个性化干预方案对乳腺癌手术患者负性情绪和睡眠质量的影响

Influence of Individualized Intervention on the Negative Emotion and Sleep Quality after Patients Underwent Breast Cancer Surgery

目的:研究个性化干预方案对乳腺癌手术患者负性情绪和睡眠质量的影响。方法:选取2012年1月-2015年1月在我院进行乳腺癌手术的患者311例,按照随机数字表法将患者分为研究组(n=152)和对照组(n=159)。对照组给予常规干预,研究组在对照组基础上给予个性化干预。干预前后应用焦虑自评量表(SAS)评价患者的焦虑情况,应用抑郁自评量表评分(SDS)评价患者的抑郁情况,应用匹兹堡睡眠质量指数(PSQI)评价患者的睡眠质量,并比较两组患者对护理服务的满意度。结果:研究组满意度97.4%显著高于对照组的88.7%,两组比较差异具有统计学意义(P<0.05);干预后研究组SAS评分、SDS评分和PSQI评分均显著降低,且显著低于对照组,两组比较差异均具有统计学意义(P<0.05)。结论:个性化干预方案能显著改善乳腺癌手术患者的焦虑、抑郁情绪,提高患者的睡眠质量。

Objective： To study the influence of individualized intervention on the negative emotion and sleep quality after patients underwent breast cancer surgery. Methods： 311 patients who underwent the breast cancer surgery in our hospital from January 2012 to January 2015 were selected and randomly divided into the study group（n=152） and the control group（n=59）. The patients in the control group were treated with the routine intervention, while the patients in the study group were treated with the individualized intervention on the basis of the control group. Then the self anxiety scale（SAS） was used to evaluate the anxiety status of patients, the self depression scale（SDS） was used to evaluate the depression status of patients, and the pittsburgh sleep quality index（PSQI） used to evaluate the sleep quality of patients, and the the satisfaction rate od patients in the two groups were compared. Results： Satisfaction degree in study group was 97.4%, which was significantly higher than 88.7% in control group, and the difference was statistically significant（P〈0.05）; SAS score, SDS score and PSQI in study group after intervention significantly decreased, which were lower than those of the control group,and the differences were statistically significant（P〈0.05）. Conclusion： Individualized intervention can significantly ease the anxiety and depression, and improve the sleep quality after patients underwent breast cancer surgery.