综合干预对乳腺癌根治术后患者心理状态及预后的影响

Effect of comprehensive intervention on psychological state and prognosis of patients after radical mastectomy

目的探讨综合干预对乳腺癌根治术后患者心理状态及预后的影响。方法根据随机数字表法将86例乳腺癌患者分为观察组和对照组,每组43例。对照组患者给予常规干预,观察组患者给予综合干预。比较两组患者干预前后的焦虑自评量表(SAS)、抑郁自评量表(SDS)和生活质量评分,比较两组患者干预后的疼痛情况和干预期间的不良反应发生情况。结果干预后,观察组患者的SAS、SDS评分均明显低于对照组患者,生理状况、社会/家庭状况、情感状况、功能状况和附加关注状况评分均明显高于对照组患者,差异均有统计学意义(P﹤0.01)。干预后,两组患者的疼痛情况比较,差异有统计学意义(P﹤0.05)。干预期间,观察组患者的不良反应总发生率低于对照组患者,差异有统计学意义(P﹤0.05)。结论对乳腺癌根治术后患者给予综合干预可有效改善患者的心理状态,减轻患者的疼痛,提高患者的生活质量,减少不良反应的发生,改善患者预后。

Objective To investigate the effect of comprehensive intervention on the psychological state and prognosis of breast cancer patients after radical mastectomy.Method 86 patients with breast cancer were randomly divided into study group and control group with 43 cases in each group.The control group was given routine intervention,while the study group was given comprehensive intervention.Self-rating anxiety scale(SAS)scores,self-rating depression scale(SDS)scores and quality of life before and after intervention were compared between the two groups.The pain after intervention and the occurrence of adverse reactions during intervention were compared.Result After intervention,the SAS and SDS scores of the two groups were significantly lower than those of the control group,the scores of physiological status,social/family status,emotional status,functional status and additional attention status in the study group were significantly higher than those in the control group,with statistically significant difference(P<0.01).After intervention,there was a statistically significant difference in pain between the two groups(P<0.05).During the intervention period,the total incidence of adverse reactions in the study group was lower than that in the control group,with statistically significant difference(P<0.05).Conclusion Comprehensive intervention for breast cancer patients undergoing radical mastectomy can effectively improve the patient’s psychological state,relieve the patient’s pain,improve the patient’s quality of life,reduce the incidence of adverse reactions,and improve the prognosis of patients.