乳腺肿瘤患者术中冰冻切片结果等待期心理干预及效果观察  

Evaluation of the Psychological Intervention for Breast Tumor Surgical Patients during Waiting for the Frozen Section Pathological Diagnosis

作　　者：熊英[1] 魏佳岩[1] 

机构地区：[1]首都医科大学附属北京天坛医院手术室,北京100050

出　　处：《中国医药导刊》2015年第4期411-413,共3页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨乳腺肿瘤患者术中冰冻切片病理结果等待期心理干预的效果。方法:选取2014年3月至2014年12月我院乳腺疾病中心收入院行手术治疗的女性患者,随机分组,50例为干预组,82例为对照组。对干预组患者术中冰冻切片等待期进行系统的心理干预。记录两组患者心率、收缩压,应用汉密顿焦虑量表(Hamilton Anxiety Scale,HAMA)对心理干预效果进行评价。结果:两组患者静息平和状态下心率、收缩压比较无统计学差异,对照组冰冻结果等待期收缩压明显高于静息状态(P<0.05),干预组较静息状态无差异。两组患者HAMA评分(包括精神性焦虑因子和躯体性焦虑因子)基线比较无统计学差异,冰冻结果等待期均较基线升高,提示可能存在焦虑,且对照组评分高于干预组(P<0.05),其中精神性焦虑因子评分,对照组显著高于干预组(P<0.01)。结论:冰冻切片等待期心理干预可有效降低手术应激反应强度,减缓患者躯体性及精神性焦虑症状。Objective： To study the effects of psychological intervention on the breast tumor surgical patients during waiting for the frozen section pathological diagnosis.Methods：Implement psychological intervention on hospitalized breast tumor patients during waiting for the frozen section pathological diagnosis in Belling Tiantan hospital from May,2014 to December,2014,50 experimental group and 82 cases in the control group.The record of the patients＇ pulse and heart rate and the Hamilton Anxiety Scale were used to evaluate the effect of psychological intervention.Results：The systolic blood pressure of the control group during waiting for the frozen section pathological diagnosis was significantly higher than before （P〈0.05） and this situation was not happened in the experimental group.The HAMA score of the two group before surgery had no difference （P〈0.05）.The HAMA score of the experimental group was significantly lower than that of the control group （P〈0.05）.Conclusion：Psycho[ogica[ intervention can lower psychological stress react and relieve the anxiety of the breast tumor surgical patients during waiting for the frozen section pathological diagnosis.

关 键 词：心理干预 术中冰冻 乳腺肿瘤 

分 类 号：R473.73[医药卫生—护理学]