乳腺癌患者术后的心理健康状况调查及干预对策

Survey of postoperative psychological health and intervention countermeasures in patients with breast cancer

目的探讨乳腺癌患者术后心理健康状况及其干预对策。方法采用症状自评量表(SCL-90)、抑郁自评量表(SDS)、焦虑自评量表(SAS)调查308例乳腺癌术后患者心理状况,并用生活质量评定量表(WHOQOL-BREF)调查患者生存质量。结果患者SCL-90各项指标评分在出院时均明显高于国内常模(P<0.05),术后3个月时明显降低(P<0.05),但仍然高于国内常模(P<0.05)。术后3个月时的SAS和SDS评分均较出院时明显下降(P<0.05)。术后3个月时患者生存质量评分均明显高于出院时(P<0.05)。结论乳腺癌患者术后早期存在较为明显的焦虑、抑郁等负性心理情绪,随着时间的延长负性心理状况有所改善。

Objective To discuss postoperative psychological health and intervention countermeasures in patients with breast cancer.Methods The psychological status was investigated with the symptom self-assessment scale（SCL-90）,depression self rating scale（SDS）and self rating anxiety scale（SAS）at discharge and 3months later in 308cases underwent mastectomy.The quality of life was evaluated with quality of life rating scale patients（WHOQOL BREF）survey as well.Results The items of SCL-90survey at discharge were all higher than those of the domestic norm score（P〈0.05）,which were remarkably reduced in the 3rd month after operation（P〈0.05）,but still higher than those of the domestic norm score（P〈0.05）.The SAS and SDS scores were significantly lower,but WHOQOL BREF scores were higher,in the 3rd month after operation than those at discharge（P〈0.05）.Conclusion The psychological anxiety,depression and other negative emotions exist in breast cancer patients in the early postoperative period,which are improving as time goes on.