宣泄和认知行为干预对乳腺癌术后化疗患者焦虑抑郁的影响  

Effect of catharsis and cognitive behavior intervention on anxiety and depression among breast cancer patients receiving postoperative chemotherapy

作　　者：林细吟[1] 赵婉文[2] 王晓丽[3] 马雪霞[4] 

机构地区：[1]中山大学护理学院,广州510089 [2]中山大学附属第二医院护理部,广州510089 [3]中山大学附属第一医院黄埔院区外科一区,广州510089 [4]中山大学附属第二医院乳腺外科,广州510089

出　　处：《中华普通外科学文献（电子版）》2010年第2期61-63,共3页Chinese Archives of General Surgery(Electronic Edition)

基　　金：广东省科技计划项目(2002C30313)

摘　　要：目的探讨宣泄疗法和认知行为干预对乳腺癌术后化疗患者焦虑和抑郁的影响。方法选择2006年9月至2009年3月的97例乳腺癌术后化疗患者,分成试验组(47例)和对照组(50例),试验组在常规护理的基础上结合以宣泄、认知教育、放松训练为主的综合性护理干预措施,对照组仅⒚常规护理。护理干预前后分别采⒚Zung焦虑自评量表(SAS)和Zung抑郁自评量表(SDS)测评患者的焦虑和抑郁情绪,比较两组患者焦虑和抑郁情绪的变化。结果试验组护理干预后较干预前焦虑和抑Ⅳ情绪有明显改善(P<0.01)。结论VEGF在晚期胃癌组织中表达与治疗后的生存期有关,可能影响治疗方案的选择。Objective To investigate the effect of catharsis therapy and cognitive behavior intervention on anxiety and depression in breast cancer patients receiving postoperative chemotherapy. Methods Ninety-seven breast cancer patients receiving postoperative chemotherapy were randomly divided into experimental group （ 47cases ） and control group （ 50 cases ）. The control group received routine care, while the experimental group received routine care and comprehensive intervention mainly including catharsis therapy, cognitive education and relaxation training. The anxiety and depression of those patients were evaluated with Zung self-rating anxiety scale （SAS） and Zung self-rating depression scale （SDS） before and after intervention. The changes of anxiety and depression were compared between the two groups. Results After intervention ,the scores of anxiety and depression in the experimental group were significantly lower（P〈0.01）. Conclusions The anxiety and depression of breast cancer patients receiving postoperative chemotherapy can be eased by catharsis therapy and cognitive behavior intervention.

关 键 词：干预性研究 乳腺癌 认知疗法 宣泄疗法 焦虑 抑郁 

分 类 号：R473.73[医药卫生—护理学]