应重视乳腺癌患者的心理问题  

Psychological problems in breast cancer patients should be taken seriously

作　　者：侯丽娟 刘丽媛[1] 王斐[1] 于理想[1] 余之刚[1] Hou Lijuan;Liu Liyuan;Wang Fei;Yu Lixiang;Yu Zhigang(Department of Breast Surgery,the Second Hospital of Shandong University Institute of Translational Medicine of Breast Disease Prevention and Treatment,Shandong University Shandong Provincial Engineering Laboratory of Translational Research on Prevention and Treatment of Breast Disease,Jinan 250033,China)

机构地区：[1]山东大学第二医院乳腺外科、山东大学乳腺疾病防治转化医学研究所、山东省乳腺疾病防治转化工程实验室,济南250033

出　　处：《中华外科杂志》2024年第2期110-115,共6页Chinese Journal of Surgery

基　　金：山东省自然科学基金(ZR2021MH243)。

摘　　要：随着医学模式向生物-心理-社会模式转变,乳腺癌患者的心理问题及相关干预逐渐受到重视。患者在疾病诊断、治疗过程中,甚至在无病生存状态下往往会出现焦虑、抑郁等各种心理问题,不仅严重降低患者的生活质量,还可能影响患者的后续治疗,增大复发转移的风险。因此,医师应对患者进行常规的心理筛查和适当干预。近年来,心理干预已逐渐成为乳腺癌综合治疗的重要组成部分,其中认知行为疗法可以缓解患者的焦虑和睡眠障碍,正念疗法能治疗患者的焦虑、抑郁和癌症复发恐惧,心理教育支持主要用来解决患者的情绪障碍和性功能障碍。提高患者的治疗依从性及生活质量是乳腺癌患者心理干预的主要目标。With the transformation of the biopsychosocial medical model,psychological problems and related interventions for breast cancer patients have received more and more attention.Patients often have various psychological problems,in diagnosis,treatment,and even in the state of disease-free survival,such as anxiety and depression,which not only seriously reduces the quality of life,but also affects the follow-up treatment and increases the risk of recurrence and metastasis.Therefore,physicians should perform routine psychological screening and appropriate intervention for patients.In recent years,psychological intervention has gradually become an important part of comprehensive breast cancer treatment,in which cognitive behavior therapy can alleviate patients′anxiety and sleep disorders,mindfulness therapy can treat patients′anxiety,depression and fear of cancer recurrence,and psychoeducational support is mainly used to address patients′mood disorders and sexual dysfunction.Improving patients′compliance with treatment and quality of life is the main goal of psychological intervention for breast cancer patients.

关 键 词：乳腺肿瘤 心理疗法 心理问题 研究进展 

分 类 号：R47[医药卫生—护理学]