女性乳腺癌患者首次化疗前心理痛苦现状及相关因素  

A Screening of Pre-chemotherapy Psychological Distress in Breast Cancer Patients and An Analysis of the Influencing Factors

作　　者：李晨[1] 杨明莹[2] 段文晶[1] 蒋爱梅[1] 黄琪[1] 杨学芳[1] LI Chen;Yang Ming-ying;Duan Wen-jing;Jiang Ai-mei;Huang Qi;Yang Xue-fang(Breast Surgery Department,The 1st Affiliated Hospital of Kunming Medical University,Kunming Yunnan;Nursing Department,The 2nd Affiliated Hospital of Kunming Medical University,Kunming Yunnan650101,China)

机构地区：[1]昆明医科大学第一附属医院乳腺外科,云南昆明650032 [2]昆明医科大学第二附属医院护理部,云南昆明650101

出　　处：《昆明医科大学学报》2018年第8期33-38,共6页Journal of Kunming Medical University

基　　金：云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目(2015FB042)

摘　　要：目的了解乳腺癌患者化疗前的心理痛苦程度,分析其原因及影响因素.方法使用一般资料调查问卷和心理痛苦管理筛查工具,对2017年9月至2017年12月住院的95例首次化疗的乳腺癌患者进行横断面研究.结果首次化疗前乳腺癌患者心理痛苦得分为(4.92±2.23)分,其中显著心理痛苦者有69例占72.63%(DT评分≥4分).引起乳腺癌患者心理痛苦的原因排序居前10位的依次是:手术疤痕、担心复发、手臂活动困难、日常生活被打乱、焦虑、记忆力下降、料理家务困难、与丈夫沟通不良、疲乏、外观改变.从单因素分析得出,年龄、家庭和谐两者对心理痛苦评分有影响(P<0.05),将年龄和家庭和谐纳入多因素分析,发现家庭和谐是心理痛苦的保护因素(OR>1,P<0.05).结论乳腺癌患者化疗前存在明显的心理痛苦;年龄、家庭和谐是心理痛苦相关的独立影响因素;躯体症状、情绪和家庭问题是化疗前需要关注的重点问题.Objective To understand the degree of psychological distress of breast cancer patients beford chemotherapy, and to analyze the causes and influencing factors. Methods A cross-sectional study was conducted on 95 patients with prechemotherapy for breast cancer from September 2017 to December 2017 using a general data questionnaire and distress management screening measure. Results The score of psychological pain before chemotherapy of breast cancer was（4.92 ±2.23）, among which 69 cases with significant psychological pain accounted for 72.63%（DT score was greater than 4）. The main causes of breast cancer patients＇ psychological distress ranking on the top 10 are： surgical scar, recurrence worry, arm activities difficulty, daily life was disrupted, anxiety, memory loss, housekeeping difficulties, poor communication with her husband,fatigue, change the appearance. Single factor analysis showed that age, family harmony had an effect on psychological pain scores（P〈0.05）.It is found that family harmony is the protective factor of paychological pain when age and family relationship are included in multifactor analysis（OR〉1,P〈0.05）. Conclusion There is an obvious psychological distress in breast cancer patients before chemotherapy; The age, family harmony of the patient were independent factors related to psychological distress; body symptoms, emotions and family problems are the key issues to focus on before chemotherapy.

关 键 词：乳腺癌 心理痛苦 心理痛苦温度计 

分 类 号：R47[医药卫生—护理学]