心理治疗对早期乳腺癌保乳术后放疗患者负性情绪、生活质量的影响  

Effect of psychotherapy on negative emotion and quality of life of patients with early breast cancer undergoing breast conserving surgery and base note intensive radiotherapy

作　　者：孙翠红 刘丽华 黄微 SUN Cuihong;LIU Lihua;HUANG Wei(Chengde Third Hospital,Radiotherapy Department 1,Chengde 067000,China)

机构地区：[1]承德市第三医院放疗一科,承德067000

出　　处：《国际精神病学杂志》2024年第5期1575-1578,共4页Journal Of International Psychiatry

摘　　要：目的 探讨心理治疗对早期乳腺癌保乳术后放疗患者负性情绪、生活质量的影响。方法 病历资料选取于2022年3月~2023年2月区间,入选对象为医院接受的70例早期乳腺癌保乳术患者,均采取动态调强放射治疗,“简单随机化方法”原则1:1分组,划分为对照组(采取常规干预)与观察组(采取心理干预),各纳入35例,观察对比两组患者焦虑抑郁程度、心理弹性、应对方式、生活质量。结果 治疗后,两组焦虑自评量表、抑郁自评量表评分均呈不同程度降幅,且观察组较对照组降幅更明显(P<0.05);治疗后,两组心理弹性量表评分均升高,其中观察组更高(P<0.05);治疗后,两组《医学应对问卷》评分均发生明显改善,其中观察组屈服、回避评分低于对照组,面对评分高于对照组(P<0.05);治疗后,两组患者乳腺癌生命质量量表各维度评分均显著升高,且与对照组相比,观察组评分显著高(P<0.05)。结论 心理治疗对早期乳腺癌保乳术后患者焦虑抑郁有改善作用,增强其心理弹性,从而改善应对方式,实现提高生活质量的积极作用。Objective To explore the effect of base note radiotherapy combined with psychological intervention on negative emotions and quality of life of patients with early breast cancer after breast conserving surgery.Methods The medical records were selected from March 2022 to February 2023.The selected subjects were 70 patients with early breast cancer who received breast conserving surgery in the hospital.All of them received dynamic intensity modulated radiation therapy.The principle of "simple randomized method" was 1:1 grouping.They were divided into control group(with routine intervention)and observation group(with psychological intervention).35 patients were included in each group,Observe and compare the levels of anxiety and depression,psychological resilience,coping styles,and quality of life between the two groups of patients.Results After treatment,the scores of Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)showed varying degrees of decrease in both groups,and the observed group showed a more significant decrease compared to the control group(P<0.05).After treatment,the scores on the Connor Davidson Resilience Scale(CD-RISC)increased in both groups,with the observation group having a higher score(P<0.05).After treatment,there was a significant improvement in the scores of both groups on the Medical Coping Modes Questionnaire(MCMQ).The observation group had lower yield and avoidance scores than the control group,and higher face to face scores than the control group(P<0.05).After treatment,the scores of all dimensions of the Functional Assessment of breast cancer Therapy Break(FACT-B)in both groups were significantly higher,and the scores in the observation group were significantly higher than those in the control group(P<0.05).Conclusion The intensive radiotherapy combined with psychological intervention can improve the anxiety and depression of patients with early breast cancer after breast conserving surgery,enhance their psychological resilience,thus improve their coping style and achiev

关 键 词：乳腺癌保乳术 调强放射治疗 负性情绪 心理弹性 

分 类 号：R749[医药卫生—神经病学与精神病学]