多样性心理干预对乳腺癌患者负性情绪、心理弹性和生存质量的影响  

Effects of diverse psychological interventions on negative emotions and psychological resilience and quality of life in breast cancer patients

作　　者：陈玉华[1] 厉冰[2] 宋展[2] CHEN Yuhua;LI Bing;SONG Zhan(Department of Special Needs Ward,Nanyang Central Hospital,Nanyang 473000,He’nan,China;Department of General Surgery,Nanyang Central Hospital,Nanyang 473000,He’nan,China)

机构地区：[1]南阳市中心医院特需病区,河南南阳4730000 [2]南阳市中心医院普外科,河南南阳4730000

出　　处：《癌症进展》2021年第5期533-536,共4页Oncology Progress

摘　　要：目的探讨多样性心理干预对乳腺癌患者负性情绪、心理弹性和生存质量的影响。方法采用随机数字表法将120例乳腺癌患者分为干预组和对照组,各60例。两组患者均给予常规的健康教育及治疗指导,干预组同时给予多样性心理干预。比较两组患者干预前后的心理弹性水平、负性情绪和生存质量。结果干预后,干预组患者的心理弹性水平总评分为(75.27±9.41)分,高于对照组患者的(71.04±9.06)分(P﹤0.05)。干预后,干预组患者中文版乳腺癌患者生命质量测定量表(QLICP-BR)中社会能力、心理状态、特异模块、共性症状维度的评分及总分均高于对照组患者(P﹤0.05)。干预后,干预组患者焦虑抑郁量表中的焦虑亚量表(HADS-A)和抑郁亚量表(HADS-D)评分均明显低于对照组患者(P﹤0.01)。结论多样心理干预对乳腺癌患者的心理功能、负性情绪均具有明显的调节作用,可改善患者的生命质量。Objective To investigate the effects of diverse psychological interventions on negative emotions and psychological resilience and quality of life of breast cancer patients.Method A total of 120 breast cancer patients were enrolled and divided into an intervention group and a control group with 60 patients in each group using a random number table.Both groups were given routine health education and treatment guidance,and the intervention group was also given diverse psychological interventions in addition.The psychological resilience,negative emotions and quality of life of the two groups of patients before and after intervention were compared.Result After the intervention,the intervention group's total score of psychological resilience was(75.27±9.41),which was higher than the(71.04±9.06)of the control group(P<0.05).After the intervention,the individual score of social function,mental state,specific modules and common symptoms and total score of the Chinese version of the quality of life instruments for cancer patients-breast cancer(QLICP-BR)in the intervention group were higher than those in the control group(P<0.05).After the intervention,the scores of the hospital anxiety and depression scale-anxiety subscale(HADS-A)and hospital anxiety and depression scaledepression subscale(HADS-D)in the hospital anxiety and depression scale(HADS)in the intervention group were significantly lower than those of the control group(P<0.01).Conclusion Diverse psychological interventions have a significant regulatory effect on the negative emotions and psychological functions of breast cancer patients,improving the patients’life quality.

关 键 词：心理干预 乳腺癌 负性情绪 心理弹性 生存质量 

分 类 号：R737.9[医药卫生—肿瘤]