乳腺癌根治术后化疗期患者情绪状况与功能的相关研究  

Study on correlation between mood and functional status of activities and participation in breast cancer patient receiving chemotherapy after radical mastectomy

作　　者：李红丽[1] 赵海平[1] 马莉[1] 

机构地区：[1]中国医科大学护理学院,辽宁沈阳110001

出　　处：《现代医学》2013年第8期523-526,共4页Modern Medical Journal

基　　金：辽宁省教育厅高等学校科研立项项目(L2010677)

摘　　要：目的:探讨乳腺癌根治术后化疗期患者的情绪状况、活动和参与功能及其相关关系。方法:采用简明心境问卷和中文版WHO残疾评定量表(WHODASⅡ)对术后化疗的177例乳腺癌患者进行调查,分析结果。结果:乳腺癌根治术后化疗期患者的活动和参与功能中生活活动方面困难最大;患者的POMS-SF总分和紧张-焦虑、抑郁-沮丧、愤怒-敌意、疲乏-迟钝、迷惑-混乱负性情绪得分显著高于正常组(t=2.380～8.610,P<0.05),正性情绪精力得分显著低于常模组(t=-13.775,P<0.01);患者的活动和参与功能与情绪间显著相关(r=0.174～0.596,P<0.05)。结论:乳腺癌根治术后化疗期患者的情绪状况能够显著影响其活动和参与功能。Objective： To explore the mood state and functional status of activities and participation of breast cancer patients who are under chemotherapy after radical mastectomy and analyze their relationships.Methods： There were 177 breast cancer patients who were investigated with profile of mood states-short form（POMS-SF） and the World Health Organization disability assessment schedule Ⅱ for Chinese version（WHO DAS Ⅱ） and the data was analyzed.Results： It was the most difficult thing for breast cancer patient receiving chemotherapy after radical mastectomy to participate life activities.The total score of POMS-SF and the scores of negative emotion such as tension-anxiety,depression-dejection,anger-hostility,fatigue-inertia and confusion-bewilderment were significantly higher than that of normal group（t = 2.380-8.610,P 0.05）.However,the score of positive emotion vigor was significantly lower than that of normal group（t =-13.775,P 0.01）.There were significant correlations between mood and functional status of activities and participation in breast cancer patients（r = 0.174-0.596,P 0.05）.Conclusion： Mood state of breast cancer patients receiving chemotherapy after radical mastectomy can significantly affect the functional status of activities and participation.

关 键 词：乳腺癌 化疗 情绪 世界卫生组织残疾评定量表 

分 类 号：R737.9[医药卫生—肿瘤]