综合行为干预对乳腺癌患者术后生活质量的影响  

作　　者：陈锦坚[1] 李春梅[1] 邓顺华[1] 陆凤媚[1] 黄少娴[1] 吴燕梅[1] 

机构地区：[1]广东省肇庆市第一人民医院普外科,526021

出　　处：《国际护理学杂志》2013年第3期572-575,共4页international journal of nursing

摘　　要：目的探讨综合行为干预对乳腺癌患者术后生活质量的影响。方法将122例乳腺癌患者随机分为实验组61例，对照组61例。对照组患者采用常规的护理措施，实验组在此基础上实施综合行为干预措施，包括：宣泄疗法、认知疗法、健康教育、心理行为干预、放松训练和功能训练等。干预前后分别采用90项症状自评量表（Symptom Checklist90，SCL-90）及生活质量评定量表，测评患者的心理状况及生活质量情况，比较两组患者心理情况及生活质量的变化。结果干预后实验组焦虑、抑郁情绪明显低于对照组，生活质量明显高于对照组，两组比较差异有统计学意义（P〈0．01）。结论乳腺癌患者术后应用综合行为干预，可以减轻患者焦虑和抑郁症状，提高患者的生活质量。Objective To evaluate the influence of comprehensive behavioral intervention on quality of life of breast cancer patients.Methods There were 122 breast cancer patients who were divided into the experimental group and the control group randomly.The control group accepted the routine nursing care.The experimental group received comprehensive behavioral interventions on the basis of conventional care,including catharsis therapy,cognitive therapy,health education,psychological behavior intervention,relax training and function training.Before and after the intervention,psychological situation of patients and the quality of life were assessed by the gauge of SCL-90 and LSR,and psychological situation and the change of the quality of life were compared separately.Results Compared the control group,anxiety and depression symptoms of experimental group were significantly lower and the quality of life was obviously higher after the intervention.Difference between the two groups was significant (P ＜ 0.01).Conclusions After postoperative application of the integrated behavioral intervention,breast cancer patients can reduce anxiety and depression symptoms and improve the quality of life.

关 键 词：乳腺癌 综合行为干预 生活质量 

分 类 号：R473.73[医药卫生—护理学]