心理干预对乳腺癌化疗抑郁高风险患者的影响  

Effect of psychological intervention program for breast cancer patients receiving chemotherapy at a high risk of depression

作　　者：梁雪芳[1] 卢晓 谭艳芳[1] 张翠雁[2] LIANG Xue⁃fang;LU Xiao;TAN Yan⁃fang;ZHANG Cui⁃yan(Surgery Department I,Kaiping Central Hospital,Jiangmen,Guangdong,529300;Nursing Department,Kaiping Central Hospital,Jiangmen,Guangdong,529300)

机构地区：[1]开平市中心医院外一科,广东江门529300 [2]开平市中心医院护理部,广东江门529300

出　　处：《岭南现代临床外科》2020年第1期128-132,F0003,共6页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨心理干预对乳腺癌化疗抑郁高风险患者身心健康的影响。方法选取我院乳腺癌术后拟行化疗患者166例,分成对照组和观察组,每组83例。对照组患者术后实施常规治疗和护理,观察组患者在实施常规治疗和护理的基础上,予心理干预。记录两组患者心境状态(POMS)量表评分和欧洲肿瘤研究与治疗组织生活质量核心问卷(EORTC QLQ⁃C30)评分。结果心理干预后观察组患者POMS量表焦虑、愤怒、疲劳、抑郁和慌乱评分显著低于对照组患者(P<0.05)。心理干预后观察组患者EORTC QLQ⁃C30总健康状况、躯体功能、角色功能、情绪功能、认知功能和社会功能评分均显著高于对照组患者(P<0.05),疲倦、恶心呕吐、疼痛气促、失眠、食欲丧失、便秘、腹泻和经济困难评分均显著低于对照组患者(P<0.05)。结论护士主导的心理干预可改善乳腺癌化疗抑郁高风险患者身心健康,缓解患者化疗不良反应。Objective To explore the effect of psychological intervention for breast cancer patients receiving chemotherapy at a high risk of depression.Methods 166 breast cancer patients prepared to receive chemotherapy were assigned to the control group(n=83)and the experimental group(n=83).Patients in the control group received regular treatment and nursing postoperatively,and patients in the experimental group received psychological intervention besides that.Profile of mood states(POMS)scores and European Organization for Research and Treatment of Cancer Quality of Life questionnaire⁃Core Questionnaire version 3.0(EORTC QLQ⁃C30)scores were recorded.Results After psychological intervention POMS tension,depression,anger,vigour,fatigue and confusion scores were significantly lower in the experimental group than those in the control group(P<0.05).After psychological intervention EORTC QLQ⁃C30 global health status,physical function,role function,emotional function,cognitive function and social function scores were significantly higher in the experimental group than those in the control group(P<0.05),and fatigue,nausea and vomiting,pain,dyspnoea,insomnia,appetite loss,constipation,diarrhea and financial difficulties scores were significantly lower in the experimental group than those in the control group(P<0.05).Conclusion Nurse⁃led psychological intervention could improve physical and mental health of breast cancer patients receiving chemotherapy at a high risk of depression and relieve patients􀆳side effects of chemotherapy,which is worth popularizing clinically.

关 键 词：心理干预 乳腺癌 抑郁 风险 

分 类 号：R473.6[医药卫生—护理学]