社区综合干预对乳腺癌患者抑郁和焦虑情绪的影响

Comprehensive Community Intervention on the Impact of Depression and Anxiety in Patients with Breast Cancer

目的探讨社区综合干预对乳腺癌患者抑郁和焦虑情绪的影响。方法将112例乳腺癌病人随机分为两组,干预组与对照组各56例。同时具备"生物-心理-社会"三者干预因素的归于治疗组,不同时具备三者干预因素的归于对照组。观察比较乳腺癌患者在干预前、6月后、12月后SDS和SAS评分。结果干预组患者抑郁、焦虑情绪12个月后得到明显改善,前后比较有显著性差异(t=4.055,5.540;P<0.01),与对照组相比有显著性差异(t=-4.093,-4.836,P<0.01)。结论社区综合干预能够明显改善乳腺癌患者抑郁、焦虑情绪,且改善程度与时间成正比,干预时间以12个月左右为佳。

Objective To explore the comprehensive community intervention on the impact of depression and anxiety in patients with breast cancer. Methods 112 cases of breast cancer patients were randomly divided into treatment group （n=56 and control group（n=56）. Treatment group given to the same time with ＂biological-psychological-social＂ factors in the three intervention integrated intervention, while others are the control group. All patients with breast cancer were investigated with SAS and SDS before treatment, after 6 months, 12 months. Results After 1 year＂ , depression and anxiety in patients with significantly improved. The differences before and after intervention was statistically significant（t=4.055, 5.540;P〈0.01 ）, and the differences between Treatment group and the control group was statistically significant （t=-4.093, -4.836, P〈0.01）. Conclusion Comprehensive community intervention can significantly improve depression and anxiety in patients with breast cancer. The degree of improvement is proportional to time and the treatment time of 12 months for the best.