支持性心理护理在乳腺癌改良根治术后患者中的应用效果

Application effects of supportive psychological nursing in patients after modifiedradical mastectomy

目的:观察支持性心理护理在乳腺癌改良根治术后患者中的应用效果。方法:选取112例乳腺癌改良根治术后患者为研究对象,按照随机数字表法分为观察组与对照组各56例。对照组给予常规护理,观察组在对照组基础上给予支持性心理护理,比较两组焦虑自评量表(SAS)、抑郁自评量表(SDS)、疾病不确定感量表(MUIS)和应对方式量表评分。结果:护理后,两组SAS、SDS、MUIS评分低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05);护理后,观察组面对评分高于对照组,回避及屈服评分低于对照组,差异均有统计学意义(P<0.05)。结论:在常规护理基础上采用支持性心理护理可降低乳腺癌改良术后患者SAS、SDS、MUIS评分,以及改善疾病应对方式,优于单纯常规护理效果。

Objective:To explore application effects of supportive psychological nursing in patients after modified radical mastectomy.Methods:112 patients after modified radical mastectomy for breast cancer were selected as the research objects,and were divided into observation group(n=56)and control group(n=56)in accordance with the random number table method.The control group was given routine nursing,while the observation group was given supportive psychological nursing on the basis of that of the control group.The scores of the self-rating anxiety scale(SAS),self-rating depression scale(SDS),Mishel’s uncertainty in illness scale(MUIS)and coping style scale were compared between the two groups.Results:After the nursing,the scores of SAS,SDS and MUIS in the two groups were lower than those before the nursing;those of the observation group were lower than those of the control group;and the differences were statistically significant(P<0.05).After the nursing,the facing score of the observation group was higher than that of the control group;the avoidance and yield scores were lower than those of the control group;and the differences were statistically significant(P<0.05).Conclusions:The supportive psychological nursing on the basis of the routine nursing can reduce the SAS,SDS,and MUIS scores of the patients with modified breast cancer surgery,and improve the disease coping styles.Moreover,it is superior to single routine nursing.