了解基本情况,选用焦虑自评量表(SAS)、人格测验量表(EPQ)和社会支持评定量表(SSRS)对乳腺肿瘤患者进行心理测量。统计方法采用多元相关分析和多元逐步回归分析。结果乳腺肿瘤患者焦虑发生率高达73.2%,SAS分值(48.61±8.21)明显高于正常人群(37.23±12.59)。逐步回归分析发现焦虑主要与情绪稳定性、年龄、社会支持、文化程度和经济状况因素相关,而且与年龄、社会支持、文化程度、经济状况呈负相关,与情绪稳定性(N标准分)呈正相关。结论乳腺肿瘤患者在手术前焦虑明显,且焦虑影响因素呈多元性,需针对个体情况采取有效的护理干预措施,可降低和缓解患者术后各种不良反应,提高手术治疗效果。Objective To investigate the conditions and factors for preoperational anxiety among patients with breast tumors so as to offer effective psychological nursing. Methods Ninety-three hospitalitcd breast tumor patients for surgery between January and August 2007 in Guangxi Zhuang Autonomous Region People＇s Hospital. Questionnaires were implemented including SAS, EPQ and SSRS between 2nd clay after hospitalization and one day before operation. The statistics were performed with multivariate correlation analysis and multivariate regression analysis. Results The preoperational anxiety rate was 73.2% among breast tumor patients. The SAS score （48. 61±8. 21）was significant higher than that（37.23±12.59） of healthy people. The regression analysis showed that anxiety was related to mood, age, social support, education, and economic conditions. It had negative relationship with age, social support, education, and economic conditions, with positive relationship to mood stability （N standard scores）. Conclusions The breast tumor patients show significant preoperational anxiety, with multivariate factors. The corresponding psychological nursing should be implemented, which will relieve the side effects after operation and improve surgical effects.

关 键 词：乳腺肿瘤 焦虑因素 多元逐步回归分析 

分 类 号：R473.1[医药卫生—护理学] R473.73[医药卫生—临床医学]