合理情绪行为疗法对乳腺癌根治术患者术后心理及应激反应的影响  

Effect of rational emotional behavior therapy on psychological and stress response after radical mastectomy

作　　者：陈泽洁[1] CHEN Zejie(Operating Room,Shantou Central Hospital,Shantou 515031,Guangdong)

机构地区：[1]汕头市中心医院手术室,广东汕头515031

出　　处：《临床普外科电子杂志》2021年第2期44-48,共5页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的探讨合理情绪行为疗法对乳腺癌根治术患者术后心理及应激反应的影响。方法选择2019年1月至2020年1月在汕头市中心医院进行乳腺癌根治手术的患者,按随机数字表将80例患者分为对照组和观察组各40例。对照组患者采用手术室常规护理,观察组患者在对照组基础上结合合理情绪行为疗法,包括认知教育、引导领悟、心理干预和合理行为干预。比较两组患者的心理及应激水平和护理满意度。结果与对照组相比,观察组患者接受合理情绪行为干预后,患者抑郁自评量表(self-rating depression scale,SDS)、生命质量测定量表(quality of life scale,QLQ)-C30和自动思维问卷(automatic thinking questionnaire,ATQ)评分均显著低于对照组患者,差异具有显著性(P<0.05);观察组患者的应激水平均显著低于对照组(P<0.05);观察组患者的护理满意度评分显著高于对照组(P<0.05)。结论乳腺癌手术患者在手术过程中应用合理情绪行为干预能够有效缓解患者不良心理,降低术后应激反应,并提高护理满意度,可在临床上进一步研究应用。Objective To explore the effect of rational emotional behavior therapy on psychological and stress response after radical mastectomy.Methods Patients who underwent radical mastectomy for breast cancer in Shantou Central Hospital from January 2019 to January 2020 were selected.The random number table was divided into a control group and an observation group,each with 40 cases.Patients in the control group received conventional nursing care,and patients in the observation group received reasonable emotional behavior therapy on the basis of conventional treatment,including cognitive education,guidance and understanding,psychological intervention and reasonable behavior intervention.After all,the stress level and nursing satisfaction of the two groups of patients,to determine the impact of reasonable emotional therapy on the surgical stress response of patients undergoing radical breast cancer surgery.Results Compared with the control group,after receiving reasonable emotional intervention,the total score of self-rating depression scale(SDS),quality of life scale(QLQ)-C30 and automatic thinking questionnaire(ATQ)of patients in the observation group increased significantly,and the difference was statistically significant(P<0.05);The stress level of the observation group was significantly lower than that of the control Group (P<0.05);And the nursing satisfaction score of the observation group was significantly higher than that of the control group (P<0.05). Conclusion The application of rational emotional behavior intervention in the surgical process of breast cancer patients can effectively alleviate the adverse psychology of patients, reduce post-operative stress response, and improve nursing satisfaction, which can be further studied and applied in clinical practice.

关 键 词：合理情绪行为疗法 乳腺癌根治手术 手术应激 护理满意度 

分 类 号：R47[医药卫生—护理学]