心理自助教育对乳腺癌术后患者生活质量的影响  

Effects of mental self-help education on quality of life of breast cancer patients

作　　者：覃惠英[1] 张丽娟[2] 曹慧娇[3] 王平[4] 

机构地区：[1]中山大学肿瘤防治中心护理部,广州510060 [2]中山大学肿瘤防治中心乳腺科,广州510060 [3]中山大学肿瘤防治中心综合科,广州510060 [4]南方医科大学护理学院,510060

出　　处：《中华现代护理杂志》2010年第6期625-628,共4页Chinese Journal of Modern Nursing

基　　金：广东省科技计划项目（200683600201）

摘　　要：目的探讨心理自助教育对提高乳腺癌术后患者生活质量的干预效果。方法将147例行乳腺癌改良根治术的患者随机分为实验组（n=76）和对照组（n=71）。对照组采用常规护理和健康教育，实验组在此基础上统一由经过培训的心理专科护士进行心理自助教育。分别于术后1周和术后3个月采用欧洲癌症研究与治疗组织研制的生活质量核心量表（QLQ—C30）测评其生活质量，比较两组患者干预前后生活质量的差异。结果经心理自助教育后，实验组患者总生活质量的评分从（58．67±22．82）分上升至（74．78±17．49）分；对照组患者随着病程的延长，总生活质量的评分从（55．25±19．71）分下降至（47．07±22．21）分，差异均有统计学意义（P〈0．05）。结论心理自助教育可以提高乳腺癌术后患者生活质量。Objective To investigate effects of the mental serf-help education intervention on the quality of life （QOL） after breast cancer surgery. Methods One hundred and forty-seven patients planed to be modified radical mastectomy for breast cancer were divided into 76 cases of the experimental group and 71 cases of the control group using a random number table. The QOL of those patients were evaluated with Chinese version of the European organization for research and treatment for patients of cancer （ EORTC QLQ-C30） when one week and three month after surgery. The patients in control group received conventional care and health education while the patients in experimental group received mental self-help education by the trained psychological specialist nurses. The changes of QOL before and after interventions were compared hetween two groups. Results After the mental self-education, the scores of QOL in the experimental group were significantly higher than before the intervention and higher than the control group （P 〈0. 05 ）. Conclusions Mental self- education can improve the quality of life of patients after breast cancer surgery.

关 键 词：心理学 教育 乳腺癌 生活质量 心理自助 

分 类 号：R473.73[医药卫生—护理学]