人文关怀联合音乐治疗对乳腺癌术后复发转移患者心理健康及生存质量的影响

Effect of human care combined with music therapy on psycho-logical status and quality of life in patients with breast cancer after recurrence and metastasis

目的探讨人文关怀联合音乐治疗对乳腺癌术后复发转移患者心理健康状况及生存质量的影响.方法将116例乳腺癌术后复发转移患者按照入院编号分为实验组和对照组,每组58例,两组予以常规护理干预,实验组在此基础上给予人文关怀联合音乐治疗,观察2周.干预前后采用汉密顿焦虑量表评定焦虑状况,汉密顿抑郁量表评定抑郁状况,生活质量综合评定问卷评定生存质量.结果干预1周末起两组汉密顿焦虑量表、汉密顿抑郁量表评分均较干预前显著下降(P<0.01),实验组干预1周、2周末评分显著低于对照组(P<0.01);两组生活质量综合评定问卷评分均较干预前持续升高(P<0.01),实验组干预1周、2周末评分显著高于对照组(P<0.05).结论人文关怀联合音乐治疗能有效缓解乳腺癌术后复发转移患者的焦虑、抑郁等不良情绪,改善心理健康状况,有利于促进患者预后,提高生存质量.

Objective To investigate the effect of human care combined with music therapy on the psychological state and quality of life of patients with breast cancer after recurrence and metastasis. Methods 116 breast cancer patients with postoperative recurrence and metastasis were randomly divided into experimental group and control group accord-ing to admission number, 58 cases in each group. The two groups were given routine nursing intervention, and the experimental group was given humanistic care combined with music therapy on this basis, patients were observed for 2 weeks. Before and after the intervention, HAMA was used to assess anxiety, HAMD was used to assess depression, and GQOL1-74 was used to assess quality of life. Results After intervention for 1 week, the HAMA and HAMD scores of the two groups were significantly lower than those before the intervention (P<0. 01). After intervention for 1 week, 2 weeks, the score of the experimental group was significantly lower than that of the control group (P<0. 01). GQOLI-74 scores in both groups were higher than those before intervention (P<0. 01). After intervention for 1 week, 2 weeks, the score of the experimental group was significantly higher than that of the control group (P<0. 05). Conclusions The combination of human care and music therapy in breast cancer patients with postoperative re-currence and metastasis can alleviate the negative emotions such as anxiety and depression, improve mental health and promote the prognosis of patients and improve the quality of life.