乳腺癌患者的心理状况与心理干预研究  

A Study on Psychological Conditions of Patients with Breast Cancer and Psychological Intervention

作　　者：任秀华[1] 陈雨霖[1] 谭凌云[1] 勾冯茜[1] 

机构地区：[1]四川省绵阳市中心医院,四川绵阳621000

出　　处：《世界最新医学信息文摘》2012年第4期5-7,共3页World Latest Medicine Information Electronic Version

摘　　要：目的探讨心理干预对乳腺癌患者心理健康的可行性。方法对84例乳腺癌患者进行手术前期、术后化疗期、康复期3个阶段的心理干预，采用症状自评量表（SCL-90）和汉密顿焦虑量表（HAMA）分别进行干预前后调查，然后进行统计学分析。结果在心理干预后，SCL-90的十因子（包括躯体化、强迫症状、抑郁、焦虑、敌对、人际关系敏感、偏执、恐怖、精神病性和睡眠）以及HAMA的精神性和躯体性条目都有明显的改善（P〈0．01）．HAMA的阳性率也明显下降（P〈0．01）。结论心理干预能提高乳腺癌患者的心理健康水平。Objective The objective is to discuss the feasibility of psychological intervention to mental health of the patients with breast cancer. Methods 84 patients were given psychological intervention in three stages, including pre-operation, post-operation and convalescence. These patients were investigated by using the Symptom Checklist 90 （ SCL-90 ） and the Hamilton Anxiety Scale （ HAMA ） before and after the intervention. Then we made statistical analysis. Results Ten factors of SCL-90 including somatization, compulsive symptoms, depression, anxiety, hostility, sensitiv- ity of interpersonal relationships, paranoia, phobia, neurosis and both positive and negative items in the HAMA were all significantly improved after intervention （ P〈0.01 ）. The positive rate of the HAMA was obviously dropped after intervention （P〈0.01）. Conclusion Psychological intervention can effectively improve mental health of patients with breast cancer.

关 键 词：乳腺肿瘤 乳腺癌 患者 心理干预 心理健康 

分 类 号：R737.9[医药卫生—肿瘤] R471[医药卫生—临床医学]