心理干预对乳腺癌患者术后化疗期间负性情绪及生活质量的影响

The influence of mental intervention on negative emotion and life quality of breast cancer patients during postoperative chemotherapy

目的：探讨心理干预对乳腺癌患者术后化疗期间负性情绪与生活质量的影响。方法：选取2013年3月~2015年6月间入院诊治的乳腺癌术后化疗患者96例，将其随机等分为观察组与对照组，对照组应用常规护理与对症护理方法；观察组在其基础上着重进行心理干预。护理时间均为4周，比较两组患者治疗前后焦虑、抑郁评分变化以及生活质量。结果：治疗后观察组患者的焦虑、抑郁评分低于对照组（P ＜0．05）， QLQ - C30功能子量表各条目评分均高于对照组（P ＜0．05），且症状子量表各条目评分低于对照组（P ＜0．05）。结论：应用个性化、人性化的心理干预可有效缓解乳腺癌患者术后化疗期间的负性情绪，并提高患者的生活质量。

Objective：To explore the influence of mental intervention on negative emotion and life quality of breast cancer patients during postoperative chemotherapy. Methods：Selected 96 patients admitted and diagnosed by our hospital for postoperative chemotherapy of breast cancer from March 2013 to June 2015,and randomly divided them into observation group and control group. Applied routine nursing and symptomatic nursing method to the control group,and laid emphasis on mental intervention towards the observation group on the basis of giving them the former method. The nursing time were 4 weeks,and compared score changes of anxiety,depression and life quality of the two groups of patients before and after the treatment. Results：The anxiety and depression scores of the observation group patients were lower than those of the control group（P 〈 0. 05）,scores of all items in functional subscale of QLQ - C30 were all higher than those of the control group（P 〈 0. 05）,while scores of all items in symptom scale of QLQ - C30 were all lower than those of the control group（P 〈 0. 05）. Conclusion：The application of individualized and human mental intervention can effectively relieve negative emotions of breast cancer patients during postoperative chemotherapy and improve their live quality.