心理干预在乳腺癌患者中的应用  

Application of psychological intervention in breast cancer patients

作　　者：赵玉桃 成雪芹 朱健[1] 杨静雯[1] Zhao Yutao;Cheng Xueqin;Zhu Jian;Yang Jingwen(Department of Thyroid and Breast Surgery,New Hospital,Jiangsu Taizhou People's Hospital,Taizhou 225300,China)

机构地区：[1]江苏省泰州市人民医院新院甲乳外科,225300

出　　处：《中华现代护理杂志》2020年第4期534-536,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨心理干预在乳腺癌患者中的应用效果。方法采用便利抽样法,2016年3月-2017年7月,选取江苏省泰州市人民医院收治的141例乳腺癌手术患者作为研究对象,根据入院顺序将其分为对照组(n=69)和观察组(n=72)。对照组采用常规护理干预,观察组在常规护理的基础上采用心理护理干预。比较两组患者治疗依从性,焦虑、抑郁情况及护理满意度。结果干预后观察组患者治疗依从性优于对照组,差异有统计学意义(P<0.05)。干预后观察组患者SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。干预后观察组患者满意率高于对照组,差异有统计学意义(P<0.05)。结论针对乳腺癌手术患者开展积极有效的心理护理干预可提高其依从性,减少不良情绪,促进护患关系和谐,值得在临床推广应用。Objective To explore the effects of psychological intervention in breast cancer patients.Methods From March 2016 to July 2017,this study selected 141 breast cancer patients with surgery at Jiangsu Taizhou People's Hospital as subjects by convenience sampling.All of patients were divided into control group(n=69)and observation group(n=72)based on admission order.Control group carried out routine nursing.On the basis of routine nursing,observation group implemented psychological nursing intervention.This study compared the treatment compliance,anxiety,depression and nursing satisfaction of patients between two groups.Results After intervention,the treatment compliance of patients in observation group was better than that in control group with a statistical difference(P<0.05);the scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)of patients in observation group were lower than those in control group with statistical differences(P<0.05);patient satisfaction of observation group was higher than that of control group with a statistical difference(P<0.05).Conclusions Positively and effectively psychological nursing intervention for breast cancer with surgery can improve their compliance,reduce negative emotions and promote harmonious nurse-patient relationship which is worthy of clinical generalization and application.

关 键 词：乳腺肿瘤 焦虑 抑郁 心理干预 依从性 

分 类 号：R473.73[医药卫生—护理学]