心理干预对乳腺癌患者应对方式及社会支持的影响

The Influence of Psychological Intervention on the Quality of Life of Breast Cancer Patients.

目的探讨综合性心理干预对化疗期间乳腺癌患者应对方式及社会支持的影响方法将83例化疗期乳腺癌患者随机分为实验组和对照组,实验组除接受常规化疗及护理外,还进行为期8周的综合性心理干预,对照组仅接受常规化疗及护理,以乳腺癌患者防御方式(DSQ),社会支持(SSRS)为指标,评价心理干预对乳腺癌患者防御方式及社会支持的影响。结果心理干预后,对两组进行比较显示,实验组比对照组更多地采取积极防御方式,较少地采取消极的防御方式(P<0.05)。心理干预后,实验组在社会支持总分、主观支持得分、支持利用度等方面较心理干预前均有明显提高(P<0.05),而对照组前后无明显变化(P>0.05)。结论综合性的心理干预能够使乳腺癌患者的积极应对方式增加,对社会支持的利用度增加,从而降低负性情绪的影响,提高其生存质量。

Objective To explore the influence of psychological intervention on the coping styles and social support of patients with breast cancer. Methods Eighty three breast cancer patients were randomly divided into intervention group and control group. The psychological intervention was performed on intervention group about eight weeks, and just the routine therapy and care were carried on patients in control group. Defense style questionare（DSQ）, social surpport rated system were used to observed the effect of psychological intervention on the patients with breast cancer. Results The breast cancer patients in intervention group used more positive coping method than control group（ P〈0. 05）, and they employed more social support（P〈0.05）. Conciusion Comprehensive psychological intervention can enhance breast cancers＇ positive coping way; Breast cancers can use more social support, decrease negative mood, improve llfe quality.