摘要
目的:探讨结构式心理干预对围手术期乳腺癌患者不良情绪及应激水平的影响。方法:60例接受乳腺癌根治手术的早期(Ⅰ-Ⅱ期)乳腺癌患者随机分成两组,干预组手术前给予45min的结构式心理干预,对照组不实行心理干预。用心理行为评定量表(SAS、SDS、SCL-90)对入院后和手术后患者情绪状况进行评分,同时抽取患者清晨空腹血查皮质醇(Cortisol)作为应激水平的检测。结果:干预后干预组的SAS、SDS、SCL-90量表得分均低于对照组(P〈0.01);干预后干预组血液Cortisol水平低于对照组(P〉0.05);干预组干预前后Cortisol水平呈下降趋势,而对照组则呈上升趋势。结论:心理干预可有效改善乳腺癌患者的不良情绪,有效降低应激激素的分泌水平,降低应激程度。
Objectlve ：To assess the effects of psychoiosical intervention during the time of operation. Methods ： 60 volunteers who were diagnosed as breast cancer with fine needle aspiration were divided into two groups. All the patients received the tests of psycholoslcal ratlng scales （SAS,SDS,SCL-90） and blood cortisol before and after operation. The patients in interventlon group were given 45 minutes＇ structural Interview before operation. Rcsults ：The Interventlon group patients had sisnificantty decreasea scores in SAS, SDS, SCL-90. The results of CORTISOL （ng/ml） showed that the intervention group patients had a lower level of CORTISOL after Intervention and the cotrol Stoup patients had a higher level of CORTISOL than the scores before Intervention. Conelusion ：Psychological intervention can sisnificantly improve Patients＇ psychological status and reduce Patients＇ stress level.
出处
《中国现代普通外科进展》
CAS
2005年第5期297-299,共3页
Chinese Journal of Current Advances in General Surgery
基金
山东省科技厅科研基金资助项目(99BBIAA2)
