对乳腺癌手术患者实施综合心理干预的效果观察

To observe the implementation of comprehensive psychological intervention on patients with breast cancer operation effect

目的:探讨综合心理干预对乳腺癌患者心理状态及康复效果等方面的影响。方法:将98例行乳腺癌改良根治术的女性患者按照治疗先后顺序随机分为对照组、干预组,各49例。对照组给予一般护理,干预组在一般护理基础上实施一对一综合心理干预。结果:干预组患者在干预后焦虑、抑郁状态明显改善,患者住院时间缩短,并发症的发生减少,患者满意度提高,与对照组比较,差异均有统计学意义(P<0.05);干预组SCL-90得分中躯体化、抑郁、焦虑、强迫、恐怖、人际关系及偏执因子得分均明显低于对照组(P<0.05)。结论:有效的综合心理干预,可有效改善乳腺癌患者焦虑、抑郁等负性情绪,减少术后并发症的发生等,促进患者早日康复。

Objective：To explore the effect of comprehensive psychological intervention on the psychological state of patients with breast cancer and the effect of rehabilitation. Methods： Female patients of 98 cases Of modified radical mastectomy of breast cancer according to the order of treatment were randomly divided into control group, intervention group, 49 cases in each. The control group was given routine nursing, the intervention group to implement a comprehensive psychological intervention based on general nursing. Results：The patients in the intervention group after intervention, anxiety, depression status improved significantly, hospitalization time, reduce complications, improve patient satisfaction, compared with the control group, the differences were statistically significant （P〈 0.05）; intervention group SCL-90 score of body, depression, anxiety, compulsion, interpersonal relationship and terror, paranoid ideation scores were significantly lower than those in control group （P 〈 0.05）. Conclusion：Comprehensive psychological intervention is effective, can effectively improve the breast cancer patients with anxiety, depression and other negative emotions, reduce postoperative complications, promote the patient recover.