心理干预联合前哨淋巴结活检对早期乳腺癌手术患者生活质量的影响  

Influence of psychological intervention and sentinel lymph node biopsy on quality of life in patients with early breast cancer surgery

作　　者：彭喜枝[1] 罗惠明[1] 杨前进[1] 陈海明[1] Peng Xizhi et al(Department of General Surgery, Jiangmen People＇s Hospital, Jiangmen 529000, Chin)

机构地区：[1]广东省江门市人民医院,529020

出　　处：《齐齐哈尔医学院学报》2017年第12期1477-1478,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨心理干预联合前哨淋巴结活检对早期乳腺癌手术患者的生活质量影响。方法选择2014年1月至2016年7月在我院住院的96例早期乳腺癌患者为研究对象,采用基本情况问卷、抑郁自评量表(SDS)、焦虑自评量表(SAS)及生活质量评价量表(SF-36),评价96例患者入院时心理状态及住院期间生活质量变化,记录患者年龄、文化程度、绝经前后、肿瘤部位、TNM分期、LNM、手术方式及住院天数等一般资料,单因素及多因素线性回归模型分析乳腺癌手术患者的生活质量影响元素。结果单因素相关分析显示,患者年龄、淋巴结转移、TNM分期、ALNB改良术、肩关节功能障碍、入院时SDS、SAS评分和CPI护理与患者住院期间生活质量变化相关(P<0.05)。多因素线性回归分析显示,患者年龄、淋巴结转移、ALNB改良术、CPI护理与患者生活质量密切相关(P<0.05)。最终得出乳腺癌患者生活质量变化回归预测方程为:Y=5.241+4.408CPI+7.100ALNB+0.198AGE-4.090LNM。结论恰当的CPI护理联合ALNB改良术,有利于提高乳腺癌患者生活质量。Objective To explore the influence factors of quality of life in patients with early breast cancer surgery. Methods The quality of life for 96 patients on admission and discharge were evaluated with short form 36 questionnaire（ SF-36）,Data of 96 patients from January 2014 to July 2016 were documented and analyzed with single and multiple regression analysis. Results The single factor analysis for quality of life in breast cancer patients while hospitalized demonstrated that comprehensive psychological intervention（ CPI）,the sentinel lymph node biopsy（ ALNB） following with axillary lymphnode dissection（ ALND）,patients＇ age,LNM,TNM staging,surgical methods,shoulder joint dysfunction,SDS and SAS scores on admission,the CPI were associated with the SF-36 scores; Multiple regression models demonstrated that CPI,ALNB following with ALND were associated with the SF-36 scores. Conclusions CPI through the appropriate combination of the ALNB following with ALND,can improve breast cancer surgery patients quality of life.

关 键 词：乳腺肿瘤 生活质量 综合心理干预 淋巴结转移 前哨淋巴结活检 

分 类 号：R737.9[医药卫生—肿瘤]