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乳腺癌患者SCL-90负性心理特征调查和护理干预 被引量:12

The Psychoanalysis and Psychotherapy for Breast Cancer Patients with SCL-90
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摘要 目的:对乳腺癌患者进行心理调查分析,寻找负性心理特征,并给予相应的护理干预。方法:64例乳腺癌患者(乳癌组)和50例良性乳腺包块患者(对照组)应用症状自评量表(SCL-90)进行自评和工作人员相结合的方法评定,并根据调查评定结果给予相应的护理干预。结果:干预前,2组患者SCL-90总分及各因子分均高于正常常模范围(P<0.05);乳癌组SCL-90的总均分及各因子分中F1(躯体化症状)、F2(强迫症状)、F3(人际敏感)、F4(抑郁)和F5(焦虑)的均分均明显高于对照组。通过手术及护理干预4d后,与术前比较,2组SCL-90均分及各因子均分均明显下降(P<0.05),2组间比较,乳癌组仍明显高于对照组(P<0.05)。结论:乳腺癌患者的负性心理状态的护理干预是一个长期过程,应通过各种手段给予患者良性影响,以提高患者的生存期及生活质量。 Objective: To investigate the negative mental characters of breast cancer patients with SCL-90 and make relevant psychotherapy. Methods: Sixty-four cases of breast cancer were obtained from the Department of General Surgery, Shandong Provincial Hospital. Their general average score and average score of each factor were measured. Fifty cases of benign breast lesions served as control group. All data were analyzed by SPSS 11.0 software. Results: The general average score of breast cancer group and control group was 3.16±0.38 and 3.01±0.29 respectively (P〈0.05). The average score of F1, F2, F3, F4 and F5 was higher in breast group than in control group (P〈0. 05). All above-men tioned scores were reduced after psychotherapy in breast cancer group (P〈0. 05). Conclusion.. The negative mental characters of breast cancer patients were improved through psychotherapy.
作者 赵健 郭莹
出处 《中国康复》 2008年第2期136-137,共2页 Chinese Journal of Rehabilitation
关键词 乳腺癌 心理分析 护理干预 breast neoplasms psychoanalysis psychotheraphy
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