目标性心理护理干预对乳腺癌根治性切除术患者心理应激及配合度的影响

Effect of Targeted Mental Nursing Intervention on the Mental Stress and Cooperation Degree of Patients after the Radical Resection of Breast Cancer

目的探讨对乳腺癌根治性切除术患者应用目标性心理护理干预对患者心理应激和配合度的影响。方法选取接2016月—2017年2月间受乳腺癌根治性切除术的患者97例,随机将其分为对照组(48例)和观察组(49例)。对照组实施常规护理,观察组在对照组基础上实施目标性心理护理干预。对比两组护理前后的心理状态,并对比两组的配合率。结果护理后观察组和对照组的焦虑自评量表(SAS)分别为(32.52±4.20)分、(44.15±5.01)分,两组的抑郁自评量表(SDS)评分分别为(35.10±5.01)分、(45.10±5.01)分,均低于护理前(t=42.336、24.309、34.027、23.605,P<0.05),观察组均低于对照组(t=12.400、9.829,P<0.05);观察组(97.96%)的配合率为高于对照组(85.42%)(χ~2=5.041,P<0.05)。结论对乳腺癌根治性切除术患者实施目标性心理护理干预可减轻心理应激,提高患者的配合率。

Objective To study the effect of targeted mental nursing intervention on the mental stress and cooperation degree of patients after the radical resection of breast cancer.Methods From January 2016 to December 2017 97 cases of patients with radical resection of breast cancer were divided into two groups,the control group with 48 cases used the routine nursing,while the observation group with 49 cases used the targeted mental nursing intervention on the basis of the control group,and the mental state was compared between the two groups before and after nursing,and the cooperation rate was compared.Results After nursing,the SAS scores in the observation group and in the control group were respectively（32.52±4.20）points and（44.15±5.01）points,and the SDS scores in the observation group and in the control group were respectively（35.10±5.01）points and（45.10±5.01）points,which were lower than those before nursing（t=42.336,24.309,34.027,23.605,P〈0.05）,and the indicators in the observation group were lower than those in the control group,（t=12.400,9.829,P〈0.05）,and the cooperation rate in the observation group was higher than that in the control group（97.96% vs 85.42%）,（χ2=5.041,P〈0.05）.Conclusion The implementation of targeted mental nursing intervention in patients after the radical resection of breast cancer can relieve the mental stress and improve the cooperation rate of patients.