心理干预对乳腺癌术后经外周静脉置入中心静脉导管患者的影响

Effect of psychological intervention on patients with peripherally inserted central venous catheter after breast cancer surgery

目的探讨心理干预对乳腺癌术后经外周静脉置入中心静脉导管患者的影响。方法选取2018年12月至2019年12月在我院接受经外周静脉置入中心静脉导管置管化疗的98例乳腺癌患者作为本次研究的主体对象,按随机数字表法将研究对象随机分为观察组和对照组,每组各49例。对照组患者给予常规护理,观察组在对照组的基础上联合心理干预。观察比较两组患者干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、治疗依从性、并发症及自我护理情况。结果(1)观察组治疗依从性明显高于对照组(P<0.05);(2)观察组患者并发症明显少于对照组(P<0.05);(3)与干预前相比,干预后两组患者自我护理能力明显增加,且观察组患者自我护理能力明显高于对照组(P<0.05);(4)与干预前相比,干预后两组患者SAS、SDS评分明显降低,且观察组患者评分明显低于对照组(P<0.05)。结论对采用PICC化疗的乳腺癌患者联合心理干预,不仅可以提高其自我护理能力、增加治疗依从性,而且还可以减少患者并发症,减轻患者负面情绪,值得引起临床重视。

Objective To investigate effect of psychological intervention on patients with peripherally inserted central venous catheter after breast cancer surgery. Methods A total of 98 patients with peripherally inserted central venous catheter after breast cancer surgery in our hospital from December 2018 to December 2019 were collected and randomly divided into two groups :control group(49 cases)received routine nursing care;observation group(49 patients)combined psychological intervention on the basis of the control group. Self-rating anxiety scale(SAS),self-rating depressive scale(SDS)score and self-nursing ability before and after intervention,therapy compliance,complicationbetween the two groups were compared. Results(1)Treatment compliance in the observation group was significantly higher than that in the control group(P<0.05).(2)Complications in the observation group were significantly lower than those in the control group(P<0.05).(3)Compared with before intervention,the self-care ability in the two groups increased significantly after intervention,and the self-care ability in the observation group was significantly higher than that in the control group(P<0.05).(4)Compared with before intervention,the SAS and SDS scores in the two groups after intervention significantly decreased,and the scores in the observation group were significantly lower than those in the control group(P<0.05). Conclusion PICC combined with psychological intervention can not only improve the self-care ability and increase the treatment compliance of breast cancer patients,but also reduce the complications and the negative emotions of patients,which is worth promoting.