综合心理干预对乳腺癌化疗患者医学应对方式及生命质量的影响

Influence of Comprehensive Psychological Intervention on Medical Coping Modes and the Quality of Life of Breast Cancer Patients Undergoing Chemotherapy

目的:探讨综合心理干预对乳腺癌化疗患者医学应对方式和生命质量的影响。方法:将乳腺癌化疗患者84例随机分为干预组和对照组,干预组采用常规护理+心理干预,对照组采用常规护理。分别在心理干预前、后应用医学应对方式问卷(MCMQ)和乳腺癌患者生命质量量表(QLQ—BR53)评价干预效果。结果:干预组心理干预后面对应对得分较对照组高,回避应对得分较对照组低,其差异有统计学意义(P<0.01);生命质量中功能领域得分干预组较对照组明显提高,症状领域中疲乏、气短、失眠等有所缓解,其差异有统计学意义(P<0.05)。结论:心理干预可促使乳腺癌化疗患者采取积极医学应对方式,改善化疗导致的心理应激反应和负性情绪,缓解疲乏、脱发烦恼和疼痛等症状,改善睡眠,提高患者生命质量。

Objective： To investigate the influence of comprehensive psychological intervention on medical coping modes and quality of life of breast cancer patients who were undergoing chemotherapy. Methods： All 84 patients were randomly allocated to the intervention group and the control group. The intervention group adopted routine care and psychological intervention and the control group routine care. Intervention effects were assessed before and after psychological intervention respectively with medical coping modes questionnaire （MCMQ） and quality of life questionnaire（QLQ-BR53）. Results： The intervention group was higher than the control group in positive coping scales after psychological intervention, lower than the control group in negative coping scales, the difference had statistical meaning（P〈0.01）; the intervention group was higher than the control group notably in functional areas, symptoms such as fatigue, short of breath, insomnia and others were relieved, the difference has statistical meaning（P〈0.05 or P〈0.01）. Conclusion： Psychological intervention could promote the patients take active medical coping modes, improve psychological stress reaction and negative moods induced by chemotherapy, alleviate the symptoms including fatigue, tri- chomadesis, pain and others, improve sleeping quality and quality of life of the patients.